D-peptide inhibitors of SIRP? anti-phagocytic signaling - PROJECT SUMMARY
The cell surface CD47 protein is a marker of “self” and signals through its receptor, signal-regulatory
protein a (SIRPa) expressed by macrophages, to transmit an anti-phagocytic (“don't-eat-me”) signal. CD47 is
expressed by virtually all cell types, is overexpressed by cancer cells as a mechanism to avoid immune
surveillance and phagocytosis, and is a negative prognostic factor for survival. Blocking this interaction is of
therapeutic interest, because it results in increased cancer cell phagocytosis (innate immunity) as well as
priming of a cytotoxic antitumor T-cell response (adaptive immunity). However, due to ubiquitous CD47
expression, anti-CD47 immunotherapies must overcome a large antigen sink (reduced bioavailability), and are
limited by on-target/off-tumor toxicity, such as thrombocytopenia and anemia.
In contrast, the receptor SIRPa is mainly expressed on myeloid cells, such that inhibitors targeting SIRPa
will have reduced toxicity and increased bioavailability. SIRPa is a transmembrane protein composed of a
conserved cytoplasmic tail region and three N-terminal extracellular immunoglobulin superfamily (IgSF)
domains: one V-set and two C1-set IgSF domains. The related family members SIRPß and SIRP¿ share
homologous IgSF domains, but have distinct cytoplasmic domains and signaling properties. The region of
SIRPa that interacts with CD47 is contained within the soluble 118-amino acid N-terminal IgSF V-set domain,
making synthesis of this target very feasible.
Using a drug discovery platform that employs enantiomeric screening (mirror-image phage display)
coupled with protein design, we have successfully developed protease-stable D-peptide entry inhibitors of HIV,
RSV, and Ebola viruses. These inhibitors bind pockets that are similarly involved in functionally critical protein-
protein interactions, traditionally deemed undruggable by small molecule approaches. Our anti-HIV D-peptide
entry inhibitor is in advanced preclinical trials and was trimerized to simultaneously bind all three pockets on
HIV's trimeric envelope protein, resulting in extremely high (pM) potency.
In this 1-year grant application, we propose to discover D-peptides that specifically bind only to SIRPa and
inhibit its interaction with CD47, and then characterize their binding profile on SIRPß and SIRP¿. D-peptides
typically display extended in vivo half-lives and low immunogenicity, and their small size gives them the
potential for enhanced tumor penetration. Also, the chemical synthesis of these D-peptides will result in a much
more cost-effective cancer immunotherapeutic compared to biologics. Success here will warrant subsequent
structural characterization, affinity maturation, testing in cell culture and animal models, and IND-enabling
toxicology studies on our D-peptide inhibitors of SIRPa to aid in the treatment of cancer.