PMID- 37663280 OWN - NLM STAT- MEDLINE DCOM- 20230927 LR - 20230927 IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 11 DP - 2023 TI - Co-inhibition of adenosine 2b receptor and programmed death-ligand 1 promotes the recruitment and cytotoxicity of natural killer cells in oral squamous cell carcinoma. PG - e15922 LID - 10.7717/peerj.15922 [doi] LID - e15922 AB - Adenosine promotes anti-tumor immune responses by modulating the functions of T-cells and natural killer (NK) cells in the tumor microenvironment; however, the role of adenosine receptors in the progression of oral squamous cell carcinoma (OSCC) and its effects on immune checkpoint therapy remain unclear. In this study, we obtained the tumor tissues from 80 OSCC patients admitted at the Shandong University Qilu Hospital between February 2014 and December 2016. Thereafter, we detected the expression of adenosine 2b receptor (A2BR) and programmed death-ligand 1 (PD-L1) using immunohistochemical staining and analyzed the association between their expression in different regions of the tumor tissues, such as tumor nest, border, and paracancer stroma. To determine the role of A2BR in PD-L1 expression, CAL-27 (an OSCC cell line) was treated with BAY60-6583 (an A2BR agonist), and PD-L1 expression was determined using western blot and flow cytometry. Furthermore, CAL-27 was treated with a nuclear transcription factor-kappa B (NF-kappa B) inhibitor, PDTC, to determine whether A2BR regulates PD-L1 expression via the NF-kappa B signaling pathway. Additionally, a transwell assay was performed to verify the effect of A2BR and PD-L1 on NK cell recruitment. The results of our study demonstrated that A2BR and PD-L1 are co-expressed in OSCC. Moreover, treatment with BAY60-6583 induced PD-L1 expression in the CAL-27 cells, which was partially reduced in cells pretreated with PDTC, suggesting that A2BR agonists induce PD-L1 expression via the induction of the NF-kappa B signaling pathway. Furthermore, high A2BR expression in OSCC was associated with lower infiltration of NK cells. Additionally, our results demonstrated that treatment with MRS-1706 (an A2BR inverse agonist) and/or CD274 (a PD-L1-neutralizing antibody) promoted NK cell recruitment and cytotoxicity against OSCC cells. Altogether, our findings highlight the synergistic effect of co-inhibition of A2BR and PD-L1 in the treatment of OSCC via the modulation of NK cell recruitment and cytotoxicity. CI - (c)2023 Wang et al. FAU - Wang, Bing AU - Wang B AD - Department of Oral and Maxillofacial Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University & Institute of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wang, Tao AU - Wang T AD - Department of Oral and Maxillofacial Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University & Institute of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Yang, Chengzhe AU - Yang C AD - Department of Oral and Maxillofacial Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University & Institute of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Nan, Zhaodi AU - Nan Z AD - Institute of Basic Medical Sciences, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Ai, Dan AU - Ai D AD - Institute of Basic Medical Sciences, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wang, Xin AU - Wang X AD - Department of Pathology, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wang, Huayang AU - Wang H AD - Department of Clinical Laboratory, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Qu, Xun AU - Qu X AD - Institute of Basic Medical Sciences, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wei, Fengcai AU - Wei F AD - Department of Oral and Maxillofacial Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University & Institute of Stomatology, Cheeloo College of Medicine, Shandong University, Jinan, China. LA - eng SI - figshare/10.6084/m9.figshare.23266277.v1 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230830 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 RN - 0 (B7-H1 Antigen) RN - 0 (BAY 60-6583) RN - 0 (CD274 protein, human) RN - 0 (NF-kappa B) RN - 135467-92-4 (prolinedithiocarbamate) RN - 0 (Receptors, Adenosine A2) RN - 0 (Adenosine A2 Receptor Antagonists) SB - IM MH - Humans MH - B7-H1 Antigen/genetics MH - Drug Inverse Agonism MH - Killer Cells, Natural MH - *Mouth Neoplasms/drug therapy MH - NF-kappa B MH - *Squamous Cell Carcinoma of Head and Neck/drug therapy MH - Tumor Microenvironment MH - Receptors, Adenosine A2 MH - *Adenosine A2 Receptor Antagonists/pharmacology PMC - PMC10474825 OTO - NOTNLM OT - A2BR OT - Checkpoint inhibitor OT - NK cell OT - Oral squamous cell carcinoma OT - PD-L1 COIS- The authors declare that there are no competing interests. EDAT- 2023/09/04 06:42 MHDA- 2023/09/05 06:42 PMCR- 2023/08/30 CRDT- 2023/09/04 04:58 PHST- 2023/06/01 00:00 [received] PHST- 2023/07/28 00:00 [accepted] PHST- 2023/09/05 06:42 [medline] PHST- 2023/09/04 06:42 [pubmed] PHST- 2023/09/04 04:58 [entrez] PHST- 2023/08/30 00:00 [pmc-release] AID - 15922 [pii] AID - 10.7717/peerj.15922 [doi] PST - epublish SO - PeerJ. 2023 Aug 30;11:e15922. doi: 10.7717/peerj.15922. eCollection 2023.