The PD-1 (programmed death-1)/PD-L1 (PD-ligand 1) checkpoint is a critical regulator of activated T cell-
cancer cell interactions, defending
tumor cells against immune destruction.
Nano-diamino-tetrac (NDAT; Nanotetrac) is an anticancer/anti-angiogenic agent targeted to the
thyroid hormone-
tetrac receptor on the extracellular domain of
integrin αvβ3. NDAT inhibits the
cancer cell PI3-K and MAPK signal transduction pathways that are critical to PD-L1 gene expression. We examined actions in vitro of
thyroid hormone (l-thyroxine, T4) and NDAT on PD-L1
mRNA abundance (qPCR) and
PD-L1 protein content in human
breast cancer (MDA-MB-231) cells and colon
carcinoma (HCT116 and HT-29) cells. In MDA-MB-231 cells, a physiological concentration of T4 (10-7M total; 10-10M free
hormone) stimulated PD-L1 gene expression by 38% and increased
PD-L1 protein by 2.7-fold (p<0.05, all changes). NDAT (10-7M) reduced PD-L1 in T4-exposed cells by 21% (
mRNA) and 39% (
protein) (p<0.05, all changes). In HCT116 cells, T4 enhanced PD-L1 gene expression by 17% and
protein content by 24% (p<0.05). NDAT reduced basal PD-L1
mRNA by 35% and
protein by 31% and in T4-treated cells lowered
mRNA by 33% and
protein by 66%. In HT-29 cells, T4 increased PD-L1
mRNA by 62% and
protein by 27%. NDAT lowered basal and T4-stimulated responses in PD-L1
mRNA and
protein by 35-40% (p<0.05). Activation of ERK1/2 was involved in T4-induced PD-L1 accumulation. We propose that, by a nongenomic mechanism, endogenous T4 may clinically support activity of the defensive PD-1/PD-L1 checkpoint in
tumor cells. NDAT non-immunologically suppresses basal and T4-induced PD-L1 gene expression and
protein accumulation in
cancer cells.