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Publication : Anti-SIRPα antibody immunotherapy enhances neutrophil and macrophage antitumor activity.

First Author  Ring NG Year  2017
Journal  Proc Natl Acad Sci U S A Volume  114
Issue  49 Pages  E10578-E10585
PubMed ID  29158380 Mgi Jnum  J:255188
Mgi Id  MGI:6103803 Doi  10.1073/pnas.1710877114
Citation  Ring NG, et al. (2017) Anti-SIRPalpha antibody immunotherapy enhances neutrophil and macrophage antitumor activity. Proc Natl Acad Sci U S A 114(49):E10578-E10585
abstractText  Cancer immunotherapy has emerged as a promising therapeutic intervention. However, complete and durable responses are only seen in a fraction of patients who have cancer. A key factor that limits therapeutic success is the infiltration of tumors by cells of the myeloid lineage. The inhibitory receptor signal regulatory protein-alpha (SIRPalpha) is a myeloid-specific immune checkpoint that engages the "don''t eat me" signal CD47 expressed on tumors and normal tissues. We therefore developed the monoclonal antibody KWAR23, which binds human SIRPalpha with high affinity and disrupts its binding to CD47. Administered by itself, KWAR23 is inert, but given in combination with tumor-opsonizing monoclonal antibodies, KWAR23 greatly augments myeloid cell-dependent killing of a collection of hematopoietic and nonhematopoietic human tumor-derived cell lines. Following KWAR23 antibody treatment in a human SIRPA knockin mouse model, both neutrophils and macrophages infiltrate a human Burkitt''s lymphoma xenograft and inhibit tumor growth, generating complete responses in the majority of treated animals. We further demonstrate that a bispecific anti-CD70/SIRPalpha antibody outperforms individually delivered antibodies in specific types of cancers. These studies demonstrate that SIRPalpha blockade induces potent antitumor activity by targeting multiple myeloid cell subsets that frequently infiltrate tumors. Thus, KWAR23 represents a promising candidate for combination therapy.
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