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Combination immunotherapy targets cancer resistance

Yale School of Medicine News Nov 29, 2017

Cancer immunotherapy drugs have had notable but limited success because in many cases, tumors develop resistance to treatment. But researchers at Yale and Stanford have identified an experimental antibody that overcomes this problem by targeting a wider range of immune cells linked to tumor growth.

Existing cancer immunotherapies act on only a fraction of immune cells implicated in the disease. In this study, the research team developed an anti-human SIRPalpha antibody, KWAR23, to block a different set of immune cells known as myeloid cells. Many of these cells infiltrate tumors, triggering tumor growth, inflammation, and resistance to treatment.

In both cell culture and in mouse models with human cell membrane proteins, the research team found that the antibody blocked a protein that would otherwise limit the tumor-killing ability of myeloid cells. In combination with an approved cancer immunotherapy drug, the antibody significantly limited tumor cell growth.

The finding demonstrates a promising combination therapeutic approach to more effectively fight tumors, the researchers said. It will also lead to further research to examine whether the antibody is also effective in reducing more advanced and metastatic cancers.

The study was co-led by immunobiologist Richard Flavell.

The article titled "Anti-SIRPalpha antibody immunotherapy enhances neutrophil and macrophage antitumor activity," was published in the journal PNAS.
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