Although
immune checkpoint inhibition has been shown to effectively activate antitumor immunity in various
tumor types, only a small subset of patients can benefit from
PD-1/PD-L1 blockade. CD47 expressed on
tumor cells protects them from phagocytosis through interaction with SIRPα on macrophages, while PD-L1 dampens T cell-mediated
tumor killing. Therefore, dual targeting PD-L1 and CD47 may improve the efficacy of
cancer immunotherapy. A chimeric
peptide Pal-
DMPOP was designed by conjugating the double mutation of CD47/SIRPα blocking
peptide (DMP) with the truncation of PD-1/PD-L1 blocking
peptide OPBP-1(8-12) and was modified by a
palmitic acid tail. Pal-
DMPOP can significantly enhance macrophage-mediated phagocytosis of
tumor cells and activate primary T cells to secret IFN-γ in vitro. Due to its superior hydrolysis-resistant activity as well as
tumor tissue and lymph node targeting properties, Pal-
DMPOP elicited stronger anti-
tumor potency than Pal-DMP or OPBP-1(8-12) in immune-competent MC38
tumor-bearing mice. The in vivo anti-
tumor activity was further validated in the colorectal CT26
tumor model. Furthermore, Pal-
DMPOP mobilized macrophage and T-cell anti-
tumor responses with minimal toxicity. Overall, the first bispecific CD47/SIRPα and PD-1/PD-L1 dual-blockade chimeric
peptide was designed and exhibited synergistic anti-
tumor efficacy via CD8+ T cell activation and macrophage-mediated immune response. The strategy could pave the way for designing effective therapeutic agents for
cancer immunotherapy.