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Table 3 Synergistic effect via combination of immunotherapy and HIF inhibitor

From: Novel cancer treatment paradigm targeting hypoxia-induced factor in conjunction with current therapies to overcome resistance

Target

Immunotherapy agent

HIF inhibitor agent

Mechanism of HIF inhibitor

Cell

Cell line

Reference

PD-1

PD-1 Ab (clone RMP1–14, rat IgG2a)

PMN-MDSC inhibitor: POG

Inhibits HIF-1α expression

Melanoma

Mouse: B16F10

PubChem

CID: 14034912

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/14034912

[105]

Breast cancer

Mouse:

4T1

PD-1 Ab

IDF-11774

Inhibits HIF-1α expression

Prostate cancer

Mouse:

RM-1

Pubchem CID: 71542096

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/71542096

[106]

PD-L1

PD‐L1 Ab (SP142)

HIF-2α antagonist:

PT2385

PT2399

Both interfere the heterodimerization of HIF-2α with HIF-β

ccRCC

Mouse: XP164, XP373, XP453, XP454

PubChem

CID: 91754484

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/91754484

PubChem

CID: 91663289

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/91663289

[107-109]

CTLA-4

CTLA4 mAb

(UC10-4F10; hamster IgG)

anti-RANKL mAb:

denosumab

Downregulates HIF-1α protein expression

Melanoma

Mouse:

B16F10, LWT1

[109]

[110]

Colon carcinoma

Mouse:

CT26

Prostate

carcinoma

Mouse:RM-1

Prostate adenocarcinoma

Mouse:

Tramp-C1

Fibrosarcoma

Mouse:

MCA1956

PD-1, CTLA-4

PD-1

(clone RMP1-14)

CTLA-4 mAb (clone 9D9)

ENTPD2 inhibitor:

ARL67156

POM-1

View full size image

Inhibit downstream product MDSC to upregulate HIF-1α

HCC

Human:

MHCC97L PLC/PRF/5, Hep3B Mouse:

Hepa1-6

PubChem

CID:

146157453

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/146157453

PubChem

CID:

71311259

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/71311259

[111]

PD-1, CTLA4

CTLA-4 Ab (9H10)

PD-1 Ab (clone: 29 F.1A12, 135204)

Ganetespib

Inhibits Hsp90 and leads to HIF-1α degradation

Colon carcinoma

Mouse:

MC38/gp

100

PubChem

CID:

135564985

URL:

https://pubchem.ncbi.nlm.nih.gov/compound/135564985

[112, 113]

[114]

Melanoma

Human:

melanoma 2338, 2400, 2549, 2559, 2812

PD-L1, PD-1, CTLA-4

Anti-PD-1 (clone RMP1-14)

CXCR4 antagonist: X4-136

Inhibits CXCR-4 to positively feedback HIF-1α

Melanoma

Mouse:

B16-OVA

[115]

[116]

Anti-PD-L1 (clone: 10F.9G2)

Renal Cancer

Mouse:

Renal Cancer Renca DM (Renca-2159-84H)

Anti-CTLA-4 Ab (clone: 9D9)

IL-1

miR-144-3p mimic

COX2 inhibitor: celecoxib

Inhibits IL-1β/NF-κB/COX-2/ HIF-1α pathways

NSCLC

Human:

A549

PubChem

CID:

349,978,031

URL:

https://pubchem.ncbi.nlm.nih.gov/substance/349978031

[117]

  1. Abbreviation: ccRCC Clear cell renal cell carcinoma, HCC Hepatocellular carcinoma (HCC), MDSC Myeloid derived suppressor cells, NSCLC Non-small cell lung cancer, PD-1 Programmed cell death protein 1, PD-L1 Programmed death-ligand 1, CTLA4 Cytotoxic T-lymphocyte-associated protein 4, CXCR4 CXC-chemokine receptor 4, COX2 Cyclooxygenase-2