Glioblastoma Immunotherapy Targeting the Innate Immune Checkpoint CD47-SIRPα Axis

Front Immunol. 2020 Nov 27:11:593219. doi: 10.3389/fimmu.2020.593219. eCollection 2020.

Abstract

Glioblastoma Multiforme (GBM) is the most common and aggressive form of intracranial tumors with poor prognosis. In recent years, tumor immunotherapy has been an attractive strategy for a variety of tumors. Currently, most immunotherapies take advantage of the adaptive anti-tumor immunity, such as cytotoxic T cells. However, the predominant accumulation of tumor-associated microglia/macrophages (TAMs) results in limited success of these strategies in the glioblastoma. To improve the immunotherapeutic efficacy for GBM, it is detrimental to understand the role of TAM in glioblastoma immunosuppressive microenvironment. In this review, we will discuss the roles of CD47-SIRPα axis in TAMs infiltration and activities and the promising effects of targeting this axis on the activation of both innate and adaptive antitumor immunity in glioblastoma.

Keywords: CD47-SIRPα; glioblastoma; glioblastoma microenvironment; immune checkpoint; tumor-associated macrophages/microglia.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antigens, Differentiation / metabolism*
  • CD47 Antigen / metabolism*
  • Cell Line, Tumor
  • Gene Expression Regulation, Neoplastic / drug effects
  • Glioblastoma / drug therapy
  • Glioblastoma / etiology*
  • Glioblastoma / metabolism*
  • Glioblastoma / pathology
  • Humans
  • Immune Checkpoint Inhibitors / pharmacology
  • Immune Checkpoint Inhibitors / therapeutic use
  • Immune Checkpoint Proteins / metabolism*
  • Immunity, Innate* / drug effects
  • Molecular Targeted Therapy
  • Receptors, Immunologic / metabolism*
  • Signal Transduction / drug effects*
  • Tumor Microenvironment

Substances

  • Antigens, Differentiation
  • CD47 Antigen
  • CD47 protein, human
  • Immune Checkpoint Inhibitors
  • Immune Checkpoint Proteins
  • Receptors, Immunologic
  • SIRPA protein, human