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Updated: Oct 1, 2025

Identifying PD-1/PD-L1 Inhibitors with Surface Plasmon Resonance Technology
Published on: May 2, 2025
Mechanistic convergence of the TIGIT and PD-1 inhibitory pathways necessitates co-blockade to optimize anti-tumor
Karl L Banta1, Xiaozheng Xu2, Avantika S Chitre1
1Genentech, Inc., 1 DNA Way, South San Francisco, CA 94080, USA.
Abstract:
Dual blockade of the PD-1 and TIGIT coinhibitory receptors on T cells shows promising early results in cancer patients. Here, we studied the mechanisms whereby PD-1 and/or TIGIT blockade modulate anti-tumor CD8+ T cells. Although PD-1 and TIGIT are thought to regulate different costimulatory receptors (CD28 and CD226), effectiveness of PD-1 or TIGIT inhibition in preclinical tumor models was reduced in the absence of CD226. CD226 expression associated with clinical benefit in patients with non-small cell lung carcinoma (NSCLC) treated with anti-PD-L1 antibody atezolizumab. CD226 and CD28 were co-expressed on NSCLC infiltrating CD8+ T cells poised for expansion. Mechanistically, PD-1 inhibited phosphorylation of both CD226 and CD28 via its ITIM-containing intracellular domain (ICD); TIGIT's ICD was dispensable, with TIGIT restricting CD226 co-stimulation by blocking interaction with their common ligand PVR (CD155). Thus, full restoration of CD226 signaling, and optimal anti-tumor CD8+ T cell responses, requires blockade of TIGIT and PD-1, providing a mechanistic rationale for combinatorial targeting in the clinic.
Insights
Dual blockade of programmed cell death protein 1 (PD-1) and T-cell immunoglobulin and mucin-domain containing-3 (TIGIT) enhances anti-tumor CD8+ T-cell responses. This combination therapy is crucial for restoring CD226 signaling and optimizing cancer immunity.
Area of Science:
- Immunology
- Cancer Biology
- T-cell Metabolism
Background:
- Coinhibitory receptors PD-1 and TIGIT are key regulators of T-cell function in cancer.
- Their dual blockade shows promise in early clinical trials for cancer patients.
- Understanding the mechanistic basis of their combined action is critical for optimizing cancer immunotherapy.
Purpose of the Study:
- To investigate the mechanisms by which PD-1 and TIGIT blockade modulate anti-tumor CD8+ T cells.
- To elucidate the role of CD226 in the efficacy of PD-1 and TIGIT inhibition.
- To provide a mechanistic rationale for combining PD-1 and TIGIT blockade in cancer treatment.
Main Methods:
- Utilized preclinical tumor models to assess the impact of PD-1 and/or TIGIT blockade.
- Analyzed CD226 expression in non-small cell lung carcinoma (NSCLC) patients treated with anti-PD-L1.
- Investigated the intracellular signaling pathways of PD-1 and TIGIT in CD8+ T cells.
Main Results:
- Efficacy of PD-1 or TIGIT inhibition was reduced in CD226-deficient models.
- CD226 expression correlated with clinical benefit in NSCLC patients treated with atezolizumab.
- PD-1 blockade inhibited CD226 and CD28 phosphorylation; TIGIT blockade prevented CD226 co-stimulation by blocking PVR interaction.
Conclusions:
- Optimal anti-tumor CD8+ T-cell responses require combined PD-1 and TIGIT blockade.
- Restoration of CD226 signaling is essential for effective cancer immunotherapy.
- This study provides a mechanistic basis for combinatorial PD-1 and TIGIT targeting in clinical settings.
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