Frontiers in Immunology (May 2023)

Repurposing pentamidine for cancer immunotherapy by targeting the PD1/PD-L1 immune checkpoint

  • Tingxuan Gu,
  • Tingxuan Gu,
  • Xueli Tian,
  • Xueli Tian,
  • Yuanyuan Wang,
  • Yuanyuan Wang,
  • Wenqian Yang,
  • Wenqian Yang,
  • Wenwen Li,
  • Mengqiu Song,
  • Mengqiu Song,
  • Ran Zhao,
  • Ran Zhao,
  • Mengqiao Wang,
  • Mengqiao Wang,
  • Quanli Gao,
  • Tiepeng Li,
  • Chengjuan Zhang,
  • Joydeb Kumar Kundu,
  • Kangdong Liu,
  • Kangdong Liu,
  • Kangdong Liu,
  • Zigang Dong,
  • Zigang Dong,
  • Mee-Hyun Lee,
  • Mee-Hyun Lee,
  • Mee-Hyun Lee,
  • Mee-Hyun Lee

DOI
https://doi.org/10.3389/fimmu.2023.1145028
Journal volume & issue
Vol. 14

Abstract

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Immunotherapy has emerged as an effective therapeutic approach to several cancer types. The reinvigoration of tumor-infiltrating lymphocyte-mediated immune responses via the blockade of immune checkpoint markers, such as program cell death-1 (PD-1) or its cognate ligand PD-L1, has been the basis for developing clinically effective anticancer therapies. We identified pentamidine, an FDA-approved antimicrobial agent, as a small-molecule antagonist of PD-L1. Pentamidine enhanced T-cell-mediated cytotoxicity against various cancer cells in vitro by increasing the secretion of IFN-γ, TNF-α, perforin, and granzyme B in the culture medium. Pentamidine promoted T-cell activation by blocking the PD-1/PD-L1 interaction. In vivo administration of pentamidine attenuated the tumor growth and prolonged the survival of tumor-bearing mice in PD-L1 humanized murine tumor cell allograft models. Histological analysis of tumor tissues showed an increased number of tumor-infiltrating lymphocytes in tissues derived from pentamidine-treated mice. In summary, our study suggests that pentamidine holds the potential to be repurposed as a novel PD-L1 antagonist that may overcome the limitations of monoclonal antibody therapy and can emerge as a small molecule cancer immunotherapy.

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