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MCUB Inhibits PRKN-Dependent Mitophagic Degradation of PD-L1 to Promote Immune Evasion in Bladder Cancer

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机构: [1]Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, P. R. China. [2]Department of Urology, Zigong Fourth People's Hospital, Zigong, Sichuan, 643000, P. R. China. [3]Department of Urology, Baoshan People's Hospital, Baoshan, Yunnan, 678000, P. R. China. [4]School of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong R619, 3 Sassoon Road, Pokfulam, Hong Kong, SAR, 999077, P. R. China. [5]Macao Centre for Research and Development in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao, SAR, 999078, P. R. China. [6]Huiqiao Medical Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, P. R. China.
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关键词: bladder cancer immune evasion MCUB mitophagy PD-L1

摘要:
Muscle-invasive bladder cancer (MIBC) poses a severe threat to patient survival due to its high invasiveness and metastatic potential. Although immunotherapy has revolutionized treatment strategies for MIBC, immune evasion remains a major obstacle limiting therapeutic efficacy. In this study, the mitochondrial calcium uniporter regulatory subunit (MCUB) is investigated for its role in immune evasion in MIBC. Bulk RNA-seq, scRNA-seq, and proteomic analyses revealed a progressive upregulation of MCUB from normal to MIBC tissues, and strong positive correlations are uncovered between MCUB expression and both PD-L1/PD-1 signaling and poor outcomes. Spatial transcriptomics and clinical tissue staining confirmed spatial co-localization of MCUB and PD-L1. Functional experiments demonstrated that MCUB stabilized PD-L1 protein by reducing its lysosomal degradation through inhibition of PRKN-dependent mitophagy. Mechanistically, MCUB suppressed mitochondrial calcium uptake to reduce PRKN activation and physically interacted with the PRKN-Arg51 residue to inhibit its function. In vivo, MCUB knockdown led to reduced tumor growth, enhanced CD8⁺ T cell infiltration, and improved response to anti-PD-1 therapy. This study identified the MCUB-PRKN-PD-L1 axis as a novel driver of immune evasion in MIBC and proposed that targeting the MCUB-PRKN interaction may serve as a precise therapeutic strategy to overcome immune resistance with minimal toxicity to normal tissues.© 2025 The Author(s). Advanced Science published by Wiley‐VCH GmbH.

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出版当年[2025]版:
大类 | 1 区 综合性期刊
小类 | 1 区 化学:综合 1 区 材料科学:综合 1 区 纳米科技
最新[2025]版:
大类 | 1 区 综合性期刊
小类 | 1 区 化学:综合 1 区 材料科学:综合 1 区 纳米科技
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第一作者机构: [1]Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, P. R. China.
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