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. 2015 Feb 10;7(2):303–310. doi: 10.1080/19420862.2015.1011450

Figure 1.

Figure 1.

Augmenting macrophage responses to therapeutic antibodies. (A) Tumor-binding antibodies stimulate macrophage phagocytosis via Fcγ receptors (FcγR), which is a major mechanism of action of many therapeutic antibodies. (B) The CD47-SIRPα interaction inhibits maximal antibody-dependent phagocytosis. CD47-blocking therapies (blue antibody) prevent inhibitory signaling from SIRPα to augment macrophage activation. (C) Tumor-binding antibodies with engineered Fc fragments exhibit enhanced binding to Fc receptors and potently stimulate phagocytosis. (D) Bispecific antibodies that have dual specificity for tumor antigens and receptors on macrophages can augment phagocytosis and direct macrophage responses against tumors. “Trifunctional” antibodies have intact Fc fragments that can engage additional Fc receptors as depicted. Antibody-drug conjugates with immunostimulatory properties (not depicted) also deliver activating stimuli to macrophages.