TCGA gene expression data revealed that high NK cell CD47 expression correlated with improved survival, specifically in melanoma. In vitro, treatment of mouse splenic NK cells with anti-CD47 enhanced CD69 and IFNγ. In vivo, intratumoral injection of anti-CD47 slowed growth of B16F10 melanoma, potentially related to blockade of thrombospondin-1 negative signaling. In contrast, B16F10 melanoma grew faster in CD47-/- mice, which had fewer immune-competent splenic NK cells than wild type controls, suggesting additional positive regulatory functions for NK cell CD47 in mouse melanoma, consistent with the human expression data.

Contributed by Samuel Goldman

Elevated CD47 expression in some cancers is associated with decreased survival and limited clearance by phagocytes expressing the CD47 counter-receptor SIRPalpha. In contrast, elevated CD47 mRNA expression in human melanomas was associated with improved survival. Gene expression data was analyzed to determine a potential mechanism for this apparent protective function and suggested that high CD47 expression increases recruitment of natural killer (NK) cells into the tumor microenvironment. The CD47 ligand thrombospondin-1 inhibited NK cell proliferation and CD69 expression in vitro. Cd47-/- NK cells correspondingly displayed augmented effector phenotypes, indicating an inhibitory function of CD47 on NK cells. Treating human NK cells with a CD47 antibody that blocks thrombospondin-1 binding abrogated its inhibitory effect on NK cell proliferation. Similarly, treating wildtype mice with a CD47 antibody that blocks thrombospondin-1 binding delayed B16 melanoma growth, associating with increased NK cell recruitment and increased granzyme B and interferon-gamma levels in intratumoral NK but not CD8+ T cells. However, B16 melanomas grew faster in Cd47-/- versus wildtype mice. Melanoma-bearing Cd47-/- mice exhibited decreased splenic NK cell numbers with impaired effector protein expression and elevated exhaustion markers. Pro-apoptotic gene expression in Cd47-/- NK cells was associated with stress-mediated increases in mitochondrial proton leak, reactive oxygen species, and apoptosis. Global gene expression profiling in NK cells from tumor-bearing mice identified CD47-dependent transcriptional responses that regulate systemic NK activation and exhaustion. Therefore, CD47 positively and negatively regulates NK cell function, and therapeutic antibodies that block inhibitory CD47 signaling can enhance NK immune surveillance of melanomas.

Author Info: (1) Laboratory of Pathology, National Institutes of Health. (2) Laboratory of Pathology, National Cancer Institute. (3) Collaborative Bioinformatics Resource, National Cancer Insti

Author Info: (1) Laboratory of Pathology, National Institutes of Health. (2) Laboratory of Pathology, National Cancer Institute. (3) Collaborative Bioinformatics Resource, National Cancer Institute. (4) Office of the Director, National Institutes of Health. (5) Laboratory of Pathology, National Institutes of Health. (6) Laboratory of Pathology, National Institutes of Health droberts@mail.nih.gov.