CMTM6 maintains the expression of PD-L1 and regulates anti-tumour immunity

Nature. 2017 Sep 7;549(7670):101-105. doi: 10.1038/nature23643. Epub 2017 Aug 16.

Abstract

Cancer cells exploit the expression of the programmed death-1 (PD-1) ligand 1 (PD-L1) to subvert T-cell-mediated immunosurveillance. The success of therapies that disrupt PD-L1-mediated tumour tolerance has highlighted the need to understand the molecular regulation of PD-L1 expression. Here we identify the uncharacterized protein CMTM6 as a critical regulator of PD-L1 in a broad range of cancer cells, by using a genome-wide CRISPR-Cas9 screen. CMTM6 is a ubiquitously expressed protein that binds PD-L1 and maintains its cell surface expression. CMTM6 is not required for PD-L1 maturation but co-localizes with PD-L1 at the plasma membrane and in recycling endosomes, where it prevents PD-L1 from being targeted for lysosome-mediated degradation. Using a quantitative approach to profile the entire plasma membrane proteome, we find that CMTM6 displays specificity for PD-L1. Notably, CMTM6 depletion decreases PD-L1 without compromising cell surface expression of MHC class I. CMTM6 depletion, via the reduction of PD-L1, significantly alleviates the suppression of tumour-specific T cell activity in vitro and in vivo. These findings provide insights into the biology of PD-L1 regulation, identify a previously unrecognized master regulator of this critical immune checkpoint and highlight a potential therapeutic target to overcome immune evasion by tumour cells.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • B7-H1 Antigen / biosynthesis*
  • B7-H1 Antigen / immunology
  • B7-H1 Antigen / metabolism*
  • CRISPR-Cas Systems
  • Cell Line
  • Cell Membrane / metabolism
  • Endosomes / metabolism
  • Female
  • Histocompatibility Antigens Class I / immunology
  • Humans
  • Lysosomes / metabolism
  • Membrane Proteins / metabolism*
  • Mice
  • Neoplasms / immunology*
  • Neoplasms / metabolism*
  • Proteolysis
  • Proteome / metabolism
  • Substrate Specificity
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • Tumor Escape / immunology

Substances

  • B7-H1 Antigen
  • CD274 protein, human
  • Histocompatibility Antigens Class I
  • Membrane Proteins
  • Proteome