PMID- 29538621 OWN - NLM STAT- MEDLINE DCOM- 20190128 LR - 20211204 IS - 1460-2180 (Electronic) IS - 0143-3334 (Linking) VI - 39 IP - 5 DP - 2018 May 3 TI - Disrupting CD47-SIRPalpha axis alone or combined with autophagy depletion for the therapy of glioblastoma. PG - 689-699 LID - 10.1093/carcin/bgy041 [doi] AB - CD47-targeting immune checkpoint inhibitors have been investigated for immunotherapy of several cancers, glioblastoma, one of the most common tumors in brain, was still a challenge for CD47-targeting therapy. Herein, we reported novel strategies for glioblastoma therapy via blocking CD47-signal regulatory protein-alpha (SIRPalpha) by SIRPalpha-Fc alone or in combination with autophagy inhibition. Our results showed that SIRPalpha-Fc increased macrophages-triggered cytotoxicity and phagocytosis of glioblastoma cells then elicited potent anti-tumor efficacy. During the treatment, SIRPalpha-Fc induced autophagy and autophagic flux in glioblastoma cells and Akt/mammalian target of rapamycin (mTOR) inactivation was participated in the autophagy activation. Inhibition of autophagy by pharmacological agents or small-interfering RNA increased SIRPalpha-Fc-triggered macrophage phagocytosis and cytotoxicity. Importantly, when compared with SIRPalpha-Fc treatment, blocking both CD47/SIRPalpha and autophagy significantly increased infiltration of macrophages and apoptosis of tumor cells, triggering potentiated anti-glioblastoma effect and extended median survival. Further experiments showed that adaptive immune response, including CD8+ T-cell subsets, was also played a crucial role in SIRPalpha-Fc-induced glioblastoma rejection. Our results indicated that SIRPalpha-Fc alone or combined with autophagy inhibitors elicited potent anti-glioblastoma effect, highlighting potential therapeutic strategies of glioblastoma via blocking CD47/SIRPalpha alone or in combination with autophagy inhibitor. FAU - Zhang, Xuyao AU - Zhang X AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Chen, Wei AU - Chen W AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Fan, Jiajun AU - Fan J AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Wang, Shaofei AU - Wang S AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. AD - Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Xian, Zongshu AU - Xian Z AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Luan, Jingyun AU - Luan J AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Li, Yubin AU - Li Y AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. AD - Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Wang, Yichen AU - Wang Y AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Nan, Yanyang AU - Nan Y AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Luo, Man AU - Luo M AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. FAU - Li, Song AU - Li S AD - ImmuneOnco Biopharma (Shanghai) Co., Ltd., Shanghai, China. FAU - Tian, Wenzhi AU - Tian W AD - ImmuneOnco Biopharma (Shanghai) Co., Ltd., Shanghai, China. FAU - Ju, Dianwen AU - Ju D AD - Department of Microbiological and Biochemical Pharmacy, The Key Laboratory of Smart Drug Delivery, Ministry of Education, School of Pharmacy, Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Carcinogenesis JT - Carcinogenesis JID - 8008055 RN - 0 (CD47 Antigen) RN - 0 (Receptors, Immunologic) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Autophagy/*immunology MH - CD47 Antigen/*metabolism MH - CD8-Positive T-Lymphocytes/immunology/metabolism MH - Cell Line, Tumor MH - Glioblastoma/immunology/*metabolism/*therapy MH - Humans MH - Immunotherapy/methods MH - Macrophages/immunology MH - Mice MH - Phagocytosis/immunology MH - Receptors, Immunologic/*metabolism MH - TOR Serine-Threonine Kinases/metabolism EDAT- 2018/03/15 06:00 MHDA- 2019/01/29 06:00 CRDT- 2018/03/15 06:00 PHST- 2017/09/25 00:00 [received] PHST- 2018/03/08 00:00 [accepted] PHST- 2018/03/15 06:00 [pubmed] PHST- 2019/01/29 06:00 [medline] PHST- 2018/03/15 06:00 [entrez] AID - 4925742 [pii] AID - 10.1093/carcin/bgy041 [doi] PST - ppublish SO - Carcinogenesis. 2018 May 3;39(5):689-699. doi: 10.1093/carcin/bgy041.