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Updated: Jan 30, 2026

Use of a Monocyte Monolayer Assay to Evaluate Fcγ Receptor-mediated Phagocytosis
Published on: January 2, 2017
Cancer cell-expressed SLAMF7 is not required for CD47-mediated phagocytosis
Yuan He1, Renee Bouwstra1, Valerie R Wiersma1
1Department of Hematology, University of Groningen, University Medical Center Groningen (UMCG), Groningen, GZ, 9713, The Netherlands.
Abstract:
CD47 is a prominent new target in cancer immunotherapy, with antagonistic antibodies currently being evaluated in clinical trials. For effective evaluation of this strategy it is crucial to identify which patients are suited for CD47-targeted therapy. In this respect, expression of the pro-phagocytic signal SLAMF7 on both macrophages and cancer cells was recently reported to be a requisite for CD47 antibody-mediated phagocytosis. Here, we demonstrate that in fact SLAMF7 expression on cancer cells is not required and does not impact on CD47 antibody therapy. Moreover, SLAMF7 also does not impact on phagocytosis induction by CD20 antibody rituximab nor associates with overall survival of Diffuse Large B-Cell Lymphoma patients. In contrast, expression of CD47 negatively impacts on overall and progression free survival. In conclusion, cancer cell expression of SLAMF7 is not required for phagocytosis and, in contrast to CD47 expression, should not be used as selection criterion for CD47-targeted therapy.
Insights
SLAMF7 expression on cancer cells is not required for CD47 antibody therapy or phagocytosis. CD47 expression, however, negatively impacts patient survival, making it a better target for cancer immunotherapy selection criteria.
Area of Science:
- Immunology
- Oncology
- Translational Medicine
Background:
- CD47 is a key target in cancer immunotherapy, with antibodies in clinical trials.
- Identifying patient selection criteria for CD47-targeted therapy is crucial.
- SLAMF7 expression was previously suggested as a requirement for CD47 antibody-mediated phagocytosis.
Purpose of the Study:
- To investigate the role of SLAMF7 expression on cancer cells in CD47 antibody therapy.
- To determine if SLAMF7 expression impacts phagocytosis induced by CD47 or CD20 antibodies.
- To assess the prognostic value of SLAMF7 and CD47 expression in Diffuse Large B-Cell Lymphoma (DLBCL).
Main Methods:
- In vitro experiments assessing phagocytosis.
- Analysis of SLAMF7 and CD47 expression in cancer cells and patient samples.
- Correlation analysis with patient survival data.
Main Results:
- SLAMF7 expression on cancer cells is not required for CD47 antibody-mediated phagocytosis.
- SLAMF7 does not influence phagocytosis induced by rituximab (CD20 antibody).
- CD47 expression is associated with poorer overall and progression-free survival in DLBCL patients.
Conclusions:
- Cancer cell SLAMF7 expression is not a prerequisite for phagocytosis and should not be used for patient selection in CD47-targeted therapies.
- CD47 expression, unlike SLAMF7, is a significant negative prognostic factor in DLBCL.
- CD47 expression warrants further investigation as a biomarker for CD47-targeted cancer immunotherapy.
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