Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer

Abstract CXC chemokine receptor 4 (CXCR4) and programmed cell death‐ligand 1 (PD‐L1) are two critical molecules involved in the tumor immune microenvironment. However, the impact of platinum drugs, such as cisplatin, on CXCR4 or PD‐L1 expression and the underlying mechanisms in gastric cancer (GC) r...

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Main Authors: Xiaoyu Kang, Lin Zhang, Shushang Liu, Fei Wang, Haiming Liu, Fenli Zhou, Fei Wu, Haohao Zhang, Daiming Fan, Yongzhan Nie, Zhangqian Chen
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:The Journal of Pathology: Clinical Research
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Online Access:https://doi.org/10.1002/2056-4538.70015
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author Xiaoyu Kang
Lin Zhang
Shushang Liu
Fei Wang
Haiming Liu
Fenli Zhou
Fei Wu
Haohao Zhang
Daiming Fan
Yongzhan Nie
Zhangqian Chen
author_facet Xiaoyu Kang
Lin Zhang
Shushang Liu
Fei Wang
Haiming Liu
Fenli Zhou
Fei Wu
Haohao Zhang
Daiming Fan
Yongzhan Nie
Zhangqian Chen
author_sort Xiaoyu Kang
collection DOAJ
description Abstract CXC chemokine receptor 4 (CXCR4) and programmed cell death‐ligand 1 (PD‐L1) are two critical molecules involved in the tumor immune microenvironment. However, the impact of platinum drugs, such as cisplatin, on CXCR4 or PD‐L1 expression and the underlying mechanisms in gastric cancer (GC) remain unknown. Moreover, the correlation between their expression levels in GC remains elusive. Immunohistochemistry, western blot, and RT‐qPCR were performed to determine the expression pattern of CXCR4 and PD‐L1 in GC. Clinical samples, patient‐derived xenografts, and cell‐derived xenografts were utilized to investigate the effects of platinum drugs on the expression levels of CXCR4 and PD‐L1. Postchemotherapy resected GC tumor tissues showed higher CXCR4 and PD‐L1 expression levels than pretreatment biopsies (p < 0.05). Similarly, GC xenografts treated with platinum‐based chemotherapy exhibited increased CXCR4 and PD‐L1 expression levels compared to saline‐treated controls (p < 0.05). A positive correlation was detected between the expression levels of CXCR4 and PD‐L1 in GC tumor tissues. Increased levels of CXCR4 and PD‐L1 expression, in a dose‐ and time‐dependent manner upon cisplatin treatment, were observed in GC cells (p < 0.05). Cisplatin‐induced CXCR4 upregulation relies on ROS/HIF‐1α and ROS/NF‐κB pathways, while cisplatin‐induced PD‐L1 upregulation is cyclic GMP‐AMP synthase/stimulator of IFN genes‐dependent and associated with elevated ROS levels in GC cells. CXCR4 expression was found to be positively correlated with PD‐L1 expression in GC. Platinum drugs upregulated the levels of CXCR4 and PD‐L1 expression in GC. A combined strategy targeting CXCR‐4 and PD‐L1 might have clinical prospects for GC patients.
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spelling doaj-art-c07f52c79fff4eca98fde4200a1f94932025-01-28T03:40:31ZengWileyThe Journal of Pathology: Clinical Research2056-45382025-01-01111n/an/a10.1002/2056-4538.70015Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancerXiaoyu Kang0Lin Zhang1Shushang Liu2Fei Wang3Haiming Liu4Fenli Zhou5Fei Wu6Haohao Zhang7Daiming Fan8Yongzhan Nie9Zhangqian Chen10State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases Fourth Military Medical University Xi'an PR ChinaDepartment of Internal Medicine Central Medical Branch of Chinese PLA General Hospital Beijing PR ChinaDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases Fourth Military Medical University Xi'an PR ChinaDepartment of Digestive Surgery, Honghui Hospital Xi'an Jiaotong University Xi'an PR ChinaSchool of Software Engineering Beijing Jiaotong University Beijing PR ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases Fourth Military Medical University Xi'an PR ChinaDepartment of Urology, Shandong Provincial Hospital Shandong First Medical University Jinan PR ChinaDepartment of Digestive Surgery, Honghui Hospital Xi'an Jiaotong University Xi'an PR ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases Fourth Military Medical University Xi'an PR ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases Fourth Military Medical University Xi'an PR ChinaState Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers and National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases Fourth Military Medical University Xi'an PR ChinaAbstract CXC chemokine receptor 4 (CXCR4) and programmed cell death‐ligand 1 (PD‐L1) are two critical molecules involved in the tumor immune microenvironment. However, the impact of platinum drugs, such as cisplatin, on CXCR4 or PD‐L1 expression and the underlying mechanisms in gastric cancer (GC) remain unknown. Moreover, the correlation between their expression levels in GC remains elusive. Immunohistochemistry, western blot, and RT‐qPCR were performed to determine the expression pattern of CXCR4 and PD‐L1 in GC. Clinical samples, patient‐derived xenografts, and cell‐derived xenografts were utilized to investigate the effects of platinum drugs on the expression levels of CXCR4 and PD‐L1. Postchemotherapy resected GC tumor tissues showed higher CXCR4 and PD‐L1 expression levels than pretreatment biopsies (p < 0.05). Similarly, GC xenografts treated with platinum‐based chemotherapy exhibited increased CXCR4 and PD‐L1 expression levels compared to saline‐treated controls (p < 0.05). A positive correlation was detected between the expression levels of CXCR4 and PD‐L1 in GC tumor tissues. Increased levels of CXCR4 and PD‐L1 expression, in a dose‐ and time‐dependent manner upon cisplatin treatment, were observed in GC cells (p < 0.05). Cisplatin‐induced CXCR4 upregulation relies on ROS/HIF‐1α and ROS/NF‐κB pathways, while cisplatin‐induced PD‐L1 upregulation is cyclic GMP‐AMP synthase/stimulator of IFN genes‐dependent and associated with elevated ROS levels in GC cells. CXCR4 expression was found to be positively correlated with PD‐L1 expression in GC. Platinum drugs upregulated the levels of CXCR4 and PD‐L1 expression in GC. A combined strategy targeting CXCR‐4 and PD‐L1 might have clinical prospects for GC patients.https://doi.org/10.1002/2056-4538.70015CXCR4PD‐L1gastric cancercisplatintreatment strategy
spellingShingle Xiaoyu Kang
Lin Zhang
Shushang Liu
Fei Wang
Haiming Liu
Fenli Zhou
Fei Wu
Haohao Zhang
Daiming Fan
Yongzhan Nie
Zhangqian Chen
Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer
The Journal of Pathology: Clinical Research
CXCR4
PD‐L1
gastric cancer
cisplatin
treatment strategy
title Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer
title_full Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer
title_fullStr Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer
title_full_unstemmed Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer
title_short Platinum drugs upregulate CXCR4 and PD‐L1 expression via ROS‐dependent pathways, with implications for novel combined treatment in gastric cancer
title_sort platinum drugs upregulate cxcr4 and pd l1 expression via ros dependent pathways with implications for novel combined treatment in gastric cancer
topic CXCR4
PD‐L1
gastric cancer
cisplatin
treatment strategy
url https://doi.org/10.1002/2056-4538.70015
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