Radiosensitization effect of PD-L1-targeted small molecules with direct antitumor activity on non-small cell lung

Cun Gao1, Xiangyang Sun2, Jiankun Song3

  • 1Department of Thoracic Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250200, China.

Bioorganic Chemistry
|July 14, 2026
PubMed

Insights

Combining X-ray radiation with compound N02, a PD-L1 inhibitor, significantly enhances non-small cell lung cancer (NSCLC) treatment by suppressing tumor growth and improving therapeutic efficacy.

Area of Science:

  • Oncology
  • Immunotherapy
  • Radiotherapy

Background:

  • Non-small cell lung cancer (NSCLC) remains a leading cause of cancer-related mortality.
  • The PD-1/PD-L1 pathway is a critical target for cancer immunotherapy.
  • Radiotherapy is a standard treatment for NSCLC, but resistance can occur.

Purpose of the Study:

  • To evaluate the synergistic effects of X-ray irradiation and PD-L1 downregulation compounds in NSCLC.
  • To identify and characterize a potent PD-L1 inhibitor (N02) for combination therapy.
  • To assess the efficacy of combining N02 with radiotherapy in preclinical NSCLC models.

Main Methods:

  • Screening of PD-L1 inhibitors (N01-N04) in NSCLC cell lines (HCC78, H2122).
  • ELISA to confirm N02's direct blockade of PD-1/PD-L1 interaction (IC50 determination).
  • In vitro functional assays (CCK-8, colony formation, migration, invasion) and molecular analyses (Western blot, qPCR).
  • In vivo tumor growth inhibition studies in animal models.

Main Results:

  • Compound N02 demonstrated superior binding affinity and stability, directly inhibiting PD-1/PD-L1 interaction with an IC50 of 55.11 ± 6.14 nM.
  • N02 synergized with radiation to significantly suppress NSCLC cell viability, clonogenic survival, migration, invasion, and induce apoptosis.
  • Combination therapy downregulated PD-L1 expression and modulated key proteins involved in proliferation and apoptosis.
  • In vivo studies confirmed significant inhibition of tumor growth by the N02-radiation combination.

Conclusions:

  • The combination of radiotherapy and compound N02 shows significant therapeutic potential for NSCLC.
  • N02 acts as a potent PD-L1 inhibitor, enhancing the anti-tumor effects of radiation.
  • This combination strategy warrants further investigation as a novel treatment approach for NSCLC.