PD-L1 Inhibitors: Different Classes, Activities, and Mechanisms of Action

Int J Mol Sci. 2021 Oct 30;22(21):11797. doi: 10.3390/ijms222111797.

Abstract

Targeting the programmed cell death protein 1/programmed cell death 1 ligand 1 (PD-1/PD-L1) interaction has become an established strategy for cancer immunotherapy. Although hundreds of small-molecule, peptide, and peptidomimetic inhibitors have been proposed in recent years, only a limited number of drug candidates show good PD-1/PD-L1 blocking activity in cell-based assays. In this article, we compare representative molecules from different classes in terms of their PD-1/PD-L1 dissociation capacity measured by HTRF and in vitro bioactivity determined by the immune checkpoint blockade (ICB) co-culture assay. We point to recent discoveries that underscore important differences in the mechanisms of action of these molecules and also indicate one principal feature that needs to be considered, which is the eventual human PD-L1 specificity.

Keywords: PD-L1 inhibitor; immune checkpoint blockade; immunotherapy.

MeSH terms

  • Animals
  • B7-H1 Antigen / antagonists & inhibitors*
  • B7-H1 Antigen / metabolism
  • CHO Cells
  • Cricetulus
  • Drug Evaluation
  • Humans
  • Immune Checkpoint Inhibitors* / chemistry
  • Immune Checkpoint Inhibitors* / pharmacology
  • Jurkat Cells
  • Peptidomimetics* / chemistry
  • Peptidomimetics* / pharmacology

Substances

  • B7-H1 Antigen
  • CD274 protein, human
  • Immune Checkpoint Inhibitors
  • Peptidomimetics