Localized CD47 blockade enhances immunotherapy for murine melanoma

  • Jessica R. Ingram
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;
  • Olga S. Blomberg
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;
  • Jonathan T. Sockolosky
    Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA 94305;
  • Lestat Ali
    Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02115;
  • Florian I. Schmidt
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;
  • Novalia Pishesha
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;
  • Camilo Espinosa
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;
  • Stephanie K. Dougan
    Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02115;
  • K. Christopher Garcia
    Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA 94305;
  • Hidde L. Ploegh
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;
  • Michael Dougan
    Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142;

説明

<jats:title>Significance</jats:title> <jats:p>CD47 is a broadly expressed membrane-associated innate immune regulator that acts as a ligand of signal regulatory protein alpha (SIRPα) on antigen-presenting cells to inhibit phagocytosis. In xenograft models, inhibitors of the CD47–SIRPα interaction selectively target tumor-expressed CD47 and improve antibody responses to tumors by enhancing antibody-dependent cellular phagocytosis. In syngeneic settings, however, broad expression of CD47 on cells of the hematopoietic lineage creates a formidable antigen sink and increases toxicity. We find that optimal synergy between anti-CD47 antibodies and several immune therapies, including anti–CTLA-4, requires near-complete blockade of CD47 in the tumor microenvironment. Thus, novel strategies to deliver localized CD47 blockade to tumors may be particularly valuable for immune therapy.</jats:p>

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