Evidence map›Paper›PMID 31829270›Full record

ArticleJournal for immunotherapy of cancer2019

Blocking CD47 efficiently potentiated therapeutic effects of anti-angiogenic therapy in non-small cell lung cancer.

Xuyao Zhang, Yichen Wang, Jiajun Fan, Wei Chen, Jingyun Luan, Xiaobin Mei, Shaofei Wang, Yubin Li, Li Ye, Song Li and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
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  11. In situ blockade of TNF-TNFR2 axis via oncolytic adenovirus improves antitumor efficacy in solid tumors.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  12. Article
  13. Efferocytosis in atherosclerosis.Nature reviews. Cardiology · 2024
    Review
  14. Article
  15. Article
  16. Deciphering the role of CD47 in cancer immunotherapy.Journal of advanced research · 2024
    Review
  17. Article
  18. Article
  19. [Tumor-associated Macrophage: 
Emerging Targets for Modulating the Tumor Microenvironment].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
    Review
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Xuyao ZhangMinhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Yichen WangMinhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Jiajun FanMinhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Wei ChenMinhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Jingyun LuanMinhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Xiaobin MeiChanghai Hospital, Second Military Medical University, Shanghai, 200433, China.
Shaofei WangDepartment of Microbiological and Biochemical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, China.
Yubin LiDepartment of Microbiological and Biochemical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, China.
Li YeDepartment of Microbiological and Biochemical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, China.
Song LiImmuneOnco Biopharma (Shanghai) Co., Ltd., 1043 Halei Road, Shanghai, 201203, China.
Wenzhi TianImmuneOnco Biopharma (Shanghai) Co., Ltd., 1043 Halei Road, Shanghai, 201203, China.
Kai YinChanghai Hospital, Second Military Medical University, Shanghai, 200433, China. kyin67@smmu.edu.cn.
Dianwen JuMinhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China. dianwenju@fudan.edu.cn.ORCID 0000-0002-4305-9622
Fudan University · CNJiangsu T-mab BioPharma (China) · CNSecond Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInhibitors targeting VEGF and VEGFR are commonly used in the clinic, but only a subset of patients could benefit from these inhibitors and the efficacy was limited by multiple relapse mechanisms. In this work, we aimed to investigate the role of innate immune response in anti-angiogenic therapy and explore efficient therapeutic strategies to enhance efficacy of anti-angiogenic therapy against non-small cell lung cancer (NSCLC).

methodsThree NSCLC tumor models with responses to VEGF inhibitors were designed to determine innate immune-related underpinnings of resistance to anti-angiogenic therapy. Immunofluorescence staining, fluorescence-activated cell sorting and immunoblot analysis were employed to reveal the expression of immune checkpoint regulator CD47 in refractory NSCLC. Metastatic xenograft models and VEGFR1-SIRPα fusion protein were applied to evaluate the therapeutic effect of simultaneous disruption of angiogenetic axis and CD47-SIRPα axis.

resultsUp-regulation of an innate immunosuppressive pathway, CD47, the ligand of the negative immune checkpoint regulator SIRPα (signal regulatory protein alpha), was observed in NSCLC tumors during anti-angiogenic therapy. Further studies revealed that CD47 upregulation in refractory lung tumor models was mediated by TNF-α/NF-κB1 signal pathway. Targeting CD47 could trigger macrophage-mediated elimination of the relapsed NSCLC cells, eliciting synergistic anti-tumor effect. Moreover, simultaneously targeting VEGF and CD47 by VEGFR1-SIRPα fusion protein induced macrophages infiltration and sensitized NSCLC to angiogenesis inhibitors and CD47 blockade.

conclusionsOur research provided evidence that CD47 blockade could sensitize NSCLC to anti-angiogenic therapy and potentiate its anti-tumor effects by enhancing macrophage infiltration and tumor cell destruction, providing novel therapeutics for NSCLC by disrupting CD47/SIRPα interaction and angiogenetic axis.

Indexed as

Angiogenesis InhibitorsAnimalsAntigens, DifferentiationBiomarkersCarcinoma, Non-Small-Cell LungCD47 AntigenCell Line, TumorDisease Models, AnimalHumansLung NeoplasmsMiceModels, MolecularNeovascularization, PathologicReceptors, ImmunologicSignal TransductionVascular Endothelial Growth Factor AAngiogenesis InhibitorsAntigens, DifferentiationBiomarkersCD47 AntigenCD47 protein, humanReceptors, ImmunologicSIRPA protein, humanVascular Endothelial Growth Factor AVEGFA protein, humanAnti-angiogenesisBispecific therapyCD47ImmunotherapyVEGF

Identifiers

PMID31829270
PMCPMC6907216
OpenAlexW2994843999

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.