Cancer
cells can effectively suppress the natural immune response
in humans, and prostaglandin E2 (PGE2) is a
key mediator in the development of tumor cell resistance to immunotherapy.
As a major contributor to PGE2-elicited immunosuppressive
activity, the EP4 receptor promotes tumor development and progression
in the tumor microenvironment, and the development of selective and
potent EP4 receptor antagonists should have promising potential for
tumor immunotherapy. Aiming at improving the drug-like properties,
a series of 4,7-dihydro-5H-thieno[2,3-c]pyran derivatives were designed and synthesized through a scaffold
hopping strategy. The most promising compound 47 exhibited
good EP4 antagonistic activity and excellent subtype selectivity,
as well as favorable drug-like properties. It effectively suppressed
the expression of multiple immunosuppression-related genes in macrophages.
Meanwhile, oral administration of compound 47, alone
or in combination with anti-PD-1 antibody, significantly enhanced
the antitumor immune response and inhibited tumor growth in the mouse
CT26 colon carcinoma model.