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Updated: May 28, 2026

A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
CD47-signal regulatory protein-α (SIRPα) interactions form a barrier for antibody-mediated tumor cell destruction
Xi Wen Zhao1, Ellen M van Beek, Karin Schornagel
1Sanquin Research and Landsteiner Laboratory, Academic Medical Center, University of Amsterdam, 1066 CX Amsterdam, The Netherlands.
Abstract:
Monoclonal antibodies are among the most promising therapeutic agents for treating cancer. Therapeutic cancer antibodies bind to tumor cells, turning them into targets for immune-mediated destruction. We show here that this antibody-mediated killing of tumor cells is limited by a mechanism involving the interaction between tumor cell-expressed CD47 and the inhibitory receptor signal regulatory protein-α (SIRPα) on myeloid cells. Mice that lack the SIRPα cytoplasmic tail, and hence its inhibitory signaling, display increased antibody-mediated elimination of melanoma cells in vivo. Moreover, interference with CD47-SIRPα interactions by CD47 knockdown or by antagonistic antibodies against CD47 or SIRPα significantly enhances the in vitro killing of trastuzumab-opsonized Her2/Neu-positive breast cancer cells by phagocytes. Finally, the response to trastuzumab therapy in breast cancer patients appears correlated to cancer cell CD47 expression. These findings demonstrate that CD47-SIRPα interactions participate in a homeostatic mechanism that restricts antibody-mediated killing of tumor cells. This provides a rational basis for targeting CD47-SIRPα interactions, using for instance the antagonistic antibodies against human SIRPα described herein, to potentiate the clinical effects of cancer therapeutic antibodies.
Insights
Cancer therapies using monoclonal antibodies can be enhanced by blocking the CD47-SIRPα interaction. This interaction normally prevents immune cells from destroying cancer cells, but inhibiting it boosts antibody effectiveness against tumors.
Area of Science:
- Immunology
- Oncology
- Cancer Therapeutics
Background:
- Monoclonal antibodies are key cancer treatments, targeting tumor cells for immune destruction.
- The CD47-SIRPα axis on tumor and myeloid cells inhibits antibody-mediated cancer cell killing.
Purpose of the Study:
- To investigate the role of CD47-SIRPα interactions in limiting antibody-mediated tumor cell elimination.
- To explore targeting CD47-SIRPα as a strategy to enhance cancer immunotherapy.
Main Methods:
- Utilized mouse models lacking SIRPα cytoplasmic tail for in vivo studies.
- Performed in vitro assays with CD47 knockdown and antagonistic antibodies against CD47/SIRPα.
- Analyzed trastuzumab therapy response in breast cancer patients concerning CD47 expression.
Main Results:
- Mice lacking SIRPα cytoplasmic tail showed enhanced antibody-mediated melanoma cell clearance.
- Blocking CD47-SIRPα interactions significantly increased phagocyte-mediated killing of trastuzumab-treated breast cancer cells.
- Breast cancer patient response to trastuzumab correlated with tumor cell CD47 expression.
Conclusions:
- CD47-SIRPα interactions represent a homeostatic mechanism restricting antibody-driven tumor cell killing.
- Targeting CD47-SIRPα interactions, potentially with antagonistic antibodies, can potentiate the efficacy of therapeutic antibodies in cancer treatment.
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