Identification of a group of 9-amino-acridines that selectively downregulate regulatory T cell functions through

Qian Wei1,2, Håvard Foyn1, Johannes Landskron3

  • 1Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital, 0424 Oslo, Norway.

Iscience
|March 4, 2025
PubMed

Insights

Researchers identified 9-amino-acridines that inhibit FoxP3+ regulatory T cells (Tregs). This approach shows promise for Treg-based immunotherapy by enhancing anti-tumor immunity.

Area of Science:

  • Immunology
  • Pharmacology
  • Oncology

Background:

  • FoxP3+ regulatory T cells (Tregs) maintain immune homeostasis but can hinder anti-tumor immunity, promoting tumor growth.
  • Targeting FoxP3 presents a potential strategy for novel immunotherapies.
  • Understanding Treg function is crucial for developing effective cancer treatments.

Purpose of the Study:

  • To explore the targeting of FoxP3 as a basis for new immunotherapies.
  • To identify small molecules that can downregulate FoxP3 and abrogate Treg suppressive functions.
  • To evaluate the potential of inhibiting Tregs to enhance anti-tumor immune responses.

Main Methods:

  • High-throughput phenotypic screening of a drug repurposing library using human primary T cells.
  • In silico analysis and in vitro testing of quinacrine analogs (9-amino-acridines).
  • Mechanistic studies on the interference with FoxP3 DNA-binding activity and gene regulation.
  • Validation in cancer patient samples and a syngeneic mouse tumor model.

Main Results:

  • Quinacrine was identified as a FoxP3 downregulator.
  • A subset of 9-amino-acridines selectively abrogated Treg suppressive functions by inhibiting FoxP3 DNA-binding.
  • 9-amino-acridines enhanced anti-tumor immune responses in both human cancer samples and a mouse model.
  • Release from Treg suppression led to increased anti-tumor immunity.

Conclusions:

  • Screening for small molecular inhibitors of FoxP3 is a feasible approach for Treg-based immunotherapy.
  • 9-amino-acridines represent a promising class of compounds for modulating Treg function.
  • Targeting FoxP3 offers a viable strategy to overcome immune suppression in cancer and enhance therapeutic efficacy.