MADAN, D. E. | bioRxiv Science

bioRxiv2025

Cytokine profiling identifies circulating IL-2, IL23 and sPD-L1 as prognostic biomarkers for treatment outcomes in Non-Small cell Lung Cancer patients undergoing anti-PD1 therapy

BackgroundThis study investigates the predictive potential of circulating cytokines for response and survival outcomes in patients with advanced non-small cell lung cancer (NSCLC) undergoing immune checkpoint inhibitor (ICI) therapy. Materials and MethodsA cohort of 64 patients with advanced NSCLC receiving ICI therapy were included. Baseline serum samples were collected prior to ICI initiation and profiled using a multiplex cytokine panel. Logistic regression, Cox regression, and Kaplan-Meier survival analysis were employed to assess associations between cytokine levels, therapeutic response, progression-free survival (PFS), and overall survival (OS). Gene expression levels of key cytokines were validated in peripheral blood mononuclear cells (PBMCs) using quantitative real-time PCR. ResultsElevated baseline levels of IL-2, IL-23, and sPD-L1 were significantly associated with clinical response to ICI therapy. Among these, sPD-L1 emerged as an independent predictor of response (AUC = 0.87). Multivariate Cox regression showed IL-2 (HR = 0.67), sPD-L1 (HR = 0.15), and IL-23 (HR = 1.18) were significantly associated with PFS and also predictive of OS. Notably, combined profiling of IL-2 and sPD-L1 enhanced predictive power (AUC = 0.95 for both PFS and OS). RT-PCR analysis of PBMCs corroborated these findings, confirming upregulation of IL-2 in responders and elevated IL-23 expression in non-responders. ConclusionBaseline cytokine profiling particularly of IL-2, sPD-L1, and IL-23 provides important prognostic and predictive information in advanced NSCLC patients undergoing ICI therapy. These biomarkers may facilitate more personalized approaches to immunotherapy and guide clinical decision-making.

cancer biology↗

bioRxiv2025

Targeting Leishmania donovani Sphingosine Kinase 1 using PF-543 enhances immune response and limits parasite load

BackgroundSphingosine-1-phosphate (S1P) is a bioactive lipid mediator regulating apoptosis, proliferation, and immune responses. While S1Ps presence in Leishmania donovani phagolysosomes has been reported, the role of sphingosine kinases, especially SphK1, in parasite survival and host immune modulation remains underexplored. This study investigates the molecular and functional role of L. donovani SphK1 (LdSphK1) and evaluates the antileishmanial potential of PF-543, a specific SphK1 inhibitor. MethodsLdSphK1 and human SphK1 (rhSphK1) were cloned, expressed in E. coli, purified, and analyzed by SDS-PAGE. Enzymatic activity and inhibition by PF543 were assessed using NBD-S1P-based fluorometric assays. Protein-ligand interactions were analyzed using Microscale Thermophoresis (MST). Leishmania promastigotes overexpressing LdSphK1 were studied via confocal microscopy, and their viability and infectivity were assessed in vitro. THP-1 macrophages infected with L. donovani were treated with PF543 alone or with Amphotericin B and analyzed by MTT assay, RT-PCR, Giemsa staining, ELISA and immunoblotting. In vivo efficacy was tested in L. donovani-infected Swiss mice. ResultsrLdSphK1 ([~]102 kDa) and rhSphK1 ([~]50 kDa) were enzymatically active and significantly inhibited by PF-543. MST confirmed high-affinity binding of PF-543 (KD [~]29 microMolar). In L. donovani SphK1 overexpressor (LdSphKa) promastigotes, PF543 inhibited SphK1 activity and reduced parasite infectivity, more than in wildtype L. donovani promastigotes. Notably, PF543 treatment reduced parasite infectivity in vitro, lowered amastigote load by [~]40%, and promoted a pro-inflammatory cytokine shift ({uparrow}IL-12, {uparrow}TNF-, {downarrow}IL-10). Inhibition of ceramide synthesis and S1P supplementation revealed that S1P rescues ceramide-induced parasite death, implicating SphK1 in parasite survival. PF543 and Amphotericin B demonstrated synergistic anti-parasitic effects both in vitro and in vivo, with >90% reduction in parasite burden in mice. ConclusionPF543 is a potent inhibitor of SphK1, impairing parasite survival and modulating host immune responses. When combined with Amphotericin B, it offers a synergistic therapeutic strategy against visceral leishmaniasis, warranting further clinical exploration. Author SummaryLeishmaniasis, a neglected tropical disease, has limited available treatments and is becoming more resistant to medications. In this study, we explored the therapeutic potential of PF-543, a potent sphingosine kinase 1 (SphK1) inhibitor (demonstrated anticancer effects in various preclinical models) against Leishmania donovani. We successfully cloned and purified both Leishmania and human SphK1 proteins and confirmed PF-543 binding through biochemical and biophysical assays. Overexpression of LdSphK1 in parasites enhanced their survival and infectivity. In vitro, PF-543 treatment of infected macrophages decreased amastigote burden, shifted cytokine profiles towards a pro-inflammatory state, and enhanced host cell apoptosis. Notably, PF-543 acted synergistically with Amphotericin B, the current clinical drug, both in vitro and in vivo in Swiss mice, drastically lowering parasite burden. This study highlights the possibility of combination therapy and finds PF-543 to be a promising irresistible host-targeted antileishmanial drug. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=151 SRC="FIGDIR/small/652326v2_ufig1.gif" ALT="Figure 1"> View larger version (36K): org.highwire.dtl.DTLVardef@1926575org.highwire.dtl.DTLVardef@4305f4org.highwire.dtl.DTLVardef@3c10c7org.highwire.dtl.DTLVardef@171801e_HPS_FORMAT_FIGEXP M_FIG C_FIG

pathology↗

bioRxiv2025

Induction of hypoxic response despite normoxic conditions associated with vascular mitochondrial dysfunction in diet induced metabolic syndrome

Reduced mitochondrial function is one of the various cellular pathologies in cardio-metabolic syndrome. Elevated asymmetric dimethyl arginine (ADMA) levels is known to induce hypoxia driven mitochondrial dysfunction in the lungs, despite normoxic conditions. This alteration is known to be caused by interleukin-4 (IL-4). In addition to asthma, IL-4 and ADMA are also known to be elevated in metabolic syndrome (MetS), but the existence of hypoxic response in arterial tissue remains elusive. Since, MetS and asthma are correlated; we explored whether hypoxia exists in vascular tissue and is associated with IL-4 and ADMA levels. To induce MetS, C57BL/6 mice were fed chow, high-fat or high-fructose diets for six months. Interestingly, MetS was associated with the induction of the hypoxic response in aortic tissue. Further, IL-4 and ADMA, which induce aberrant hypoxic response despite normoxia in the lungs, were elevated in the aorta of mice with MetS. Additionally, significant reductions in the levels of mitochondrial biogenesis factors (TFAM, PGC1) and respiratory chain complexes (Complex I and Complex IV) activities were observed in MetS mice. Mitochondrial dysfunction in the aorta of mice with MetS perturbed mitochondrial inner membrane integrity and was associated with the leakage of cytochrome c in the cytosol. These results collectively suggest that elevated levels of IL-4 and ADMA in the aorta of mice with MetS correlates with induced vascular mitochondrial dysfunction and hypoxic response.

molecular biology↗