Kindlin-2-mediated hematopoiesis remodeling regulates triple-negative breast cancer immune evasion.

Abstract

Triple-negative breast cancer (TNBC) presents significant clinical challenges due to its limited treatment options and aggressive behavior, often associated with poor prognosis. This study focuses on Kindlin-2, an adaptor protein, and its role in TNBC progression, particularly in hematopoiesis-mediated immune evasion. TNBC tumors expressing high levels of Kindlin-2 induce a notable reshaping of hematopoiesis, promoting expansion of myeloid cells in bone marrow (BM) and spleen. This shift correlated with increased levels of neutrophils and monocytes in tumor-bearing mice over time. Conversely, genetic knockout of Kindlin-2 mitigated this myeloid bias and fostered T cell infiltration within the tumor microenvironment, indicating Kindlin-2's pivotal role in immune modulation. Further investigations revealed that Kindlin-2 deficiency led to reduced expression of PD-L1, a critical immune checkpoint inhibitor, in TNBC tumors. This molecular change sensitized Kindlin-2-deficient tumors to host anti-tumor immune responses, resulting in enhanced tumor suppression in immune-competent mouse models. Single-cell RNA sequencing, bulk RNA-seq, and immunohistochemistry data supported these findings by highlighting enriched immune-related pathways and increased infiltration of immune cells in Kindlin-2-deficient tumors. Therapeutically, targeting PD-L1 in Kindlin-2-expressing TNBC tumors effectively inhibited tumor growth, akin to the effects observed with genetic Kindlin-2 knockout or PD-L1-KO. Our data underscore Kindlin-2 as a promising therapeutic target in combination with immune checkpoint blockade to bolster anti-tumor immunity and counteract resistance mechanisms typical of TNBC and other immune evasive solid tumors. Implications: Kindlin-2 regulates tumor immune evasion through the systemic modulation of hematopoiesis and PD-L1 expression, which warrants therapeutic targeting of Kindlin-2 in TNBC patients.