Evidence map›Paper›PMID 36650558›Full record

ArticleJournal of hematology & oncology2023

A pH-dependent anti-CD47 antibody that selectively targets solid tumors and improves therapeutic efficacy and safety.

Yulu Li, Juan Liu, Wei Chen, Wei Wang, Fang Yang, Ximing Liu, Yao Sheng, Kaixin Du, Miaomiao He, Xueyuan Lyu and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of hematology & oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Harnessing chimeric antigen receptor macrophages against solid tumors.Cancer communications (London, England) · 2025
    Review
  10. Article
  11. Review
  12. Deciphering the role of CD47 in cancer immunotherapy.Journal of advanced research · 2024
    Review
  13. Article
  14. Review
  15. The biological roles of CD47 in ovarian cancer progression.Cancer immunology, immunotherapy : CII · 2024
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
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

16 authors at 3 institutions in 1 country.

Yulu Li *Peking University-Tsinghua University-National Institute of Biological Sciences (PTN) Joint Graduate Program, School of Life Sciences, Peking University, Beijing, China.
Juan Liu *National Institute of Biological Sciences (NIBS), Beijing, China.
Wei Chen *National Institute of Biological Sciences (NIBS), Beijing, China.
Wei WangNational Institute of Biological Sciences (NIBS), Beijing, China.
Fang YangNational Institute of Biological Sciences (NIBS), Beijing, China.
Ximing LiuPeking University-Tsinghua University-National Institute of Biological Sciences (PTN) Joint Graduate Program, School of Life Sciences, Peking University, Beijing, China.
Yao ShengNational Institute of Biological Sciences (NIBS), Beijing, China.
Kaixin DuNational Institute of Biological Sciences (NIBS), Beijing, China.
Miaomiao HeNational Institute of Biological Sciences (NIBS), Beijing, China.
Xueyuan LyuNational Institute of Biological Sciences (NIBS), Beijing, China.
Huiyu LiNational Institute of Biological Sciences (NIBS), Beijing, China.
Linlin ZhaoNational Institute of Biological Sciences (NIBS), Beijing, China.
Zhizhong WeiNational Institute of Biological Sciences (NIBS), Beijing, China.
Fengchao WangNational Institute of Biological Sciences (NIBS), Beijing, China.
Sanduo ZhengNational Institute of Biological Sciences (NIBS), Beijing, China.
Jianhua SuiNational Institute of Biological Sciences (NIBS), Beijing, China. suijianhua@nibs.ac.cn.
National Institute of Biological Sciences, Beijing · CNTsinghua University · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe antiphagocytic molecule CD47 is overexpressed in a wide variety of cancer cells, and antibodies targeting CD47 for cancer therapies are currently under intensive investigation. However, owing to the ubiquitous expression of CD47 on healthy cells, anti-CD47 therapies often achieve only weak therapeutic benefits and can induce severe side effects. Here, we report the generation of a pH-dependent anti-CD47 antibody (BC31M4) which selectively binds to tumors under the acidic solid tumor microenvironment.

methodsBC31M4 was generated using antibody phage display and a pH-dependent selection strategy. The pH-dependent binding and blocking activities of BC31M4 were verified using in vitro assays, and the structural basis of the pH-dependent binding property was characterized. BC31M4's antitumor effect was confirmed by both phagocytosis assays and studies in xenograft models. The tumor selectivity, mechanism of action, PK properties, side effects, and therapeutic efficacy were further evaluated in humanized (hCD47 and its receptor hSIRPα) immunocompetent syngeneic mouse models.

resultsThe crystal structure reveals that two histidines locate within the CDRs of the light chain directly contribute to the pH-dependent binding of BC31M4. BC31M4 promotes macrophage phagocytosis of tumor cells more potently at acidic-pH than at physiological-pH. Our hCD47/hSIRPα humanized syngeneic mouse model results demonstrated that BC31M4 selectively accumulates in tumors but not in normal tissues. BC31M4 causes minimal side effects and exhibits superior PK properties as compared to the other examined anti-CD47 antibodies. When combined with adoptive T cell transfer, BC31M4 efficiently promotes adaptive immune responses against tumors and also induces immune memory. Moreover, we show that BC31M4's antitumor effects rely on an Fc that mediates strong effector functions.

conclusionsOur study illustrates that the development of a tumor-selective, pH-dependent anti-CD47 antibody safely confers strong therapeutic effects against solid tumors, thus providing a promising therapeutic strategy to overcome the challenges of anti-CD47 therapy.

Indexed as

CD47 AntigenNeoplasmsAnimalsAntibodiesDisease Models, AnimalHumansHydrogen-Ion ConcentrationMacrophagesMicePhagocytosisTumor MicroenvironmentXenograft Model Antitumor AssaysAntibodiesCD47 AntigenCD47 protein, humanCD47Fc effector functionpH-dependent antibodySide effectsSolid tumorTherapeutic efficacyTumor selectivity

Identifiers

PMID36650558
PMCPMC9844003
OpenAlexW4316813126

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.