Dual Histone Deacetylase/PD-1/PD-L1 Inhibitors Reprogram Tumor−Immune Interactions and Are Effective in Therapy-Resistant Melanoma
Abstract Epigenetic modulators and immune checkpoint inhibitors represent two major therapeutic avenues in oncology, yet resistance and recurrence limit their efficacy. To address this, we designed and synthesized a series of dual histone deacetylase (HDAC)/PD-1/PD-L1 inhibitors (compounds 1−6). Among them, compounds 4 (HDAC6-selective) and 5 (HDAC1−3-selective) emerged as the most promising, both disrupting the PD-1/PD-L1 interaction in the nanomolar range and reducing tumor cell viability in vitro. Compound 4 counteracted T cell exhaustion, reshaped the immune landscape in vivo by enhancing neutrophil and NK cell activity, and showed potent antitumor activity in human BRAF-mutated melanoma models, including vemurafenib-resistant cells. Compound 5 exhibited strong direct cytotoxicity and induced PD-L1 expression, highlighting complex checkpoint regulation. Collectively, these findings support dual HDAC/PD-1/PD-L1 inhibition as a strategy to reprogram tumor−immune interactions and overcome resistance, with differential isoform selectivity proving critical for translational optimization.
Authors
- Carola Castiello (ORCID: https://orcid.org/0000-0002-7896-5772)
- Francesco Fiorentino (ORCID: https://orcid.org/0000-0003-3550-1860)
- Antonello Mai (ORCID: https://orcid.org/0000-0001-9176-2382)
- Silvio Aprile (ORCID: https://orcid.org/0000-0003-4804-9543)
- Simona Donati (ORCID: https://orcid.org/0000-0001-5214-9913)
- Clemens Zwergel (ORCID: https://orcid.org/0000-0002-3097-0003)
- Enkeleta Berisha
- Giulia Romagnoli (ORCID: https://orcid.org/0000-0002-0621-2579)
- Alessandra Fragale (ORCID: https://orcid.org/0000-0002-0362-1983)
- Tamara Giacomelli
- Lucia Gabriele (ORCID: https://orcid.org/0000-0002-1483-866X)
- Maria Buoncervello (ORCID: https://orcid.org/0000-0002-0028-4328)
- Laura Lattanzi (ORCID: https://orcid.org/0000-0001-6998-4827)
- Alessandra Pinzon Grimaldos
- Silvia Piconese (ORCID: https://orcid.org/0000-0002-9685-5227)
- Rossella Fioravanti (ORCID: https://orcid.org/0000-0002-9329-8234)
- Sabrina Garbo (ORCID: https://orcid.org/0000-0001-7192-0013)
- Cecilia Battistelli (ORCID: https://orcid.org/0000-0002-5611-7377)
- Sérgio Valente (ORCID: https://orcid.org/0000-0002-2241-607X)
- Felicia Grasso (ORCID: https://orcid.org/0000-0002-0836-8729)
- Ilenia Pacella (ORCID: https://orcid.org/0000-0001-8840-1084)
- Chiara Lambona (ORCID: https://orcid.org/0000-0002-3415-4126)
- Alessia Raucci (ORCID: https://orcid.org/0000-0003-4182-4420)
- Nicoletta Antonini (ORCID: https://orcid.org/0009-0004-7914-1574)
- Tommaso Priamo
Institutions
- Università degli Studi del Piemonte Orientale “Amedeo Avogadro” (IT)
- Istituto Superiore di Sanità (IT)
- Piedmont University (US)
- Sapienza University of Rome (IT)
Publication Details
- Journal
- Journal of Medicinal Chemistry
- Published
- 2026-11-04
- DOI
- https://doi.org/10.1021/acs.jmedchem.6c01392
- Primary Topic
- Histone Deacetylase Inhibitors Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00