Evidence map›Paper›PMID 34799452›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

PD-L1 sustains chronic, cancer cell-intrinsic responses to type I interferon, enhancing resistance to DNA damage.

HyeonJoo Cheon, Elise G Holvey-Bates, Daniel J McGrail, George R Stark

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Cancer cell-extrinsic STING shapes immune-active microenvironment and predicts clinical outcome in gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

HyeonJoo CheonDepartment of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195; cheonh@ccf.org starkg@ccf.org.
Elise G Holvey-BatesDepartment of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195.
Daniel J McGrailDepartment of Systems Biology, University of Texas MD Anderson Cancer Center, Houston, TX 77030.
George R StarkDepartment of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195; cheonh@ccf.org starkg@ccf.org.ORCID 0000-0002-8776-9597
Cleveland Clinic Lerner College of Medicine · USThe University of Texas MD Anderson Cancer Center · US

Funding

TELOMERASE INACTIVATION BY RNASE L SIGNALS CELL DEATHP01CA062220 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LI, XIAOXIA, STARK, GEORGE ROBERT · 1994 to 2020
$35.6M
PD-L1 inhibition promotes type I interferon responses, enhancing chemotherapy-induced cytotoxicity in cancer cellsR21CA252387 · NCI · WAYNE STATE UNIVERSITY · PI CHEON, HYEONJOO · 2021 to 2022
$414k
Determining the Immunological Consequences of DNA Replication Stress Response Defects in Renal Cells Carcinoma to Improve Immunotherapy OutcomesK99CA240689 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MCGRAIL, DANIEL JAMES · 2019 to 2020
$207k
p53 mutation induces constitutive expression of interferon beta, enhancing the resistance of cancer cells to DNA damageR03CA215941 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI CHEON, HYEONJOO · 2017 to 2018
$159k
NCI NIH HHS K99 CA240689NCI NIH HHS P01 CA062220NCI NIH HHS R03 CA215941NCI NIH HHS R21 CA252387
6 · The paper itself

Abstract

Programmed death ligand 1 (PD-L1), an immune-checkpoint protein expressed on cancer cells, also functions independently of the immune system. We found that PD-L1 inhibits the killing of cancer cells in response to DNA damage in an immune-independent manner by suppressing their acute response to type I interferon (IFN; IFN-I). In addition, PD-L1 plays a critical role in sustaining high levels of constitutive expression in cancer cells of a subset of IFN-induced genes, the IFN-related DNA damage resistance signature (IRDS) which, paradoxically, protects cancer cells. The cyclic GMP-AMP synthase-stimulator of the IFN genes (cGAS-STING) pathway is constitutively activated in a subset of cancer cells in the presence of high levels of PD-L1, thus leading to a constitutive, low level of IFN-β expression, which in turn increases IRDS expression. The constitutive low level of IFN-β expression is critical for the survival of cancer cells addicted to self-produced IFN-β. Our study reveals immune-independent functions of PD-L1 that inhibit cytotoxic acute responses to IFN-I and promote protective IRDS expression by supporting protective chronic IFN-I responses, both of which enhance the resistance of cancer cells to DNA damage.

Indexed as

B7-H1 AntigenCell Line, TumorCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseDNA DamageGene Expression Regulation, NeoplasticHumansInterferon-betaInterferon-gammaInterferon Type ILung NeoplasmsNucleotidyltransferasesSignal TransductionTumor MicroenvironmentB7-H1 AntigenCD274 protein, humancGAS protein, humanCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseInterferon-betaInterferon-gammaInterferon Type INucleotidyltransferasescGAS-STING pathwayDNA damage resistanceprogrammed death ligand 1 (PD-L1)type I interferon (IFN-I)

Identifiers

PMID34799452
PMCPMC8617513
OpenAlexW3212696157

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.