Anti-CD47 antibody synergizes with rituximab to promote phagocytosis and eradicate non-Hodgkin lymphoma.

Anti-CD47 antibody synergizes with rituximab to promote phagocytosis and eradicate non-Hodgkin lymphoma.
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DOI:
10.1016/j.cell.2010.07.044
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发表时间:
2010-09-03
期刊:
影响因子:
64.5
通讯作者:
Majeti R
Majeti R
中科院分区:
生物学1区
文献类型:
--
作者:
Chao MP;Alizadeh AA;Tang C;Myklebust JH;Varghese B;Gill S;Jan M;Cha AC;Chan CK;Tan BT;Park CY;Zhao F;Kohrt HE;Malumbres R;Briones J;Gascoyne RD;Lossos IS;Levy R;Weissman IL;Majeti R

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Monoclonal antibodies are standard therapeutics for several cancers including the anti-CD20 antibody rituximab for B cell non-Hodgkin lymphoma (NHL). Rituximab and other antibodies are not curative, and must be combined with cytotoxic chemotherapy for clinical benefit. Here we report the eradication of human NHL solely with a monoclonal antibody therapy combining rituximab with a blocking anti-CD47 antibody. We identified increased expression of CD47 on human NHL cells, and determined that higher CD47 expression independently predicted adverse clinical outcomes in multiple NHL subtypes. Blocking anti-CD47 antibodies preferentially enabled phagocytosis of NHL cells and synergized with rituximab. Treatment of human NHL-engrafted mice with anti-CD47 antibody reduced lymphoma burden and improved survival, while combination treatment with rituximab led to elimination of lymphoma and cure. These antibodies synergized through a mechanism combining Fc receptor (FcR)-dependent and FcR-independent stimulation of phagocytosis that might be applicable to many other cancers.
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