Extracellular vesicles derived from lung cancer cells exposed to intermittent hypoxia upregulate programmed death ligand 1 expression in macrophages

© 2021. The Author(s)..

PURPOSE: Intermittent hypoxia (IH), a hallmark of obstructive sleep apnea (OSA), compromises immune surveillance through the upregulation of programmed cell death-1 ligand (PD-L1). Tumor-released extracellular vesicles (EVs) have been reported to modulate immunosuppressive activities. We investigated whether or not EVs derived from intermittent hypoxic lung cancer cells can alter the expression of PD-L1 in macrophages.

METHODS: The expression of PD-L1+monocytes from 40 patients with newly diagnosed non-small-cell lung cancer (NSCLC) and with (n=21) or without (n=19) OSA were detected. Plasma EVs isolated from NSCLC patients with moderate-severe OSA (n=4) and without OSA (n=4) were co-cultured with macrophages. A549 cells were exposed to normoxia or IH (48 cycles of 5 min of 1% O2 hypoxia, followed by 5 min of normoxia). EVs were isolated from cell supernatant and were co-cultured with macrophages differentiated from THP-1. PD-L1 and hypoxia-inducible factor-1 α (HIF-1α) expressions were measured by flow cytometry, immunofluorescence, and Western blot analysis.

RESULTS: PD-L1+monocytes were elevated in NSCLC patients with OSA and increased with the severity of OSA and nocturnal desaturation. PD-L1+ macrophages were induced by EVs from NSCLC patients with OSA and positively correlated with HIF-1α expressions. EVs from IH-treated A549 can promote PD-L1 and HIF-1α expression in macrophages and the upregulation of PD-L1 expression was reversed by specific HIF-1α inhibitor.

CONCLUSION: IH can enhance the function of EVs derived from lung cancer cells to aggravate immunosuppressive status in macrophages. HIF-1α may play an important role in this process.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Sleep & breathing = Schlaf & Atmung - 26(2022), 2 vom: 12. Juni, Seite 893-906

Sprache:

Englisch

Beteiligte Personen:

Liu, Yuanling [VerfasserIn]
Lu, Minzhen [VerfasserIn]
Chen, Jianan [VerfasserIn]
Li, Siqi [VerfasserIn]
Deng, Yiyu [VerfasserIn]
Yang, Shifang [VerfasserIn]
Ou, Qiong [VerfasserIn]
Li, Jing [VerfasserIn]
Gao, Ping [VerfasserIn]
Luo, Zeru [VerfasserIn]
Yuan, Ping [VerfasserIn]
Tan, Jianlong [VerfasserIn]
Gao, Xinglin [VerfasserIn]

Links:

Volltext

Themen:

B7-H1 Antigen
Extracellular vesicle
Hypoxia-Inducible Factor 1, alpha Subunit
Journal Article
Macrophage
Non-small-cell lung cancer
Obstructive sleep apnea
Programmed cell death-1 ligand

Anmerkungen:

Date Completed 26.05.2022

Date Revised 16.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11325-021-02369-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328000035