PMID- 34758826 OWN - NLM STAT- MEDLINE DCOM- 20211126 LR - 20211126 IS - 1423-0127 (Electronic) IS - 1021-7770 (Print) IS - 1021-7770 (Linking) VI - 28 IP - 1 DP - 2021 Nov 10 TI - Proteasome inhibitors restore the STAT1 pathway and enhance the expression of MHC class I on human colon cancer cells. PG - 75 LID - 10.1186/s12929-021-00769-9 [doi] LID - 75 AB - BACKGROUND: A new strategy, particularly a novel combination, for immunotherapy in microsatellite stable metastatic colorectal cancer (mCRC) treatment needs to be formulated. Studies on the interferon-gamma (IFN-gamma)/ Janus kinase (JAK)/ signal transducer and activator of transcription (STAT)1 pathway provide new directions in this regard. METHODS: Our study applies three colon cancer cell lines, including microsatellite stable (MSS) cell lines, which are SW480 and SW620, and microsatellite instability-high (MSI-H) cell line, which is DLD-1. We compared the expressions of immune surface markers on colon cancer cells in response to IFN-gamma. We elucidated these mechanisms, which involved the upregulation of immune surface markers. Furthermore, we examined real-world clinical samples using the PerkinElmer Opal multiplex system and NanoString analysis. RESULTS: We established that the baseline expression of major histocompatibility complex (MHC) class I alleles and programmed death-ligand 1 (PD-L1) were generally low in cell line models. The immune surface markers were significantly increased after IFN-gamma stimulation on SW480 but were notably unresponsive on the SW620 cell line. We discovered that STAT1 and phosphorylated STAT1 (pSTAT1) were downregulated in the SW620 cell line. We verified that the STAT1/pSTAT1 could be restored through the application of proteasome inhibitors, especially bortezomib. The expression of MHC class I as downstream signals of STAT1 was also up-regulated by proteasome inhibitors. The similar results were reproduced in DLD-1 cell line, which was also initially unresponsive to IFN-gamma. In real-world samples of patients with mCRC, we found that higher STAT1 expression in tumor cells was strongly indicative of a highly immunogenic microenvironment, with significantly higher expression levels of MHC class I and PD-L1, not only on tumor cells but also on non-tumor cells. Furthermore, tumor infiltrating lymphocytes (TILs) were increased in the positive-STAT1 group. Through NanoString analysis, we confirmed that the mRNA expressions of IFN-gamma, human leukocyte antigen (HLA)-A, HLA-E, and HLA-G were also significantly higher in the positive-STAT1 group than those in the negative-STAT1 group. CONCLUSION: Our study provides a novel rationale for the addition of bortezomib, a proteasome inhibitor, into new immunotherapy combinations. CI - (c) 2021. The Author(s). FAU - Liang, Yi-Hsin AU - Liang YH AD - Graduate Institutes of Oncology, National Taiwan University College of Medicine, No 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, R.O.C. AD - Graduate Institutes of Centers of Genomic and Precision Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, R.O.C. AD - Departments of Oncology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C. AD - National Taiwan University Cancer Center, Taipei, Taiwan, R.O.C. FAU - Chen, Kuo-Hsing AU - Chen KH AD - Graduate Institutes of Oncology, National Taiwan University College of Medicine, No 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, R.O.C. AD - Departments of Oncology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C. AD - National Taiwan University Cancer Center, Taipei, Taiwan, R.O.C. FAU - Tsai, Jia-Huei AU - Tsai JH AD - Departments of Pathology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C. FAU - Cheng, Yung-Ming AU - Cheng YM AD - Departments of Pathology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C. FAU - Lee, Chang-Cheng AU - Lee CC AD - Graduate Institutes of Oncology, National Taiwan University College of Medicine, No 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, R.O.C. AD - Graduate Institutes of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, R.O.C. FAU - Kao, Chiu-Hwa AU - Kao CH AD - Graduate Institutes of Oncology, National Taiwan University College of Medicine, No 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, R.O.C. AD - Graduate Institutes of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, R.O.C. FAU - Chan, Kuang-Yu AU - Chan KY AD - Graduate Institutes of Oncology, National Taiwan University College of Medicine, No 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, R.O.C. FAU - Chen, Yeh-Ting AU - Chen YT AD - Graduate Institutes of Centers of Genomic and Precision Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, R.O.C. FAU - Hsu, Wen-Ling AU - Hsu WL AD - Graduate Institutes of Centers of Genomic and Precision Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, R.O.C. FAU - Yeh, Kun-Huei AU - Yeh KH AUID- ORCID: 0000-0002-7306-174X AD - Graduate Institutes of Oncology, National Taiwan University College of Medicine, No 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, R.O.C.. khyeh@ntu.edu.tw. AD - Graduate Institutes of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, R.O.C.. khyeh@ntu.edu.tw. AD - Departments of Oncology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C.. khyeh@ntu.edu.tw. AD - National Taiwan University Cancer Center, Taipei, Taiwan, R.O.C.. khyeh@ntu.edu.tw. LA - eng GR - MOST-106-2314-B-002-222-MY3/Ministry of Science and Technology, Taiwan/ GR - MOST-109-2634-F-002-043/Ministry of Science and Technology, Taiwan/ PT - Journal Article DEP - 20211110 PL - England TA - J Biomed Sci JT - Journal of biomedical science JID - 9421567 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Proteasome Inhibitors) RN - 0 (STAT1 Transcription Factor) RN - 0 (STAT1 protein, human) SB - IM MH - Cell Line, Tumor MH - Colonic Neoplasms/*physiopathology MH - Gene Expression/*drug effects MH - Genes, MHC Class I/*drug effects MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Proteasome Inhibitors/*pharmacology MH - STAT1 Transcription Factor/*genetics/metabolism MH - Signal Transduction/*drug effects PMC - PMC8579664 OTO - NOTNLM OT - Colorectal cancer OT - Interferon-gamma (IFN-gamma) OT - Major histocompatibility complex (MHC) class I OT - Proteasome inhibitors OT - STAT1 OT - Tumor infiltrating lymphocytes (TILs) COIS- The authors declare no competing interests in relation to this study. EDAT- 2021/11/12 06:00 MHDA- 2021/11/27 06:00 PMCR- 2021/11/10 CRDT- 2021/11/11 05:43 PHST- 2021/06/07 00:00 [received] PHST- 2021/10/20 00:00 [accepted] PHST- 2021/11/11 05:43 [entrez] PHST- 2021/11/12 06:00 [pubmed] PHST- 2021/11/27 06:00 [medline] PHST- 2021/11/10 00:00 [pmc-release] AID - 10.1186/s12929-021-00769-9 [pii] AID - 769 [pii] AID - 10.1186/s12929-021-00769-9 [doi] PST - epublish SO - J Biomed Sci. 2021 Nov 10;28(1):75. doi: 10.1186/s12929-021-00769-9.