Macrocyclic Peptide-Mediated Blockade of the CD47-SIRPα Interaction as a Potential Cancer Immunotherapy

Cell Chem Biol. 2020 Sep 17;27(9):1181-1191.e7. doi: 10.1016/j.chembiol.2020.06.008. Epub 2020 Jul 7.

Abstract

Medium-sized macrocyclic peptides are an alternative to small compounds and large biomolecules as a class of pharmaceutics. The CD47-SIRPα signaling axis functions as an innate immune checkpoint that inhibits phagocytosis in phagocytes and has been implicated as a promising target for cancer immunotherapy. The potential of macrocyclic peptides that target this signaling axis as immunotherapeutic agents has remained unknown, however. Here we have developed a macrocyclic peptide consisting of 15 amino acids that binds to the ectodomain of mouse SIRPα and efficiently blocks its interaction with CD47 in an allosteric manner. The peptide markedly promoted the phagocytosis of antibody-opsonized tumor cells by macrophages in vitro as well as enhanced the inhibitory effect of anti-CD20 or anti-gp75 antibodies on tumor formation or metastasis in vivo. Our results suggest that allosteric inhibition of the CD47-SIRPα interaction by macrocyclic peptides is a potential approach to cancer immunotherapy.

Keywords: CD47; SIRPα; cancer; immunotherapy; innate immune checkpoint; macrocyclic peptide; macrophage; phagocytosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Allosteric Regulation
  • Animals
  • Antigens, CD20 / immunology
  • Antineoplastic Agents, Immunological / immunology
  • Antineoplastic Agents, Immunological / therapeutic use
  • CD47 Antigen / chemistry
  • CD47 Antigen / metabolism*
  • Cell Line, Tumor
  • Female
  • Humans
  • Immunotherapy
  • Macrophages / cytology
  • Macrophages / immunology
  • Macrophages / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred NOD
  • Neoplasms / mortality
  • Neoplasms / pathology
  • Neoplasms / therapy
  • Peptides, Cyclic / chemistry
  • Peptides, Cyclic / metabolism*
  • Peptides, Cyclic / therapeutic use
  • Phagocytosis
  • Protein Binding
  • Receptors, Immunologic / chemistry
  • Receptors, Immunologic / metabolism*
  • Rituximab / immunology
  • Rituximab / therapeutic use
  • Survival Rate

Substances

  • Antigens, CD20
  • Antineoplastic Agents, Immunological
  • CD47 Antigen
  • Peptides, Cyclic
  • Ptpns1 protein, mouse
  • Receptors, Immunologic
  • Rituximab