
IndraLab
Statements
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"For example, MYC (MYC Proto-Oncogene, BHLH Transcription Factor) can involve in the recruitment of T cells and macrophages by directly binding to the promoter of CD47 (Cluster of Differentiation 47) and PDL1 (Programmed death-ligand 1), and then modify the microenvironment in tumor [ xref ]."
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"Additionally, several well-designed BsAbs have been created, such as IMM2902 for CD47-Her2, IMM0306 for CD47-D20, and IBI322 for CD47-PD-L1, which effectively inhibit the CD47-SIRPα signal and enhance tumor cell phagocytosis without significant impact on RBCs [ xref , xref , xref , xref ] [ xref , xref , xref , xref ] [ xref , xref , xref , xref ]."
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"Casey et al revealed that the MYC oncogene can regulate the antitumor immune response by directly binding to the promoters of the CD47 and programmed death ligand 1 (PD-L1) genes. xref Interleukin (IL)-6 has been demonstrated to upregulate CD47 expression on hepatoma cells by activating the signal transducer and activator of transcription 3 (STAT3) pathway. xref In addition, LMP1 upregulated c-myc via IL-6 induction followed by Jak3/STAT3 activation xref and it also upregulated PD-L1 via the STAT3, activator protein (AP)-1, and nuclear factor (NF)-kappa B pathways. xref Therefore, we infer that LMP1 may upregulate CD47 expression via the c-myc/IL-6/STAT3 pathway."
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"The CD47-SIRPα axis is an important innate immune checkpoint regulating the homeostatic clearance of aged or damaged cells by macrophages. xref , xref The interaction of CD47 with SIRPα promotes the localization of SIRPα to the phagocytic synapse, activating the src-homology-2 domain containing tyrosine phosphatases (SHP-1 and SHP-2), which ultimately inhibit myosin II accumulation at the phagocytic synapse, preventing engulfment. xref Interaction of CD47 on cell surfaces with SIRPα on phagocytes thus prevents the phagocytic elimination of healthy cells, serving as a “don’t eat me” signal. xref However, cancer cells have evolved to hijack the CD47-SIRPα axis by upregulating the expression of CD47 to evade macrophage-mediated immune surveillance. xref , xref Overexpression of CD47 was reported in both solid tumors and hematological malignancies. xref Accordingly, blockade of the CD47–SIRPa interaction is considered as a powerful means to activate the phagocytic clearance of tumor cells. xref , xref Therapeutic targeting of the SIRPα–CD47 pathway has been demonstrated to enhance the phagocytic uptake of tumor cells by macrophages in vitro and inhibit progression of malignancy in preclinical studies employing various types of tumors. xref , xref While many anti-CD47-SIRPα agents are being tested in clinical trials, xref the ubiquitous expression of CD47 limits the selective distribution of antibodies to tumors, leading to the risk of on-target toxicity resulting from phagocytosis of normal cells expressing CD47, including red blood cells (RBCs). xref Therefore, the development of a molecule that blocks tumor CD47 interaction with SIRPα on macrophages while minimizing its binding to CD47 on normal healthy cells is highly desirable. xref Recent reports describe next-generation CD47-blocking agents possessing such attributes. xref , xref In particular, bispecific antibodies (BsAb) targeting CD47 and tumor antigens, including NI-1701 for CD47-CD19, xref IMM0306 for CD47-CD20, xref and IBI332 for CD47-PD-L1, xref can selectively block CD47–SIRPα interaction and significantly enhance in vitro tumor cell phagocytosis, but with limited effect on RBCs."