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. 2024 May 23;24(1):633.
doi: 10.1186/s12885-024-12390-8.

PD-L1 knockdown suppresses vasculogenic mimicry of non-small cell lung cancer by modulating ZEB1-triggered EMT

Affiliations

PD-L1 knockdown suppresses vasculogenic mimicry of non-small cell lung cancer by modulating ZEB1-triggered EMT

Wenjuan Li et al. BMC Cancer. .

Abstract

Background: PD-L1 overexpression is commonly observed in various malignancies and is strongly correlated with poor prognoses for cancer patients. Moreover, PD-L1 has been shown to play a significant role in promoting angiogenesis and epithelial-mesenchymal transition (EMT) processes across different cancer types.

Methods: The relationship between PD-L1 and vasculogenic mimicry as well as epithelial-mesenchymal transition (EMT) was explored by bioinformatics approach and immunohistochemistry. The functions of PD-L1 in regulating the expression of ZEB1 and the EMT process were assessed by Western blotting and q-PCR assays. The impact of PD-L1 on the migratory and proliferative capabilities of A549 and H1299 cells was evaluated through wound healing, cell invasion, and CCK8 assays following siRNA-mediated PD-L1 knockdown. Tube formation assay was utilized to evaluate the presence of VM structures.

Results: In this study, increased PD-L1 expression was observed in A549 and H1299 cells compared to normal lung epithelial cells. Immunohistochemical analysis revealed a higher prevalence of VM structures in the PD-L1-positive group compared to the PD-L1-negative group. Additionally, high PD-L1 expression was also found to be significantly associated with advanced TNM stage and increased metastasis. Following PD-L1 knockdown, NSCLC cells exhibited a notable reduction in their ability to form tube-like structures. Moreover, the levels of key EMT and VM-related markers, including N-cadherin, MMP9, VE-cadherin, and VEGFA, were significantly decreased, while E-cadherin expression was upregulated. In addition, the migration and proliferation capacities of both cell lines were significantly inhibited after PD-L1 or ZEB1 knockdown.

Conclusions: Knockdown PD-L1 can inhibit ZEB1-mediated EMT, thereby hindering the formation of VM in NSCLC.

Keywords: Epithelial-to-mesenchymal transition; Non-small cell lung cancer; PD-L1; Vasculogenic mimicry; ZEB1.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
PD-L1 was upregulated in NSCLC cells and related to unfavorable prognosis in NSCLC patients. (A and B) Western blotting analysis compared PD-L1 levels between NSCLC cells and normal lung epithelial cells. (C and D) IHC analysis of PD-L1, PAS-CD31, used to detect the presence of VM in NSCLC tissue (black arrows: endothelium-dependent vessels, PAS-CD31+; red arrows: vasculogenic mimicry, PAS + CD31-; magnification, ×400). (E and F) Patient survival analysis demonstrated varying OS and DFS rates depended on PD-L1 expression levels
Fig. 2
Fig. 2
PD-L1 knockdown attenuated VM formation in vitro. (A) VM formation ability was assessed in all of three types cells. (B and C ) The efficacy of PD-L1 knockdown using siRNA was evaluated through Western blotting and q-PCR. (D) The correlation between angiogenesis and PD-L1 levels was analyzed using the TCGA-Lung Adenocarcinoma (TCGA-LUAD) dataset, which comprised 465 samples. (E and F) VM-related genes’ expression in mRNA and protein levels was assessed through Western blotting and q-PCR analyses. (G) The number of VM structures decreased considerably following PD-L1 siRNA transfection
Fig. 3
Fig. 3
Proliferation, invasion and metastasis of A549 and H1299 were inhibited with PD-L1 knockdown. (A) CCK-8 assays assessed the proliferation capacity of A549 and H1299 following PD-L1 knockdown. (B) Flow cytometry was conducted to explore the rate of apoptosis in A549 and H1299 after transfection of siPD-L1. (C, D and E) Down-regulation of PD-L1 drastically inhibited migration and invasion ability in A549 and H1299 cells, as observed in all three assays (migration, invasion, and scratch healing)
Fig. 4
Fig. 4
PD-L1 exhibited a relationship with ZEB1 and the EMT process. (A and B) Bioinformatic analysis revealed a correlation between PD-L1 and ZEB1 expression, as well as other EMT-related genes. (C and D) The expression of ZEB1 and EMT-related markers was assessed using Western blotting and q-PCR analysis in NSCLC cells transfected with PD-L1 siRNA
Fig. 5
Fig. 5
Cell lines construction and ZEB1 knockdown decreased EMT markers expression and VM structures formation in vitro. (A, B and C) Western blotting and q-PCR analysis of PD-L1 knockdown efficiency of shRNA. (D and E) Immunohistochemistry was employed to detect the presence of VM in both the ZEB1-positive and ZEB1-negative groups (magnification, ×400). (F) ZEB1 knockdown reduced the VM structure formation in vitro. (G and H) EMT-associated markers in NSCLC cells transfected with shRNA targeting ZEB1 were assayed at the protein and mRNA levels using Western blotting and q-PCR. (I) CCK8 assay demonstrated that the proliferation of NSCLCL cells was inhibited following ZEB1 knockdown. (J, K and L) Results from scratch healing assay, migration, and invasion experiments consistently demonstrated significant suppression of migratory and invasive capacities in A549 and H1299 cells upon ZEB1 knockdown
Fig. 6
Fig. 6
The distribution of PD-L1 exhibits concordance with the ZEB1 distribution. (A) Exploration of ZEB1 expression in distinct PD-L1 groups through immunohistochemistry. (B) Immunohistochemistry exhibited a remarkable concordance in the distribution patterns of PD-L1 and ZEB1 (magnification, ×200)

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