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Updated: May 25, 2026

A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
The CD47-SIRPα pathway in cancer immune evasion and potential therapeutic implications
Mark P Chao1, Irving L Weissman, Ravindra Majeti
1Institute for Stem Cell Biology and Regenerative Medicine and Cancer Institute, Stanford, CA 94305, USA. mpchao@stanford.edu
Abstract:
Multiple lines of investigation have demonstrated that the immune system plays an important role in preventing tumor initiation and controlling tumor growth. Accordingly, many cancers have evolved diverse mechanisms to evade such monitoring. While multiple immune cell types mediate tumor surveillance, recent evidence demonstrates that macrophages, and other phagocytic cells, play a key role in regulating tumor growth through phagocytic clearance. In this review we highlight the role of tumor immune evasion through the inhibition of phagocytosis, specifically through the CD47-signal-regulatory protein-α pathway, and discuss how targeting this pathway might lead to more effective cancer immunotherapies.
Insights
Cancer cells evade immune detection by inhibiting phagocytosis, a key clearance process. Targeting the CD47-signal-regulatory protein-α pathway offers a promising strategy for enhancing cancer immunotherapies.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- The immune system is crucial for preventing and controlling cancer growth.
- Cancers develop mechanisms to evade immune surveillance.
- Macrophages and other phagocytic cells regulate tumor growth via phagocytosis.
Purpose of the Study:
- To review the role of tumor immune evasion through phagocytosis inhibition.
- To focus on the CD47-signal-regulatory protein-α pathway.
- To discuss the therapeutic potential of targeting this pathway in cancer immunotherapy.
Main Methods:
- Literature review of immunological and cancer research.
- Analysis of mechanisms of tumor immune evasion.
- Exploration of the CD47-SIRPα pathway's role in phagocytosis.
Main Results:
- Tumor cells frequently inhibit phagocytosis to evade immune clearance.
- The CD47-signal-regulatory protein-α (SIRPα) axis is a major pathway for this inhibition.
- Blocking CD47-SIRPα interactions can restore phagocytic activity.
Conclusions:
- Inhibition of phagocytosis is a critical immune evasion strategy for tumors.
- The CD47-SIRPα pathway is a key target for overcoming this evasion.
- Targeting this pathway holds significant potential for improving cancer immunotherapies.
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