Exploiting the Innate Plasticity of the Programmed Cell Death-1 (PD1) Receptor to Design Pembrolizumab H3 Loop Mimics

Alexis D Richaud1, Mehdi Zaghouani1, Guangkuan Zhao1

  • 1Department of Chemistry and Biochemistry, Florida Atlantic University, Boca Raton, FL 33431, USA.

Insights

Researchers uncovered how pembrolizumab blocks the programmed cell death-1 (PD1) and programmed cell death-1 ligand (PDL1) interaction. A novel peptide inhibitor targeting PD1 was developed, offering a new therapeutic strategy for cancer treatment.

Area of Science:

  • Immunology
  • Structural Biology
  • Drug Discovery

Background:

  • Monoclonal antibodies like pembrolizumab targeting the programmed cell death-1 (PD1) and programmed cell death-1 ligand (PDL1) pathway have shown significant clinical success in cancer therapy.
  • However, the precise molecular mechanisms by which these antibodies inhibit the PD1/PDL1 interaction are not fully understood.

Purpose of the Study:

  • To elucidate the conformational dynamics of PD1 upon binding with pembrolizumab.
  • To leverage these insights for the rational design of novel PD1 inhibitors.

Main Methods:

  • Analysis of PD1 conformational motion in complex with pembrolizumab.
  • Identification of key structural elements (C'D and FG loops) involved in binding.
  • Design and synthesis of peptide-based PD1 inhibitors using β-hairpin scaffolds.

Main Results:

  • Pembrolizumab binding induces conformational changes in PD1, creating a deep binding groove.
  • The plasticity of PD1's C'D and FG loops is essential for forming this groove across multiple epitopes.
  • A novel 20-residue β-hairpin peptide (1 9e) was developed as a potent PD1 inhibitor with nanomolar affinity (Ki = 41 nM).

Conclusions:

  • The study reveals the structural basis for pembrolizumab's mechanism of action at the PD1/PDL1 interface.
  • This work provides a rational design strategy for developing peptide-based inhibitors targeting PD1.
  • The identified β-hairpin peptide represents a first-in-class potent PD1 inhibitor with potential therapeutic applications in cancer immunotherapy.

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