Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges

The programmed death-1 receptor (PD-1) acts as a T-cell brake, and its interaction with ligand-1 (PD-L-1) interferes with signal transduction of the T-cell receptor. This leads to suppression of T-cell survival, proliferation, and activity in the tumor microenvironment resulting in compromised antic...

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Main Authors: Sadique A. Javed, Asim Najmi, Waquar Ahsan, Khalid Zoghebi
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1383456/full
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author Sadique A. Javed
Asim Najmi
Waquar Ahsan
Khalid Zoghebi
author_facet Sadique A. Javed
Asim Najmi
Waquar Ahsan
Khalid Zoghebi
author_sort Sadique A. Javed
collection DOAJ
description The programmed death-1 receptor (PD-1) acts as a T-cell brake, and its interaction with ligand-1 (PD-L-1) interferes with signal transduction of the T-cell receptor. This leads to suppression of T-cell survival, proliferation, and activity in the tumor microenvironment resulting in compromised anticancer immunity. PD-1/PD-L-1 interaction blockade shown remarkable clinical success in various cancer immunotherapies. To date, most PD-1/PD-L-1 blockers approved for clinical use are monoclonal antibodies (mAbs); however, their therapeutic use are limited owing to poor clinical responses in a proportion of patients. mAbs also displayed low tumor penetration, steep production costs, and incidences of immune-related side effects. This strongly indicates the importance of developing novel inhibitors as cancer immunotherapeutic agents. Recently, advancements in the small molecule-based inhibitors (SMIs) that directly block the PD-1/PD-L-1 axis gained attention from the scientific community involved in cancer research. SMIs demonstrated certain advantages over mAbs, including longer half-lives, low cost, greater cell penetration, and possibility of oral administration. Currently, several SMIs are in development pipeline as potential therapeutics for cancer immunotherapy. To develop new SMIs, a wide range of structural scaffolds have been explored with excellent outcomes; biphenyl-based scaffolds are most studied. In this review, we analyzed the development of mAbs and SMIs targeting PD-1/PD-L-1 axis for cancer treatment. Altogether, the present review delves into the problems related to mAbs use and a detailed discussion on the development and current status of SMIs. This article may provide a comprehensive guide to medicinal chemists regarding the potential structural scaffolds required for PD-1/PD-L-1 interaction inhibition.
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spelling doaj.art-ac3a6bc64747497c868c5f1f571894412024-04-10T04:35:10ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-04-011510.3389/fimmu.2024.13834561383456Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challengesSadique A. JavedAsim NajmiWaquar AhsanKhalid ZoghebiThe programmed death-1 receptor (PD-1) acts as a T-cell brake, and its interaction with ligand-1 (PD-L-1) interferes with signal transduction of the T-cell receptor. This leads to suppression of T-cell survival, proliferation, and activity in the tumor microenvironment resulting in compromised anticancer immunity. PD-1/PD-L-1 interaction blockade shown remarkable clinical success in various cancer immunotherapies. To date, most PD-1/PD-L-1 blockers approved for clinical use are monoclonal antibodies (mAbs); however, their therapeutic use are limited owing to poor clinical responses in a proportion of patients. mAbs also displayed low tumor penetration, steep production costs, and incidences of immune-related side effects. This strongly indicates the importance of developing novel inhibitors as cancer immunotherapeutic agents. Recently, advancements in the small molecule-based inhibitors (SMIs) that directly block the PD-1/PD-L-1 axis gained attention from the scientific community involved in cancer research. SMIs demonstrated certain advantages over mAbs, including longer half-lives, low cost, greater cell penetration, and possibility of oral administration. Currently, several SMIs are in development pipeline as potential therapeutics for cancer immunotherapy. To develop new SMIs, a wide range of structural scaffolds have been explored with excellent outcomes; biphenyl-based scaffolds are most studied. In this review, we analyzed the development of mAbs and SMIs targeting PD-1/PD-L-1 axis for cancer treatment. Altogether, the present review delves into the problems related to mAbs use and a detailed discussion on the development and current status of SMIs. This article may provide a comprehensive guide to medicinal chemists regarding the potential structural scaffolds required for PD-1/PD-L-1 interaction inhibition.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1383456/fullcancer immunotherapyimmune checkpointmonoclonal antibodiessmall molecule inhibitorsPD-1/PD-L-1
spellingShingle Sadique A. Javed
Asim Najmi
Waquar Ahsan
Khalid Zoghebi
Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges
Frontiers in Immunology
cancer immunotherapy
immune checkpoint
monoclonal antibodies
small molecule inhibitors
PD-1/PD-L-1
title Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges
title_full Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges
title_fullStr Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges
title_full_unstemmed Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges
title_short Targeting PD-1/PD-L-1 immune checkpoint inhibition for cancer immunotherapy: success and challenges
title_sort targeting pd 1 pd l 1 immune checkpoint inhibition for cancer immunotherapy success and challenges
topic cancer immunotherapy
immune checkpoint
monoclonal antibodies
small molecule inhibitors
PD-1/PD-L-1
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1383456/full
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