Checkpoint inhibition through small molecule-induced internalization of programmed death-ligand 1

Nat Commun. 2021 Feb 22;12(1):1222. doi: 10.1038/s41467-021-21410-1.

Abstract

Programmed death-ligand 1 is a glycoprotein expressed on antigen presenting cells, hepatocytes, and tumors which upon interaction with programmed death-1, results in inhibition of antigen-specific T cell responses. Here, we report a mechanism of inhibiting programmed death-ligand 1 through small molecule-induced dimerization and internalization. This represents a mechanism of checkpoint inhibition, which differentiates from anti-programmed death-ligand 1 antibodies which function through molecular disruption of the programmed death 1 interaction. Testing of programmed death ligand 1 small molecule inhibition in a humanized mouse model of colorectal cancer results in a significant reduction in tumor size and promotes T cell proliferation. In addition, antigen-specific T and B cell responses from patients with chronic hepatitis B infection are significantly elevated upon programmed death ligand 1 small molecule inhibitor treatment. Taken together, these data identify a mechanism of small molecule-induced programmed death ligand 1 internalization with potential therapeutic implications in oncology and chronic viral infections.

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Antiviral Agents / pharmacology
  • B7-H1 Antigen / metabolism*
  • CHO Cells
  • Cell Proliferation / drug effects
  • Colorectal Neoplasms / pathology
  • Cricetulus
  • Disease Models, Animal
  • Endocytosis*
  • Female
  • Hepatitis B virus / drug effects
  • Humans
  • Immune Checkpoint Inhibitors / pharmacology*
  • Mice
  • Mice, Inbred C57BL
  • Programmed Cell Death 1 Receptor / metabolism
  • Protein Multimerization / drug effects
  • Small Molecule Libraries / chemistry
  • Small Molecule Libraries / pharmacology*

Substances

  • Antineoplastic Agents
  • Antiviral Agents
  • B7-H1 Antigen
  • Immune Checkpoint Inhibitors
  • Programmed Cell Death 1 Receptor
  • Small Molecule Libraries