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CD47 blockade improves the therapeutic effect of osimertinib in non-small cell lung cancer
Wei-Bang Yu1; Yu-Chi Chen,1; Can-Yu Huang1; Zi-Han Ye1; Wei Shi1; Hong Zhu2; Jia-Jie Shi1; Jun Chen3; Jin-Jian Lu1,4,5
2022-11-22
Source PublicationFrontiers of Medicine
ISSN2095-0217
Volume17Issue:1Pages:105-118
Abstract

The third-generation epidermal growth factor receptor (EGFR) inhibitor osimertinib (OSI) has been approved as the first-line treatment for EGFR-mutant non-small cell lung cancer (NSCLC). This study aims to explore a rational combination strategy for enhancing the OSI efficacy. In this study, OSI induced higher CD47 expression, an important anti-phagocytic immune checkpoint, via the NF-κB pathway in EGFR-mutant NSCLC HCC827 and NCI-H1975 cells. The combination treatment of OSI and the anti-CD47 antibody exhibited dramatically increasing phagocytosis in HCC827 and NCI-H1975 cells, which highly relied on the antibody-dependent cellular phagocytosis effect. Consistently, the enhanced phagocytosis index from combination treatment was reversed in CD47 knockout HCC827 cells. Meanwhile, combining the anti-CD47 antibody significantly augmented the anticancer effect of OSI in HCC827 xenograft mice model. Notably, OSI induced the surface exposure of “eat me” signal calreticulin and reduced the expression of immune-inhibitory receptor PD-L1 in cancer cells, which might contribute to the increased phagocytosis on cancer cells pretreated with OSI. In summary, these findings suggest the multidimensional regulation by OSI and encourage the further exploration of combining anti-CD47 antibody with OSI as a new strategy to enhance the anticancer efficacy in EGFR-mutant NSCLC with CD47 activation induced by OSI.

KeywordAdcp Anti-cd47 Antibody Combination Strategy Egfr Osimertinib
DOI10.1007/s11684-022-0934-1
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaOncology ; Research & Experimental Medicine
WOS SubjectOncology ; Medicine, Research & Experimental
WOS IDWOS:000886436800001
PublisherSPRINGER, ONE NEW YORK PLAZA, SUITE 4600 , NEW YORK, NY 10004, UNITED STATES
Scopus ID2-s2.0-85142223754
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Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Institute of Chinese Medical Sciences
THE STATE KEY LABORATORY OF QUALITY RESEARCH IN CHINESE MEDICINE (UNIVERSITY OF MACAU)
DEPARTMENT OF PHARMACEUTICAL SCIENCES
Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau
Corresponding AuthorJin-Jian Lu
Affiliation1.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, 999078, Macao
2.Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, College of Pharmaceutical Sciences, and Cancer Center of Zhejiang University, Zhejiang University, Hangzhou, 310000, China
3.Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, 510000, China
4.Department of Pharmaceutical Sciences, Faculty of Health Sciences, University of Macau, 999078, Macao
5.MoE Frontiers Science Center for Precision Oncology, University of Macau, 999078, Macao
First Author AffilicationInstitute of Chinese Medical Sciences
Corresponding Author AffilicationInstitute of Chinese Medical Sciences;  Faculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Wei-Bang Yu,Yu-Chi Chen,,Can-Yu Huang,et al. CD47 blockade improves the therapeutic effect of osimertinib in non-small cell lung cancer[J]. Frontiers of Medicine, 2022, 17(1), 105-118.
APA Wei-Bang Yu., Yu-Chi Chen,., Can-Yu Huang., Zi-Han Ye., Wei Shi., Hong Zhu., Jia-Jie Shi., Jun Chen., & Jin-Jian Lu (2022). CD47 blockade improves the therapeutic effect of osimertinib in non-small cell lung cancer. Frontiers of Medicine, 17(1), 105-118.
MLA Wei-Bang Yu,et al."CD47 blockade improves the therapeutic effect of osimertinib in non-small cell lung cancer".Frontiers of Medicine 17.1(2022):105-118.
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