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CD47 蛋白在血液淋巴系统肿瘤中的表达:对 CD47 介导的癌症免疫治疗的意义

英文原题:Expression of CD47 protein in hematolymphoid neoplasms: Implications for CD47-mediated cancer immunotherapy.

PubMed 2025/06/03(内容时间) Am J Clin Pathol Q2 · IF 2.3(JCR 2025)

研究概要

了解血液淋巴系统肿瘤中CD47表达的流行情况对于识别潜在治疗靶点和筛选可能从CD47靶向治疗中获益的患者至关重要。此外,CD47可作为Burkitt淋巴瘤等肿瘤的有价值诊断标志物。

研究思路结论见上方概要

近期研究表明,阻断CD47-SIRPα相互作用是癌症免疫治疗中检查点抑制的一个有前景的靶点。然而,迄今为止,CD47在各种血液淋巴系统肿瘤中的表达尚未得到充分表征。

本研究通过免疫组织化学方法在834例病例中评估了CD47在多种血液淋巴系统肿瘤中的表达。

结果显示,CD47在肿瘤类型之间以及单个样本内部均有广泛但可变的表达,在强度和阳性百分比两方面均存在差异。CD47表达在阳性淋巴细胞百分比和强度两方面最高者见于小B细胞淋巴瘤,尤其是慢性淋巴细胞白血病/小淋巴细胞淋巴瘤、套细胞淋巴瘤、边缘区淋巴瘤和滤泡性淋巴瘤。T和B淋巴母细胞淋巴瘤、弥漫大B细胞淋巴瘤、外周T细胞淋巴瘤、γδ T细胞淋巴瘤、血管免疫母细胞性T细胞淋巴瘤和骨髓增生异常综合征显示中等CD47表达。急性和慢性髓系白血病以及经典型霍奇金淋巴瘤、间变性大细胞淋巴瘤和自然杀伤/T细胞淋巴瘤显示低表达。Burkitt淋巴瘤是显著的例外,在所检查的全部14例中CD47表达很少至无表达。

展开英文摘要原文

OBJECTIVES: Recent studies show that blocking CD47-SIRPα interactions is a promising target in checkpoint inhibition for cancer immunotherapy. However, to date, the expression of CD47 is not well characterized in various hematolymphoid neoplasms. METHODS: This study evaluates CD47 expression in a wide range of hematolymphoid neoplasms using immunohistochemistry on 834 cases. RESULTS: Results show variable but widespread CD47 expression among tumor types and within individual samples in both intensity and percentage. The highest CD47 expressions in both percentage of positive lymphoma cells and intensity was seen in small B-cell lymphomas, particularly chronic lymphocytic leukemia/small lymphocytic lymphoma, mantle cell, marginal zone, and follicular lymphomas. T and B lymphoblastic, diffuse large B-cell, peripheral T-cell, γδ T-cell, angioimmunoblastic T-cell lymphomas and myelodysplastic syndrome showed moderate CD47 expression. Acute and chronic myeloid leukemia as well as classic Hodgkin, anaplastic large cell, and natural killer/T-cell lymphomas showed low expression. Burkitt lymphoma is a notable standout, with little to no CD47 expression in all 14 cases examined. CONCLUSIONS: Understanding the prevalence of CD47 expression in hematolymphoid neoplasms is crucial for identifying potential therapeutic targets and selecting patients who may benefit from CD47-targeted therapies. Additionally, CD47 may serve as a valuable diagnostic marker in neoplasms such as Burkitt lymphoma.

论文信息

作者
Zhang J、Bulterys PL、Fernandez-Pol S、Younes SF、Zhao S、Mansoor A、Natkunam Y
第一作者单位
Department of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.United States
通讯作者单位
Department of Pathology, Stanford University, Stanford, CA, United States.United States
期刊
American journal of clinical pathology2025 Jun 3
原文标识
PubMed 40072022 · DOI 10.1093/ajcp/aqaf018