Boosting macrophage appetites for cancer immunotherapy

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Abstract/Contents

Abstract
Recent progress in the field of cancer immunotherapy has demonstrated the potential for harnessing the innate immune system in order to effectively treat cancers. Macrophages are an especially attractive target for cancer immunotherapy, as they are abundant in the vast majority of tumors and are capable of detecting and directly clearing cancer cells through phagocytosis. However, recent work has demonstrated that cancer cells are capable of evading clearance by macrophages within tumors by overexpressing innate immune checkpoint molecules called "don't eat me" signals. The prototypical "don't eat me" signal, CD47, is a surface protein expressed highly in many cancers, and monoclonal antibodies targeting the CD47 innate immune checkpoint have demonstrated great clinical promise, and even cures, in hematologic malignancies including myelodysplastic syndromes and AML. Despite these successes, CD47 blockade does not promote complete phagocytosis in all types of cancers, which suggests the presence of additional "don't eat me" signals. Through this work we have identified two previously-unknown innate immune checkpoints that exist between macrophages and cancer cells, MHC class I:LILRB1 and CD24:Siglec- 10, and we demonstrate the therapeutic promise of blocking these novel "don't eat me" signals in order to maximize macrophage function, reduce cancer growth, and extend survival in vivo. Collectively, this work suggests a new paradigm that innate immune checkpoints are redundant and employed in a tissue-specific and even tumor-specific manner, and makes clear the need to measure the collective expression of these "don't eat me" signals in order to optimize patient responses to both innate and adaptive immunotherapies

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2021; ©2021
Publication date 2021; 2021
Issuance monographic
Language English

Creators/Contributors

Author Barkal, Amira
Degree supervisor Weissman, Irving L
Thesis advisor Weissman, Irving L
Thesis advisor Jaiswal, Sidd
Thesis advisor Majeti, Ravindra, 1972-
Degree committee member Jaiswal, Sidd
Degree committee member Majeti, Ravindra, 1972-
Associated with Stanford University, Program in Stem Cell Biology and Regenerative Medicine

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Amira Barkal
Note Submitted to the Program in Stem Cell Biology and Regenerative Medicine
Thesis Thesis Ph.D. Stanford University 2021
Location https://purl.stanford.edu/bt667fw0636

Access conditions

Copyright
© 2021 by Amira Barkal
License
This work is licensed under a Creative Commons Attribution Non Commercial No Derivatives 3.0 Unported license (CC BY-NC-ND).

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