Phenothiazine-Based LSD1 Inhibitor Promotes T-Cell Killing Response of Gastric Cancer Cells

Xing-Jie Dai1, Li-Juan Zhao1,2, Long-Hua Yang1

  • 1Key Laboratory of Advanced Drug Preparation Technologies, Ministry of Education, China; State Key Laboratory of Esophageal Cancer Prevention & Treatment; Key Laboratory of Henan Province for Drug Quality and Evaluation; Institute of Drug Discovery and Development; School of Pharmaceutical Sciences, Zhengzhou University, 100 Kexue Avenue, Zhengzhou 450001, China.

Insights

Researchers identified chlorpromazine derivatives as potent inhibitors of Histone Lysine Specific Demethylase 1 (LSD1). Compound 3s, a novel LSD1 inhibitor, demonstrated efficacy in preclinical gastric cancer models by enhancing T-cell responses.

Area of Science:

  • Biochemistry
  • Epigenetics
  • Cancer Biology

Background:

  • Histone Lysine Specific Demethylase 1 (LSD1) is a key epigenetic regulator and a validated target for cancer therapy.
  • Existing LSD1 inhibitors are progressing in clinical trials, but the need for novel, more potent compounds persists.
  • The phenothiazine scaffold, found in antipsychotic drugs, represents an underexplored structural class for LSD1 inhibitor development.

Purpose of the Study:

  • To identify novel LSD1 inhibitors based on the chlorpromazine scaffold.
  • To evaluate the anticancer efficacy of a lead compound, 3s, in preclinical gastric cancer models.
  • To investigate the mechanism of action of compound 3s, focusing on its effects on programmed cell death-ligand 1 (PD-L1) expression and T-cell activity.

Main Methods:

  • Characterization of chlorpromazine as an LSD1 inhibitor and synthesis of its derivatives.
  • In vitro enzymatic assays to determine inhibitory potency (IC50 values).
  • Cellular assays to assess LSD1 inhibition, PD-L1 downregulation, and T-cell mediated cytotoxicity.
  • In vivo studies in immunocompetent mice to evaluate tumor growth inhibition and toxicity.

Main Results:

  • Chlorpromazine was identified as an LSD1 inhibitor with an IC50 of 5.135 μM.
  • Compound 3s, a synthesized derivative, exhibited significantly enhanced potency (IC50 = 0.247 μM).
  • Compound 3s effectively inhibited LSD1 in cancer cells, downregulated PD-L1 expression, enhanced T-cell killing, and suppressed tumor growth in vivo without significant toxicity.

Conclusions:

  • Compound 3s, a novel phenothiazine-based LSD1 inhibitor, shows promising preclinical efficacy in gastric cancer.
  • 3s demonstrates potential for reactivating anti-tumor T-cell immunity by downregulating PD-L1.
  • This study highlights the therapeutic potential of 3s as a lead compound for gastric cancer treatment and immunotherapy.