Localized CD47 blockade enhances immunotherapy for murine melanoma

Jessica R Ingram1,2, Olga S Blomberg1, Jonathan T Sockolosky3,4

  • 1Whitehead Institute for Biomedical Research, Massachusetts Institute of Technology, Cambridge, MA 02142.

Insights

Blocking CD47, a protein on cancer cells, can boost immune responses. Localizing this blockade to tumors is key for effective cancer immunotherapy, overcoming challenges like antigen sinks.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • CD47 is an antiphagocytic ligand on normal and malignant cells, inhibiting immune responses via SIRPα.
  • CD47 inhibitors enhance anti-tumor antibody responses by promoting phagocytosis in models.
  • Widespread CD47 expression, especially on erythrocytes, acts as an antigen sink, potentially limiting therapy efficacy.

Purpose of the Study:

  • To develop a nanobody (A4) targeting the CD47-SIRPα interaction.
  • To evaluate A4's efficacy alone and in combination with immunotherapies in a syngeneic melanoma model.
  • To investigate strategies for overcoming CD47-related challenges in cancer immunotherapy.

Main Methods:

  • Generation of a nanobody (A4) that blocks CD47-SIRPα interaction.
  • Assessment of A4 in combination with anti-PD-L1 and anti-CTLA4 therapies in B16F10 melanoma models.
  • Development of a B16F10 cell line secreting A4 to achieve localized CD47 blockade.

Main Results:

  • A4 synergized with anti-PD-L1 but not anti-CTLA4 therapy.
  • Increased dosing or Fc-fusion of A4 did not overcome the antigen sink issue or systemic toxicity.
  • Localized CD47 blockade via A4 secretion from tumor cells enhanced immune responses.

Conclusions:

  • Near-complete CD47 blockade within the tumor microenvironment is crucial for enhancing immune therapies.
  • Strategies focusing on localized CD47 blockade may overcome limitations of systemic approaches.
  • Targeting the CD47-SIRPα axis holds promise for improving cancer immunotherapy outcomes.

Related Concept Videos