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Updated: Mar 26, 2026

Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
A function-blocking CD47 antibody suppresses stem cell and EGF signaling in triple-negative breast cancer
Sukhbir Kaur1, Abdel G Elkahloun2, Satya P Singh3
1Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Abstract:
CD47 is a signaling receptor for thrombospondin-1 and the counter-receptor for signal-regulatory protein-α (SIRPα). By inducing inhibitory SIRPα signaling, elevated CD47 expression by some cancers prevents macrophage phagocytosis. The anti-human CD47 antibody B6H12 inhibits tumor growth in several xenograft models, presumably by preventing SIRPα engagement. However, CD47 signaling in nontransformed and some malignant cells regulates self-renewal, suggesting that CD47 antibodies may therapeutically target cancer stem cells (CSCs). Treatment of MDA-MB-231 breast CSCs with B6H12 decreased proliferation and asymmetric cell division. Similar effects were observed in T47D CSCs but not in MCF7 breast carcinoma or MCF10A breast epithelial cells. Gene expression analysis in breast CSCs treated with B6H12 showed decreased expression of epidermal growth factor receptor (EGFR) and the stem cell transcription factor KLF4. EGFR and KLF4 mRNAs are known targets of microRNA-7, and B6H12 treatment correspondingly enhanced microRNA-7 expression in breast CSCs. B6H12 treatment also acutely inhibited EGF-induced EGFR tyrosine phosphorylation. Expression of B6H12-responsive genes correlated with CD47 mRNA expression in human breast cancers, suggesting that the CD47 signaling pathways identified in breast CSCs are functional in vivo. These data reveal a novel SIRPα-independent mechanism by which therapeutic CD47 antibodies could control tumor growth by autonomously forcing differentiation of CSC.
Insights
Anti-CD47 antibodies like B6H12 may target cancer stem cells (CSCs) by inhibiting proliferation and promoting differentiation. This study reveals a novel mechanism independent of SIRPα signaling, impacting EGFR and KLF4 expression.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- CD47 is a receptor involved in immune evasion and cancer stem cell (CSC) self-renewal.
- Elevated CD47 expression on cancer cells inhibits macrophage phagocytosis via SIRPα signaling.
- Anti-CD47 antibodies are being investigated for cancer therapy, potentially targeting CSCs.
Purpose of the Study:
- To investigate the therapeutic potential of anti-CD47 antibody B6H12 against breast cancer stem cells (CSCs).
- To elucidate the mechanism of action of B6H12 in CSCs, focusing on SIRPα-independent pathways.
- To assess the impact of B6H12 on CSC proliferation, differentiation, and key gene expression.
Main Methods:
- Treatment of breast CSC lines (MDA-MB-231, T47D) with anti-CD47 antibody B6H12.
- Assessment of cell proliferation and asymmetric cell division.
- Gene expression analysis (EGFR, KLF4) and microRNA-7 levels.
- Inhibition of EGF-induced EGFR tyrosine phosphorylation.
Main Results:
- B6H12 treatment decreased proliferation and asymmetric cell division in MDA-MB-231 and T47D CSCs.
- B6H12 treatment reduced EGFR and KLF4 expression and increased microRNA-7 expression in CSCs.
- B6H12 inhibited EGF-induced EGFR phosphorylation, suggesting a direct effect on signaling.
- Gene expression changes correlated with CD47 mRNA in human breast cancers, indicating in vivo relevance.
Conclusions:
- Anti-CD47 antibody B6H12 can inhibit CSC proliferation and promote differentiation through a SIRPα-independent mechanism.
- B6H12 impacts CSCs by downregulating EGFR and KLF4 via enhanced microRNA-7 activity.
- This study reveals a novel therapeutic strategy targeting CSCs by inducing their differentiation.
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