Discovery of Orally Potent Small-Molecule CD73 Inhibitor for Cancer Immunotherapy

Lifang Cen1, Weijie Ren2, Jiajie Yu2

  • 1State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 211198, China.

PubMed

Insights

A novel CD73 inhibitor, XC-12, shows potent activity against cancer by blocking adenosine production. This compound demonstrated significant tumor growth inhibition in preclinical models, suggesting its potential for cancer immunotherapy.

Area of Science:

  • Immunology
  • Biochemistry
  • Pharmacology

Background:

  • CD73 is an immune checkpoint enzyme crucial in the adenosine metabolic pathway.
  • CD73 activity promotes an immunosuppressive tumor microenvironment by inhibiting T cell and NK cell function.
  • Targeting CD73 presents a promising strategy for cancer immunotherapy.

Purpose of the Study:

  • To synthesize and evaluate novel CD73 inhibitors.
  • To assess the efficacy of a lead compound, XC-12, in preclinical cancer models.

Main Methods:

  • Synthesis of novel compounds featuring a 1H,3H-dihydro-2,4-pyrimidinone moiety.
  • In vitro evaluation of anti-CD73 activity against soluble and membrane-bound forms.
  • Assessment of oral bioavailability and in vivo anti-tumor efficacy in a CT26 syngeneic mouse model.

Main Results:

  • XC-12 demonstrated potent in vitro inhibition of CD73 with low nanomolar IC50 values.
  • XC-12 was found to be orally bioavailable.
  • XC-12 significantly inhibited tumor growth in the CT26 model, achieving 74% tumor growth inhibition at 135 mg/kg.

Conclusions:

  • The novel CD73 inhibitors, particularly XC-12, are effective in blocking CD73 activity.
  • XC-12 exhibits promising anti-tumor efficacy and oral bioavailability, supporting its potential as a cancer immunotherapy agent.

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