Resveratrol targets PD-L1 glycosylation and dimerization to enhance antitumor T-cell immunity

New strategies to block the immune evasion activity of programmed death ligand-1 (PD-L1) are urgently needed. When exploring the PD-L1-targeted effects of mechanistically diverse metabolism-targeting drugs, exposure to the dietary polyphenol resveratrol (RSV) revealed its differential capacity to generate a distinct PD-L1 electrophoretic migration pattern. Using biochemical assays, computer-aided docking/molecular dynamics simulations, and fluorescence microscopy, we found that RSV can operate as a direct inhibitor of glyco-PD-L1-processing enzymes (α-glucosidase/α-mannosidase) that modulate N-linked glycan decoration of PD-L1, thereby promoting the endoplasmic reticulum retention of a mannose-rich, abnormally glycosylated form of PD-L1. RSV was also predicted to interact with the inner surface of PD-L1 involved in the interaction with PD-1, almost perfectly occupying the target space of the small compound BMS-202 that binds to and induces dimerization of PD-L1. The ability of RSV to directly target PD-L1 interferes with its stability and trafficking, ultimately impeding its targeting to the cancer cell plasma membrane. Impedance-based real-time cell analysis (xCELLigence) showed that cytotoxic T-lymphocyte activity was notably exacerbated when cancer cells were previously exposed to RSV. This unforeseen immunomodulating mechanism of RSV might illuminate new approaches to restore T-cell function by targeting the PD-1/PD-L1 immunologic checkpoint with natural polyphenols.

[1]  R. L. Russell,et al.  Quantitative measures of aging in the nematode caenorhabditis elegans: II. Lysosomal hydrolases as markers of senescence , 1983, Mechanisms of Ageing and Development.

[2]  G. Kaushal,et al.  Kifunensine, a potent inhibitor of the glycoprotein processing mannosidase I. , 1990, The Journal of biological chemistry.

[3]  Y. Osajima,et al.  Inhibitory effect of alpha-glucosidase inhibitors varies according to its origin. , 1999, Journal of agricultural and food chemistry.

[4]  Y. Osajima,et al.  Inhibitory Effect of α-Glucosidase Inhibitors Varies According to Its Origin , 1999 .

[5]  M. Laakso,et al.  Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM randomised trial , 2002, The Lancet.

[6]  D. Kuntz,et al.  Comparison of kifunensine and 1-deoxymannojirimycin binding to class I and II alpha-mannosidases demonstrates different saccharide distortions in inverting and retaining catalytic mechanisms. , 2003, Biochemistry.

[7]  Gert Vriend,et al.  Making optimal use of empirical energy functions: Force‐field parameterization in crystal space , 2004, Proteins.

[8]  Stuart K. Kim,et al.  A role for SIR-2.1 regulation of ER stress response genes in determining C. elegans life span. , 2005, Developmental cell.

[9]  P. Distefano,et al.  Inhibition of SIRT1 Catalytic Activity Increases p53 Acetylation but Does Not Alter Cell Survival following DNA Damage , 2006, Molecular and Cellular Biology.

[10]  G. Vriend,et al.  Fast empirical pKa prediction by Ewald summation. , 2006, Journal of molecular graphics & modelling.

[11]  M. Flaishman,et al.  Antioxidant Activity and Inhibition of α-Glucosidase by trans-Resveratrol, Piceid, and a Novel trans-Stilbene from the Roots of Israeli Rumex bucephalophorus L. , 2006 .

[12]  M. Flaishman,et al.  Antioxidant activity and inhibition of alpha-glucosidase by trans-resveratrol, piceid, and a novel trans-stilbene from the roots of Israeli Rumex bucephalophorus L. , 2006, Journal of agricultural and food chemistry.

[13]  Garrett M Morris,et al.  Using AutoDock for Ligand‐Receptor Docking , 2008, Current protocols in bioinformatics.

[14]  Lieping Chen,et al.  Inhibitory B7-family molecules in the tumour microenvironment , 2008, Nature Reviews Immunology.

[15]  C. Yuh,et al.  Reduced expression of alpha‐1,2‐mannosidase I extends lifespan in Drosophila melanogaster and Caenorhabditis elegans , 2009, Aging cell.

[16]  David S. Goodsell,et al.  AutoDock4 and AutoDockTools4: Automated docking with selective receptor flexibility , 2009, J. Comput. Chem..

[17]  B. Viollet,et al.  AMP-Activated Protein Kinase–Deficient Mice Are Resistant to the Metabolic Effects of Resveratrol , 2009, Diabetes.

[18]  Li Kai,et al.  Resveratrol enhances p53 acetylation and apoptosis in prostate cancer by inhibiting MTA1/NuRD complex , 2010, International journal of cancer.

[19]  T. Walle Bioavailability of resveratrol , 2011, Annals of the New York Academy of Sciences.

[20]  J. Pezzuto,et al.  What Is New for an Old Molecule? Systematic Review and Recommendations on the Use of Resveratrol , 2011, PloS one.

[21]  J. Auwerx,et al.  Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans. , 2011, Cell metabolism.

[22]  J. Bhatt,et al.  Resveratrol supplementation improves glycemic control in type 2 diabetes mellitus. , 2012, Nutrition research.

[23]  K. Knutson,et al.  Determining optimal cytotoxic activity of human Her2neu specific CD8 T cells by comparing the Cr51 release assay to the xCELLigence system. , 2012, Journal of visualized experiments : JoVE.

[24]  R. de Cabo,et al.  SIRT1 is required for AMPK activation and the beneficial effects of resveratrol on mitochondrial function. , 2012, Cell metabolism.

[25]  Drew M. Pardoll,et al.  The blockade of immune checkpoints in cancer immunotherapy , 2012, Nature Reviews Cancer.

[26]  D. Rose,et al.  Specificity of Processing α-Glucosidase I Is Guided by the Substrate Conformation , 2013, The Journal of Biological Chemistry.

[27]  L. Benson,et al.  Enzymatic Discovery of a HER-2/neu Epitope That Generates Cross-Reactive T Cells , 2013, The Journal of Immunology.

[28]  Manuel Serrano,et al.  The Hallmarks of Aging , 2013, Cell.

[29]  Sheng Yao,et al.  Advances in targeting cell surface signalling molecules for immune modulation , 2013, Nature Reviews Drug Discovery.

[30]  C. Busch,et al.  Resveratrol as a Pan-HDAC Inhibitor Alters the Acetylation Status of Jistone Proteins in Human-Derived Hepatoblastoma Cells , 2013, PloS one.

[31]  Gert Vriend,et al.  YASARA View—molecular graphics for all devices—from smartphones to workstations , 2014, Bioinform..

[32]  F M Blows,et al.  Association between CD8+ T-cell infiltration and breast cancer survival in 12,439 patients. , 2014, Annals of oncology : official journal of the European Society for Medical Oncology.

[33]  S. Antonia,et al.  PD-L1 Expression Is Increased in a Subset of Basal Type Breast Cancer Cells , 2014, PloS one.

[34]  E. Lionta,et al.  Structure-Based Virtual Screening for Drug Discovery: Principles, Applications and Recent Advances , 2014, Current topics in medicinal chemistry.

[35]  M. Barnett,et al.  The Role of Dietary Histone Deacetylases (HDACs) Inhibitors in Health and Disease , 2014, Nutrients.

[36]  B. Ames,et al.  Acarbose, 17-α-estradiol, and nordihydroguaiaretic acid extend mouse lifespan preferentially in males , 2013, Aging cell.

[37]  G. V. D. van der Windt,et al.  PD-L1 blockade: rejuvenating T cells in CLL. , 2015, Blood.

[38]  Isadora A. Oliveira,et al.  Biosynthetic Machinery Involved in Aberrant Glycosylation: Promising Targets for Developing of Drugs Against Cancer , 2015, Front. Oncol..

[39]  H. Hausenblas,et al.  Resveratrol treatment as an adjunct to pharmacological management in type 2 diabetes mellitus--systematic review and meta-analysis. , 2015, Molecular nutrition & food research.

[40]  C. Caldas,et al.  PD-L1 protein expression in breast cancer is rare, enriched in basal-like tumours and associated with infiltrating lymphocytes. , 2015, Annals of oncology : official journal of the European Society for Medical Oncology.

[41]  Michael Schroeder,et al.  PLIP: fully automated protein–ligand interaction profiler , 2015, Nucleic Acids Res..

[42]  Lajos Pusztai,et al.  Pembrolizumab in Patients With Advanced Triple-Negative Breast Cancer: Phase Ib KEYNOTE-012 Study. , 2016, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[43]  K. Moremen,et al.  Substrate recognition and catalysis by GH47 α-mannosidases involved in Asn-linked glycan maturation in the mammalian secretory pathway , 2016, Proceedings of the National Academy of Sciences.

[44]  K. Zak,et al.  Structural basis for small molecule targeting of the programmed death ligand 1 (PD-L1) , 2016, Oncotarget.

[45]  Y. Song,et al.  Resveratrol triggers ER stress-mediated apoptosis by disrupting N-linked glycosylation of proteins in ovarian cancer cells. , 2016, Cancer letters.

[46]  Shahrukh K Hashmi,et al.  Strategies and Challenges in Clinical Trials Targeting Human Aging , 2016, The journals of gerontology. Series A, Biological sciences and medical sciences.

[47]  M. Dieci,et al.  The immune system and hormone-receptor positive breast cancer: Is it really a dead end? , 2016, Cancer treatment reviews.

[48]  Daniel L. Smith,et al.  Targeting glucose metabolism for healthy aging , 2016, Nutrition and healthy aging.

[49]  Jun Yao,et al.  Glycosylation and stabilization of programmed death ligand-1 suppresses T-cell activity , 2016, Nature Communications.

[50]  Ju-Hee Lee,et al.  Resveratrol induces human keratinocyte damage via the activation of class III histone deacetylase, Sirt1. , 2016, Oncology reports.

[51]  Ping-Chih Ho,et al.  Metabolic communication in tumors: a new layer of immunoregulation for immune evasion , 2016, Journal of Immunotherapy for Cancer.

[52]  M. Moracci,et al.  Structure of human lysosomal acid α-glucosidase–a guide for the treatment of Pompe disease , 2017, Nature Communications.

[53]  D. Larsimont,et al.  Immune Checkpoint Molecules on Tumor-Infiltrating Lymphocytes and Their Association with Tertiary Lymphoid Structures in Human Breast Cancer , 2017, Front. Immunol..

[54]  A. Rimando,et al.  α-Glucosidase inhibitory effect of resveratrol and piceatannol. , 2017, The Journal of nutritional biochemistry.

[55]  Jin-Ming Yang,et al.  Immunotherapy for triple-negative breast cancer: Existing challenges and exciting prospects. , 2017, Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy.

[56]  Zhanwu Sheng,et al.  Ability of resveratrol to inhibit advanced glycation end product formation and carbohydrate-hydrolyzing enzyme activity, and to conjugate methylglyoxal. , 2017, Food chemistry.

[57]  M. Kok,et al.  Targeting immune checkpoints in breast cancer: an update of early results , 2017, ESMO Open.

[58]  Peter Schmid,et al.  Abstract 2986: Atezolizumab in metastatic TNBC (mTNBC): Long-term clinical outcomes and biomarker analyses , 2017 .

[59]  F. Rojo,et al.  Breast Cancer Immunology and Immunotherapy: Current Status and Future Perspectives. , 2017, International review of cell and molecular biology.

[60]  Tingting Liu,et al.  Resveratrol inhibits proliferation and migration through SIRT1 mediated post-translational modification of PI3K/AKT signaling in hepatocellular carcinoma cells , 2017, Molecular medicine reports.

[61]  L. Dirix,et al.  Avelumab, an anti-PD-L1 antibody, in patients with locally advanced or metastatic breast cancer: a phase 1b JAVELIN Solid Tumor study , 2017, Breast Cancer Research and Treatment.

[62]  H. Horita,et al.  Identifying Regulatory Posttranslational Modifications of PD-L1: A Focus on Monoubiquitinaton , 2017, Neoplasia.

[63]  T. Holak,et al.  Small-Molecule Inhibitors of the Programmed Cell Death-1/Programmed Death-Ligand 1 (PD-1/PD-L1) Interaction via Transiently Induced Protein States and Dimerization of PD-L1. , 2017, Journal of medicinal chemistry.

[64]  Y. Ido,et al.  Resveratrol-Induced AMP-Activated Protein Kinase Activation Is Cell-Type Dependent: Lessons from Basic Research for Clinical Application , 2017, Nutrients.

[65]  Induction of sirtuin-1 signaling by resveratrol induces human chondrosarcoma cell apoptosis and exhibits antitumor activity , 2017, Scientific Reports.

[66]  G. Koehl,et al.  Metabolic Hallmarks of Tumor and Immune Cells in the Tumor Microenvironment , 2017, Front. Immunol..

[67]  S. Domchek,et al.  Immunotherapy for Breast Cancer: What Are We Missing? , 2017, Clinical Cancer Research.

[68]  K. Zak,et al.  Structural Biology of the Immune Checkpoint Receptor PD-1 and Its Ligands PD-L1/PD-L2. , 2017, Structure.

[69]  D. Park,et al.  Programmed death-ligand 1 (PD-L1) expression in tumour cell and tumour infiltrating lymphocytes of HER2-positive breast cancer and its prognostic value , 2017, Scientific Reports.

[70]  B. Bridle,et al.  Metabolic reprogramming in the tumour microenvironment: a hallmark shared by cancer cells and T lymphocytes , 2017, Immunology.

[71]  C. Sotiriou,et al.  Tumor-infiltrating lymphocyte composition, organization and PD-1/ PD-L1 expression are linked in breast cancer , 2016, Oncoimmunology.

[72]  M. Alsharedi,et al.  Immunotherapy in triple-negative breast cancer , 2017, Medical Oncology.

[73]  G. Pawelec Does patient age influence anti-cancer immunity? , 2018, Seminars in Immunopathology.

[74]  L. Q. Trung,et al.  Is Resveratrol a Cancer Immunomodulatory Molecule? , 2018, Front. Pharmacol..

[75]  Jeremy G. Carlton,et al.  ALIX Regulates Tumor-Mediated Immunosuppression by Controlling EGFR Activity and PD-L1 Presentation , 2018, Cell reports.

[76]  Jun Yao,et al.  Eradication of Triple-Negative Breast Cancer Cells by Targeting Glycosylated PD-L1. , 2018, Cancer cell.

[77]  J. Cortés,et al.  Is there a role for immunotherapy in HER2-positive breast cancer? , 2018, npj Breast Cancer.

[78]  Immune Checkpoint PD-1/PD-L1: Is There Life Beyond Antibodies? , 2018, Angewandte Chemie.

[79]  M. Hung,et al.  Posttranslational Modifications of PD-L1 and Their Applications in Cancer Therapy. , 2018, Cancer research.

[80]  M. Hung,et al.  STT3-dependent PD-L1 accumulation on cancer stem cells promotes immune evasion , 2018, Nature Communications.

[81]  W. Symmans,et al.  Metformin Promotes Antitumor Immunity via Endoplasmic-Reticulum-Associated Degradation of PD-L1. , 2018, Molecular cell.

[82]  V. Sánchez-Margalet,et al.  New horizons in breast cancer: the promise of immunotherapy , 2018, Clinical and Translational Oncology.

[83]  H. Yao,et al.  Regulation of PD-L1: Emerging Routes for Targeting Tumor Immune Evasion , 2018, Front. Pharmacol..

[84]  Ping-Chih Ho,et al.  Immunometabolism in cancer at a glance , 2018, Disease Models & Mechanisms.

[85]  H. Ashida,et al.  Calorie Restriction Mimetics: Upstream-Type Compounds for Modulating Glucose Metabolism , 2018, Nutrients.

[86]  Z. Darżynkiewicz,et al.  Upregulation of PD-L1 expression by resveratrol and piceatannol in breast and colorectal cancer cells occurs via HDAC3/p300-mediated NF-κB signaling , 2018, International journal of oncology.

[87]  J. Rathmell,et al.  Metabolic Barriers to T Cell Function in Tumors , 2018, The Journal of Immunology.

[88]  S. Sleijfer,et al.  Breast cancer genomics and immuno-oncological markers to guide immune therapies. , 2017, Seminars in cancer biology.

[89]  S. Yao,et al.  The role of programmed death ligand-1 and tumor-infiltrating lymphocytes in breast cancer overexpressing HER2 gene , 2018, Breast Cancer Research and Treatment.

[90]  R. Nanda,et al.  Immune Checkpoint Inhibitor Therapy in Breast Cancer. , 2018, Journal of the National Comprehensive Cancer Network : JNCCN.

[91]  E. Winer,et al.  Atezolizumab and Nab‐Paclitaxel in Advanced Triple‐Negative Breast Cancer , 2018, The New England journal of medicine.

[92]  O. Ortmann,et al.  Regulation of Programmed Death Ligand 1 (PD-L1) Expression in Breast Cancer Cell Lines In Vitro and in Immunodeficient and Humanized Tumor Mice , 2018, International journal of molecular sciences.

[93]  H. Yao,et al.  HIP1R targets PD-L1 to lysosomal degradation to alter T cell–mediated cytotoxicity , 2018, Nature Chemical Biology.

[94]  A. Benammar Elgaaied,et al.  Targeting Tumor Metabolism: A New Challenge to Improve Immunotherapy , 2018, Front. Immunol..

[95]  P. Davis,et al.  Thyroxine inhibits resveratrol-caused apoptosis by PD-L1 in ovarian cancer cells. , 2018, Endocrine-related cancer.

[96]  N. Borcherding,et al.  The clinical promise of immunotherapy in triple-negative breast cancer , 2018, Cancer management and research.

[97]  Ying Jiang,et al.  Immunotherapeutic interventions of Triple Negative Breast Cancer , 2018, Journal of Translational Medicine.

[98]  S. Verdura,et al.  Metformin as an archetype immuno-metabolic adjuvant for cancer immunotherapy , 2019, Oncoimmunology.

[99]  P. Romero,et al.  Navigating metabolic pathways to enhance antitumour immunity and immunotherapy , 2019, Nature Reviews Clinical Oncology.

[100]  Qi Wang,et al.  Aging, Cancer and Immunity , 2019, Journal of Cancer.

[101]  J. Zhai,et al.  Immunological therapy: A novel thriving area for triple-negative breast cancer treatment. , 2019, Cancer letters.

[102]  Yanke Zhang,et al.  Resveratrol induces immunogenic cell death of human and murine ovarian carcinoma cells , 2019, Infectious Agents and Cancer.

[103]  J. Mercader,et al.  Resveratrol Anti-Obesity Effects: Rapid Inhibition of Adipocyte Glucose Utilization , 2019, Antioxidants.

[104]  S. Mousa,et al.  Thyroid hormone-induced expression of inflammatory cytokines interfere with resveratrol-induced anti-proliferation of oral cancer cells. , 2019, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[105]  K. No,et al.  Investigation of protein-protein interactions and hot spot region between PD-1 and PD-L1 by fragment molecular orbital method , 2019, Scientific Reports.

[106]  J. Lozano-Sánchez,et al.  Extra Virgin Olive Oil Contains a Phenolic Inhibitor of the Histone Demethylase LSD1/KDM1A , 2019, Nutrients.

[107]  N. Ayoub,et al.  Immunotherapy for HER2-positive breast cancer: recent advances and combination therapeutic approaches , 2019, Breast cancer.

[108]  J. Encinar,et al.  Revisiting silibinin as a novobiocin-like Hsp90 C-terminal inhibitor: Computational modeling and experimental validation. , 2019, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[109]  E. Hibler,et al.  The Coincidence Between Increasing Age, Immunosuppression, and the Incidence of Patients With Glioblastoma , 2019, Front. Pharmacol..

[110]  M. Hung,et al.  Mechanisms Controlling PD-L1 Expression in Cancer. , 2019, Molecular cell.

[111]  S. Loi,et al.  Pembrolizumab monotherapy for previously treated metastatic triple-negative breast cancer: cohort A of the phase II KEYNOTE-086 study , 2019, Annals of oncology : official journal of the European Society for Medical Oncology.

[112]  E. Winer,et al.  Pembrolizumab monotherapy for previously untreated, PD-L1-positive, metastatic triple-negative breast cancer: cohort B of the phase II KEYNOTE-086 study , 2019, Annals of oncology : official journal of the European Society for Medical Oncology.

[113]  Katarzyna Guzik,et al.  Development of the Inhibitors That Target the PD-1/PD-L1 Interaction—A Brief Look at Progress on Small Molecules, Peptides and Macrocycles , 2019, Molecules.

[114]  J. Lozano-Sánchez,et al.  The extra virgin olive oil phenolic oleacein is a dual substrate-inhibitor of catechol-O-methyltransferase. , 2019, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[115]  S. Hirono,et al.  Characterizing the selectivity of ER α-glucosidase inhibitors , 2019, Glycobiology.

[116]  J. Bergh,et al.  Beyond PD-1/PD-L1 Inhibition: What the Future Holds for Breast Cancer Immunotherapy , 2019, Cancers.

[117]  T. Slaga,et al.  Acarbose improves health and lifespan in aging HET3 mice , 2019, Aging cell.

[118]  Danfeng Shi,et al.  Computational Insight Into the Small Molecule Intervening PD-L1 Dimerization and the Potential Structure-Activity Relationship , 2019, Front. Chem..

[119]  J. Welsh,et al.  Altered cancer metabolism in mechanisms of immunotherapy resistance , 2019, Pharmacology & therapeutics.

[120]  P. Fisher,et al.  Immunometabolism: A new target for improving cancer immunotherapy. , 2019, Advances in cancer research.

[121]  G. Hortobagyi,et al.  Removal of N-Linked Glycosylation Enhances PD-L1 Detection and Predicts Anti-PD-1/PD-L1 Therapeutic Efficacy. , 2019, Cancer cell.

[122]  H. Yao,et al.  Inhibiting PD-L1 palmitoylation enhances T-cell immune responses against tumours , 2019, Nature Biomedical Engineering.

[123]  Jinhuan Wei,et al.  Comprehensive transcriptome profiling in elderly cancer patients reveals aging‐altered immune cells and immune checkpoints , 2018, International journal of cancer.

[124]  M. Dieci,et al.  Interaction of host immunity with HER2-targeted treatment and tumor heterogeneity in HER2-positive breast cancer , 2019, Journal of Immunotherapy for Cancer.