Dual blockage of both PD-L1 and CD47 enhances immunotherapy against circulating tumor cells
Shu Lian1, Ruizhi Xie1, Yuying Ye2
1Cancer Metastasis Alert and Prevention Center, College of Chemistry; Fujian Provincial Key Laboratory of Cancer Metastasis Chemoprevention and Chemotherapy, Fuzhou University, Fuzhou, China.
Abstract:
Carcinoma metastasis is triggered by a subpopulation of circulating tumor cells (CTCs). And single immune checkpoint therapy is not good enough to inhibit CTC-induced metastasis. Here, we demonstrate that simultaneously blocking CD274 (programmed death ligand 1, PD-L1 or B7-H1) and CD47 checkpoints which were respectively signal of "don't find me" and "don't eat me" on CTCs by corresponding antibodies could enhance the inhibition tumor growth than single CD274 or CD47 antibody alone. In vitro flow cytometry data proved that CD47 and CD274 were overexpressed on the tested mouse tumor cell lines. The antibodies could effectively block the expressions of CD47 and CD274 on the cell surface and stably attached to tumor cell surface for several hours. The simultaneous blockade on both CD47 and CD274 checkpoints inhibited tumor growth and CTCs metastasis more potently than a single antibody inhibition or blank control on 4T1 tumor mouse model in vivo. Our results demonstrated that simultaneous dual targeting immune checkpoints, i.e., CD47 and CD274, by using specific antibodies may be more effective as an immunotherapeutics on CTCs than a CD47 or CD274 alone.
Insights
Simultaneously blocking CD47 and CD274 immune checkpoints on circulating tumor cells (CTCs) with antibodies is more effective at inhibiting tumor growth and metastasis than single-target therapies.
Area of Science:
- Immunology
- Oncology
- Cancer Metastasis
Background:
- Carcinoma metastasis is driven by circulating tumor cells (CTCs).
- Single immune checkpoint inhibitors are insufficient for blocking CTC-induced metastasis.
- CD47 (don't eat me) and CD274 (don't find me) are key immune checkpoints on CTCs.
Purpose of the Study:
- To investigate the efficacy of simultaneously blocking CD47 and CD274 checkpoints on CTCs.
- To compare dual-blockade therapy with single-target therapies against CTC-induced metastasis.
Main Methods:
- In vitro flow cytometry to assess CD47 and CD274 overexpression on mouse tumor cell lines.
- Antibody-based blockade of CD47 and CD274 on tumor cells.
- In vivo studies using a 4T1 tumor mouse model to evaluate therapeutic efficacy.
Main Results:
- CD47 and CD274 were overexpressed on tested mouse tumor cell lines.
- Antibodies effectively blocked CD47 and CD274 expression on tumor cells.
- Simultaneous blockade of CD47 and CD274 significantly inhibited tumor growth and CTC metastasis more than single-target therapies or controls.
Conclusions:
- Dual targeting of CD47 and CD274 immune checkpoints on CTCs shows enhanced therapeutic potential.
- Combined CD47 and CD274 blockade represents a promising immunotherapeutic strategy for inhibiting cancer metastasis.
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