Novel PD-L1 Small-Molecule Inhibitors Advancing Cancer Immunotherapy

Annoor Awadasseid1,2,3, Mengda Wu1,3, Feng Zhang1,3

  • 1Lab of Chemical Biology and Molecular Drug Design, College of Pharmaceutical Science, Zhejiang University of Technology, Deqing, 313299, China.

Abstract

Insights

Novel small-molecule inhibitors targeting the PD-L1/PD-1 axis offer new cancer immunotherapy strategies. Our research highlights innovative compounds with potential to overcome resistance and improve treatment outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Medicinal Chemistry

Background:

  • Immune checkpoint inhibitors, particularly targeting the programmed cell death protein-1 (PD-1)/programmed death-ligand 1 (PD-L1) axis, have transformed cancer treatment.
  • Resistance to current biologics necessitates the development of novel small-molecule inhibitors (SMIs) with improved pharmacological profiles and distinct mechanisms of action.

Purpose of the Study:

  • To review recent advancements in PD-L1-targeting SMIs for cancer immunotherapy.
  • To present novel small-molecule PD-L1 inhibitors developed in our laboratory.

Main Methods:

  • A structured literature review of articles published between 2015 and 2025 on small-molecule PD-L1 inhibitors.
  • In vitro evaluation of novel compounds (Compounds 5-10 [A56]) for PD-L1/PD-1 binding inhibition, cancer cell viability, and gene expression.

Main Results:

  • Recent SMIs demonstrate diverse mechanisms, including direct PD-1/PD-L1 blockade, intracellular PD-L1 modulation, and transcriptional downregulation.
  • Compound 7 significantly suppressed PD-L1 mRNA expression; Compounds 9 and 10 (A56) exhibited nanomolar binding affinity.
  • These findings indicate innovative strategies for overcoming immune resistance and enhancing antitumor responses.

Conclusions:

  • A trend towards multifunctional PD-L1-targeting SMIs with both extracellular and intracellular mechanisms is evident.
  • Novel compounds from our laboratory show promise for further optimization and clinical translation.
  • Challenges in oral bioavailability, metabolic stability, and immune-related adverse events require further investigation.

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