Recent
studies and clinical evidence have strongly supported the
development of adenosine A2A receptor (A2AR)
antagonists as novel approaches for cancer immunotherapy. By screening
our in-house compound library, a pyridinone hit compound (1) with weak A2AR antagonistic activity was identified.
Further structure–activity relationship studies revealed a
series of pyridinone derivatives with strong potency. Compound 38 stood out with a potent A2AR antagonistic activity
(IC50 = 29.0 nM), good mouse liver microsomal metabolic
stability (t
1/2 = 86.1 min), and excellent
oral bioavailability (F = 86.1%). Of note, 38 effectively enhanced the activation and killing ability
of T cells in vitro by down-regulation of immunosuppressive molecules
(LAG-3 and TIM-3) and up-regulation
of effector molecules (GZMB, IFNG, and IL-2). Moreover, 38 exhibited
excellent in vivo antitumor activity with a tumor growth inhibition
(TGI) of 56.0% in the MC38 tumor model via oral administration, demonstrating
its potential as a novel A2AR antagonist candidate for
cancer immunotherapy.