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Updated: May 9, 2026

A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
Recent advances in the regulation of CD47 by non-coding RNAs and its therapeutic potential in cancer
Jingwen Hua1, Weijin Zhu2, Xiaochun Sun3
1School of Medicine, Jiangsu University, Zhenjiang, 212013, Jiangsu Province, China.
Abstract:
Cluster of Differentiation 47 (CD47) is regarded as a highly promising next-generation immunotherapy target following PD-1/PD-L1. It mediates tumor immune escape by transmitting a "don't eat me" signal through the signal regulatory protein alpha (SIRPα) pathway. However, the clinical application of existing antibody therapies remains constrained by erythrocyte toxicity, the antigen sink caused by widespread CD47 expression on normal cells, and recent setbacks in clinical trials. "Growing evidence establishes non-coding RNAs (ncRNAs), including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), as key upstream regulators of CD47. Here, we systematically review how these ncRNAs control CD47 gene expression, focusing on their impact on phagocytosis, drug resistance, and tumor microenvironment remodeling. Unlike antibody-mediated blockade, targeting the ncRNA-CD47 axis provides a unique avenue for genetic modulation, offering reduced systemic toxicity. We summarize these regulatory mechanisms and explore how exploiting these gene-regulatory networks can address the current challenges in CD47 immunotherapy.
Insights
Non-coding RNAs (ncRNAs) regulate Cluster of Differentiation 47 (CD47) expression, offering a novel immunotherapy approach. Targeting the ncRNA-CD47 axis may overcome limitations of current CD47 antibody therapies.
Area of Science:
- Immunology
- Molecular Biology
- Genetics
Background:
- Cluster of Differentiation 47 (CD47) is a key target in cancer immunotherapy, mediating tumor immune escape via the signal regulatory protein alpha (SIRPα) pathway.
- Current CD47 antibody therapies face challenges including erythrocyte toxicity, antigen sink effect, and clinical trial setbacks.
Purpose of the Study:
- To systematically review the role of non-coding RNAs (ncRNAs) as upstream regulators of CD47.
- To explore how targeting the ncRNA-CD47 axis can address limitations of current CD47 immunotherapies.
Main Methods:
- Systematic review of scientific literature on ncRNA regulation of CD47.
- Analysis of ncRNA mechanisms impacting CD47 gene expression, phagocytosis, drug resistance, and tumor microenvironment.
Main Results:
- Non-coding RNAs (miRNAs, lncRNAs, circRNAs) are identified as critical regulators of CD47.
- The ncRNA-CD47 axis influences key cancer processes including phagocytosis and drug resistance.
Conclusions:
- Targeting the ncRNA-CD47 axis presents a promising alternative to antibody-based therapies for CD47 immunotherapy.
- Genetic modulation via ncRNAs offers potential for reduced systemic toxicity and improved therapeutic outcomes in CD47-targeted cancer treatment.
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