Oral Presentation The Australasian Society for Immunology 2017 Annual Scientific Meeting

CMTM6 maintains the expression of PD-L1 and regulates anti-tumour immunity (#35)

Marian L Burr 1 2 , Christina E Sparbier 1 , Chih Chan 1 , James C Williamson 2 , Katherine Woods 3 , Paul A Beavis 1 , Enid YN Lam 1 , Melissa A Henderson 1 , Andreas Behren 3 , Joseph A Trapani 1 , Jonathan Cebon 3 , Paul J Lehner 2 , Mark A Dawson 1
  1. Peter MacCallum Cancer Centre, Melbourne, VICTORIA, Australia
  2. Cambridge Institute for Medical Research, Cambridge, UK
  3. Olivia Newton John Cancer Research Institute, Heidelberg, Victoria, Australia

Cancer cells exploit the expression of the programmed death-1 (PD-1) ligand 1 (PD-L1) to subvert T-cell mediated immunosurveillance. Therapies that disrupt PD-L1 mediated tumour immune evasion have achieved substantial clinical success, highlighting the need to understand the molecular regulation of PD-L1 expression. Using a genome-wide CRISPR/Cas9 loss of function screen we have identified the uncharacterized protein CMTM6 to be a key regulator of both constitutive and cytokine-induced PD-L1 expression in a broad range of cancer cells. CMTM6 is a previously uncharacterised, ubiquitously expressed protein that associates with PD-L1 in a membrane-anchored complex. CMTM6 is not required for trafficking of PD-L1 to the cell surface but is essential to maintain PD-L1 expression at the plasma membrane, and in its absence PD-L1 is targeted for lysosome-dependent degradation. Using a quantitative global proteomics approach to profile plasma membrane proteins regulated by CMTM6, we find that CMTM6 displays remarkable specificity for PD-L1.  Importantly, loss of CMTM6 specifically decreases PD-L1 without compromising the cell surface expression or antigen presentation capacity of MHC class I. CMTM6 depletion in tumour cell lines alleviates PD-L1-mediated suppression of tumour specific cytotoxic T-cell activity both in vitro and in vivo, highlighting the functional importance of CMTM6 in maintaining the PD-L1/PD-1 immune checkpoint. Together these findings provide novel insights into the biology of PD-L1 regulation, identify a new master regulator of this critical immune checkpoint and reveal a potential therapeutic target to overcome immune evasion by cancer cells.