PMID- 36509363 OWN - NLM STAT- MEDLINE DCOM- 20230127 LR - 20230201 IS - 1872-7980 (Electronic) IS - 0304-3835 (Linking) VI - 555 DP - 2023 Feb 28 TI - PAK4 inhibition improves PD1 blockade immunotherapy in prostate cancer by increasing immune infiltration. PG - 216034 LID - S0304-3835(22)00521-3 [pii] LID - 10.1016/j.canlet.2022.216034 [doi] AB - Antitumor immunity requires lymphocytes to localize to the tumor. Prostate cancers (PCs) are immunologically cold and tend to lack T-cell infiltration. Most advanced PCs are insensitive to PD1 blockade therapies. Using syngeneic RM1 prostate tumors, p21-activated kinase-4 (PAK4) knockdown (KD) and pharmacological inhibition was assessed in C57BL/6J mice treated with PD1 antibodies (alphaPD1). RNASeq was used to characterize the immune response in the tumor. Immunohistochemistry, flow cytometry, and in vivo blocking studies confirmed the role of cell surface proteins in the generation of immune responses. In The Cancer Genome Atlas, PAK4 expression was inversely correlated with immune cell infiltration. PAK4 expression was controlled by the androgen receptor and its pioneering factor, FOXA1. PAK4 KD increased CD8(+) T-cell infiltration and expression of IFNgamma response genes. PAK4 KD also upregulated angiogenesis and endothelial cell adhesion molecules in the tumor microenvironment, contributing to CD8(+) lymphocyte recruitment. Pharmacological inhibition of PAK4 made PC more responsive to immunotherapy with alphaPD1. A decrease in PAK4 activity increases immune activation and vascularity, which increases CD8(+) lymphocyte infiltration into the tumor. Therefore, targeting PAK4 may improve the response of human PC to immunotherapy. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Su, Shengchen AU - Su S AD - Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: Shengchen.Su@cshs.org. FAU - You, Sungyong AU - You S AD - Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: Sungyong.You@cshs.org. FAU - Wang, Yanping AU - Wang Y AD - Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: Yanping.Wang@cshs.org. FAU - Tamukong, Patrick AU - Tamukong P AD - Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: Patrick.Tamukong@cshs.org. FAU - Quist, Michael J AU - Quist MJ AD - Cedars-Sinai Medical Center, Los Angeles, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: mjquist@gmail.com. FAU - Grasso, Catherine S AU - Grasso CS AD - Cedars-Sinai Medical Center, Los Angeles, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: Catherine.Grasso@gmail.com. FAU - Kim, Hyung L AU - Kim HL AD - Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Electronic address: Hyung.KimL@cshs.org. LA - eng PT - Journal Article DEP - 20221210 PL - Ireland TA - Cancer Lett JT - Cancer letters JID - 7600053 RN - EC 2.7.11.1 (p21-Activated Kinases) RN - EC 2.7.11.1 (Pak4 protein, mouse) RN - 0 (Pdcd1 protein, mouse) SB - IM MH - Animals MH - Humans MH - Male MH - Mice MH - CD8-Positive T-Lymphocytes MH - Cell Line, Tumor MH - Immunotherapy MH - Mice, Inbred C57BL MH - *p21-Activated Kinases/genetics/metabolism MH - *Prostatic Neoplasms/drug therapy/genetics MH - Tumor Microenvironment OTO - NOTNLM OT - Checkpoint blockade OT - Combination immunotherapy OT - Immune infiltration OT - Prostate cancer OT - p21-activating kinases-4 COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/12/13 06:00 MHDA- 2023/01/25 06:00 CRDT- 2022/12/12 19:27 PHST- 2022/07/25 00:00 [received] PHST- 2022/11/09 00:00 [revised] PHST- 2022/12/05 00:00 [accepted] PHST- 2022/12/13 06:00 [pubmed] PHST- 2023/01/25 06:00 [medline] PHST- 2022/12/12 19:27 [entrez] AID - S0304-3835(22)00521-3 [pii] AID - 10.1016/j.canlet.2022.216034 [doi] PST - ppublish SO - Cancer Lett. 2023 Feb 28;555:216034. doi: 10.1016/j.canlet.2022.216034. Epub 2022 Dec 10.