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Published on: May 2, 2025
Copper Chelate Targeting Externalized Phosphatidylserine Inhibits PD-L1 Expression and Enhances Cancer Immunotherapy
Fan Gao1,2, Wei You2, Lei Zhang1
1Department of Pharmacy, The First Affiliated Hospital of USTC; Division of Life Sciences and Medicine, University of Science and Technology of China, Anhui Provincial Key Laboratory of Precision Pharmaceutical Preparation and Clinical Pharmacy, Hefei, Anhui 230026, China.
Abstract:
Inhibitors of the PD-1/PD-L1 immune checkpoint have revolutionized cancer treatment. However, the clinical response remains limited, with only 20% of patients benefiting from treatment and approximately 60% of PD-L1-positive patients exhibiting resistance. One key factor contributing to resistance is the externalization of phosphatidylserine (PS) on the surface of cancer cells, which suppresses immune responses and promotes PD-L1 expression, further hindering the efficacy of PD-L1 blockade therapies. Here, we introduce a copper chelate composed of a terpyridine-Cu complex with a farnesol tail designed to selectively target and cap the externalized PS on cancer cells. This approach not only promotes dendritic cell maturation and effector T-cell proliferation and tumor infiltration but also significantly inhibits PD-L1 expression, thereby amplifying T-cell-mediated immune responses. Our results demonstrate that this strategy induces robust immunological memory and leads to the eradication of tumors in over 70% of mice with colorectal and melanoma cancers. These findings highlight a promising, antibody-independent strategy for cancer immunotherapy where targeting externalized PS could overcome current limitations of checkpoint blockade therapies.
Insights
A novel copper chelate targets externalized phosphatidylserine (PS) on cancer cells, enhancing immune responses and overcoming resistance to PD-1/PD-L1 therapies. This antibody-independent strategy shows promise for effective cancer immunotherapy.
Area of Science:
- Immunology
- Oncology
- Materials Science
Background:
- PD-1/PD-L1 immune checkpoint inhibitors offer limited clinical response, with resistance observed in many patients.
- Externalized phosphatidylserine (PS) on cancer cells contributes to immune suppression and resistance to PD-L1 blockade therapies.
Purpose of the Study:
- To develop a novel strategy targeting externalized PS to overcome resistance in cancer immunotherapy.
- To investigate the efficacy of a terpyridine-Cu complex with a farnesol tail in enhancing anti-tumor immune responses.
Main Methods:
- A copper chelate (terpyridine-Cu complex with farnesol tail) was synthesized to target externalized PS on cancer cells.
- The compound's effects on dendritic cell maturation, T-cell proliferation, tumor infiltration, and PD-L1 expression were evaluated.
- Tumor eradication and immunological memory were assessed in mouse models of colorectal and melanoma cancers.
Main Results:
- The PS-targeting copper chelate promoted dendritic cell maturation and effector T-cell responses.
- This approach significantly inhibited PD-L1 expression and amplified T-cell-mediated immunity.
- Over 70% of mice with colorectal and melanoma tumors showed complete eradication and developed immunological memory.
Conclusions:
- Targeting externalized PS with a novel copper chelate represents a promising antibody-independent strategy for cancer immunotherapy.
- This approach can overcome limitations of current checkpoint blockade therapies by enhancing anti-tumor immune responses.
- The developed compound effectively induces immunological memory and achieves significant tumor eradication in preclinical models.
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