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Published on: May 2, 2025
Inhibition of α4β1 Integrin Activity by Small Tellurium Compounds Regulates PD-L1 Expression and Enhances Antitumor
Abigael Chaouat1, Yona Kalechman1, Ophir Hay1
1C.A.I.R. Institute, The Safdiè AIDS and Immunology Research Center, The Mina & Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Abstract:
Various cancer treatment approaches that inhibit the activity of the programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) axis, a key player in tumor immune evasion, have been developed. We show that the immunomodulatory small tellurium complexes AS101 (ammonium trichloro(dioxoethylene-o,o')tellurate) and SAS (octa-O-bis(R,R)-tartarate ditellurane) suppress PD-L1 expression in a variety of human and mouse malignant cells via the modulation of α4β1 very late antigen-4 (VLA-4) integrin activity. Consequently, the expression of pAkt and its downstream effector pNFκB are inhibited. Additionally, SAS promotes the death of mouse malignant cells by activated syngeneic splenocytes or CD8+ T cells, preventing the development of chemoresistance in malignant cells. Moreover, AS101 and SAS may increase, at least in part, chemosensitivity through inhibition of the VLA-4/IL-10/PD-L1 pathway. Additionally, AS101 or SAS treatment of B16/F10 melanoma-bearing mice decreased tumor cell PD-L1 expression, leading to increased CD8+ T-cell infiltration into the tumors and tumor shrinkage. Combination treatment with an αPD-1 antibody and either tellurium compound significantly increased the antitumor efficacy of immunotherapy. Overall, VLA-4 integrin signaling is critical for tumor immune evasion and is a potential target for cancer treatment. Finally, AS101 or SAS, biologically active tellurium compounds, can effectively enhance the therapeutic efficacy of αPD-1-based cancer immunotherapy.
Insights
Tellurium compounds AS101 and SAS suppress PD-L1 expression by modulating VLA-4 integrin activity, enhancing cancer immunotherapy efficacy when combined with PD-1 inhibitors.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- The programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) axis is crucial for tumor immune evasion.
- Targeting the PD-1/PD-L1 axis is a key strategy in cancer immunotherapy.
- Novel approaches are needed to overcome resistance and enhance the efficacy of existing therapies.
Purpose of the Study:
- To investigate the effect of tellurium complexes AS101 and SAS on PD-L1 expression and their potential as cancer therapeutics.
- To elucidate the mechanism by which AS101 and SAS modulate tumor immune evasion.
- To evaluate the combination therapy of AS101 or SAS with αPD-1 antibodies in preclinical cancer models.
Main Methods:
- Assessed PD-L1 expression in human and mouse cancer cells treated with AS101 and SAS.
- Investigated the role of α4β1 very late antigen-4 (VLA-4) integrin activity in mediating the effects of tellurium compounds.
- Analyzed downstream signaling pathways including pAkt and pNFκB.
- Evaluated the impact of SAS on malignant cell death induced by immune cells.
- Assessed the chemosensitivity of cancer cells.
- Conducted in vivo studies using B16/F10 melanoma-bearing mice treated with AS101, SAS, and αPD-1 antibodies.
Main Results:
- AS101 and SAS suppressed PD-L1 expression in various cancer cells by modulating VLA-4 integrin activity.
- These tellurium compounds inhibited pAkt and pNFκB signaling.
- SAS promoted cancer cell death and potentially increased chemosensitivity by inhibiting the VLA-4/IL-10/PD-L1 pathway.
- In vivo, AS101/SAS treatment reduced tumor PD-L1, increased CD8+ T-cell infiltration, and caused tumor shrinkage.
- Combination therapy with αPD-1 antibodies significantly enhanced antitumor efficacy.
Conclusions:
- VLA-4 integrin signaling is critical for tumor immune evasion and represents a viable therapeutic target.
- AS101 and SAS are biologically active tellurium compounds that can enhance the efficacy of αPD-1-based cancer immunotherapy.
- These findings suggest a promising role for tellurium compounds in improving cancer treatment outcomes.
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