PD-L1

from Wikipedia, the free encyclopedia
Programmed cell death 1 ligand 1
other names

PD-L1, B7 homolog 1, B7-H1

Existing structural data : PDB  3BIK , PDB  3BIS , PDB  3FN3

Properties of human protein
Mass / length primary structure 290 amino acids , 33,275 Da
Identifier
External IDs
Orthologue
human mouse
Entrez 29126 60533
Ensemble ENSG00000120217 ENSMUSG00000016496
UniProt Q9NZQ7 Q9EP73
Refseq (mRNA) NM_001267706.1 NM_021893
Refseq (protein) NP_001254635.1 NP_068693
Gene locus
PubMed search 29126 60533

Programmed cell death 1 ligand 1 (synonym CD274 , B7 homolog 1 ) is a surface protein and is involved in the inhibition of the immune response .

properties

PD-L1 is a type 1 transmembrane protein found in the cell membrane . It is produced in higher concentrations in the heart , skeletal muscles , placenta and lungs . In addition, it is produced in lower concentrations in the thymus , spleen , kidney , liver as well as activated T and B cells , dendritic cells , keratinocytes and monocytes . PD-L1 is glycosylated . It binds to the PD-1 receptor with a dissociation constant of 8 µM . Furthermore, PD-L1 binds to B7-1 (synonymous CD80 ) with a dissociation constant of 1.4 µM, but not to the closely related B7-2 (synonymous CD86 ).

regulation

The gene expression of PD-L1 is regulated by various mechanisms. After binding of IFN-γ to its receptor, the gene expression of PD-L1 in T cells, NK cells , macrophages , myeloid dendritic cells, B cells, and epithelial cells is increased. The promoter of PD-L1 binds the transcription factor IRF-1 (English interferon regulatory factor ). Resting cholangiocytes produce the PD-L1 mRNA , but not the protein, as the miRNA miR-513 inhibits them . Furthermore, miR-200, miR-197 and miRNA-34 are produced to inhibit the gene expression of PD-L1.

Immune modulation

Binding of PD-L1 to PD-1 inhibits the immune response by inducing gene expression of interleukin-10 in monocytes. It also inhibits the phosphorylation of ZAP70 and promotes gene expression of the ubiquitin ligase CBL-b .

PD-L1 is produced to a greater extent by some tumors during immune evasion . Inhibition of PD-L1 increases the pathogenicity of Listeria monocytogenes . Too little PD-L1 is produced in patients with lupus erythematosus . In persistent infections of LCMV and HIV , an increased gene expression of PD-1 is observed in CD8 -positive T cells (synonymous with cytotoxic T cells ). The increased activation of PD-1 by PD-L1 is believed to be involved in the anergy of cytotoxic T cells.

Applications

Immunostaining of PD-L1 in a lung tumor

A high concentration of PD-L1 in solid tumors is a negative prognostic marker, e.g. B. in melanoma , non-small cell lung cancer and in bladder cancer . The epigenetic methylation of the DNA of PD-L1 is a positive prognostic factor.

The concentration of PD-L1 is also examined prior to the use of antibodies against PD-1 in the context of cancer immunotherapy , whereby not all anti-PD1-sensitive tumors form PD-L1 and are therefore not recorded and in some cases, nevertheless, on cancer immunotherapy against PD- 1 address. The antibodies and immune checkpoint inhibitors nivolumab and pembrolizumab bind to PD-1, inhibit PD-1 activation by PD-L1 and are used for cancer immunotherapy. Antibodies that bind to PD-L1 are e.g. For example, BMS-936559, MPDL3280A ( Atezolizumab ) MEDI4736 ( Durvalumab ) and MSB0010718C ( Avelumab ) and REGN-2810 ( Cemiplimab ). The low molecular weight compound BMS-202 inhibits the binding of PD-L1 to PD-1 by forming PD-L1 homodimers .

Inhibition of PD-L1 is being investigated for the treatment of chronic infectious diseases such as tuberculosis and HIV .

PD-L1 diagnostics

Various scoring types are used for the therapy of PD-L1-positive tumors :

  • Tumor Proportion Score (TPS, percentage of PD-L1-positive tumor cells from all vital tumor cells)
  • Immune Cell Score (IC, percentage of the area of ​​PD-L1-positive immune cells from the area of ​​the vital tumor cells)
  • Combined Positive Score (CPS, combination of TIPS and IC), percentage of PD-L1-positive cells including lymphocytes and macrophages from all vital tumor cells

Web links

Individual evidence

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