ID: h-562d178a
Hypothesis

Anti-CD47/SIRPα Checkpoint Therapy to Enhance Phagocytic Clearance

Anti-CD47/SIRPα Checkpoint Therapy to Enhance Phagocytic Clearance.
🧬 CD47/SIRPα axis; target: CD47 on plaques/neurons🩺 immunomics🎯 Composite 51%💱 $0.52▲1.2%proposed
EvidencePending (0%)📖 0 cit🗣 1 debates 4 support 4 oppose
⚠ Missing Evidence⚠ Thin Description Senate Quality Gates →
Mechanistic 0.55 (15%) Evidence 0.50 (15%) Novelty 0.60 (12%) Feasibility 0.45 (12%) Impact 0.45 (12%) Druggability 0.60 (10%) Safety 0.25 (8%) Competition 0.65 (6%) Data Avail. 0.45 (5%) Reproducible 0.50 (5%) KG Connect 0.50 (8%) 0.510 composite

🧪 Overview

Anti-CD47/SIRPα Checkpoint Therapy to Enhance Phagocytic Clearance

🧬 Mechanism

🧬 Curated Mechanism Pathway

Curated pathway from expert analysis

flowchart TD
    A["CD47 Expression<br/>Amyloid Plaques and Neurons"]
    B["SIRPalpha Engagement<br/>Microglial Inhibitory Receptor"]
    C["SHIP1 and SHP1 Activation<br/>Phagocytic Inhibitory Cascade"]
    D["Phagocytosis Suppression<br/>Reduced Amyloid Clearance"]
    E["Amyloid Accumulation<br/>Plaque Burden Increase"]
    F["Anti-CD47 Antibody<br/>Checkpoint Blockade Therapy"]
    G["SIRPalpha Disengagement<br/>Inhibitory Signal Released"]
    H["Microglial Phagocytosis<br/>Enhanced Amyloid Clearance"]
    A --> B
    B --> C
    C --> D
    D --> E
    F -.->|"blocks"| A
    F --> G
    G -.->|"releases"| D
    G --> H
    style A fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a
    style E fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a
    style F fill:#1b5e20,stroke:#81c784,color:#81c784
    style H fill:#1b5e20,stroke:#81c784,color:#81c784

⚖️ Evidence

⚖️ Evidence Matrix4 supports4 contradicts
Supports
Anti-CD47 antibody enhances macrophage Aβ phagocytosis and reduces plaque burden
Supports
SIRPα polymorphisms associate with AD risk in Asian populations
Supports
TNF-α induces CD47 upregulation on neurons
Supports
Microglial engulfment of synapses is suppressed by CD47-SIRPα interaction
Contradicts
Anti-CD47 antibodies cause dose-limiting anemia in primates due to CD47 on erythrocytes
Contradicts
Magrolimab encountered partial clinical holds due to anemia and thrombocytopenia
Contradicts
Neuronal CD47 upregulation in response to TNF-α may represent neuroprotective attempt to prevent phagocytic elimination of stressed neurons
Contradicts
CD47 required for appropriate developmental synaptic pruning; blockade may cause synaptic dysfunction
📖 Linked Papers

No linked papers recorded for this hypothesis yet.

🏥 Translation

🧬 3D Protein Structure — CD47

No curated PDB or AlphaFold mapping for CD47 yet. Search RCSB →

🧠 GTEx v10 Brain ExpressionJSON

Median TPM across 13 brain regions for CD47/SIRPα axis; target: CD47 on plaques/neurons from GTEx v10.

Cerebellar Hemisphere122 Cerebellum88.7 Spinal cord cervical c-181.2 Frontal Cortex BA955.1 Nucleus accumbens basal ganglia40.6 Caudate basal ganglia36.2 Hypothalamus35.5 Cortex35.2 Anterior cingulate cortex BA2434.4 Substantia nigra31.2 Hippocampus28.9 Putamen basal ganglia27.8 Amygdala26.0median TPM (GTEx v10)

💉 Clinical Trials

No clinical trials data linked to this hypothesis yet.

No curated ClinVar variants loaded for this hypothesis.

Run scripts/backfill_clinvar_variants.py to fetch P/LP/VUS variants.

🔍 Search ClinVar for CD47 →

No DepMap CRISPR Chronos data found for CD47.

Run python3 scripts/backfill_hypothesis_depmap.py to populate.

🏆 Tournament

🏆 Arenas / Elo

No arena matches recorded yet. Browse Arenas →

📊 Market Indicators

7d Trend
Stable
7d Momentum
▲ 0.0%
Volatility
Low
0.0188
Events (7d)
0
Price History
▲1.2%

💾 Resource Usage

LLM Tokens
36,998
$0.1110
Total Cost
$0.1110

🔮 Predictions

🔎 Predictions vs Observations2 predictions · 0 with recorded observations
PredictionPredictedObservedStatusConf
IF 5xFAD transgenic mice (Alzheimer's disease model) receive intravenous administration of anti-CD47 antibody (0.5 mg/kg, biweekly for 4 weeks), THEN cortical and hippocampal amyloid plaque burden wilAmyloid plaque burden decreases by >30% in anti-CD47 treated mice (from ~15% plaque area to <10.5%)— no observation —pending0.35
IF primary human macrophages or iPSC-derived microglia are treated with blocking anti-CD47 antibody (or SIRPα-Fc fusion protein) ex vivo, THEN phagocytic uptake of fluorescently-labeled neuritic plaquPhagocytic index increases from baseline (~0.3) to >0.45 (50% increase) when treated with anti-CD47/SIRPα blockade— no observation —pending0.45
🔮 Falsifiable Predictions (2)
pendingconf 45%
IF primary human macrophages or iPSC-derived microglia are treated with blocking anti-CD47 antibody (or SIRPα-Fc fusion protein) ex vivo, THEN phagocytic uptake of fluorescently-labeled neuritic plaque material (synthetic Aβ42 aggregates) will increase by >50% within 48 hours compared to IgG isotype
Predicted outcome: Phagocytic index increases from baseline (~0.3) to >0.45 (50% increase) when treated with anti-CD47/SIRPα blockade
Falsification: Phagocytic index remains unchanged (<10% increase) or decreases with anti-CD47 treatment compared to vehicle/isotype control
pendingconf 35%
IF 5xFAD transgenic mice (Alzheimer's disease model) receive intravenous administration of anti-CD47 antibody (0.5 mg/kg, biweekly for 4 weeks), THEN cortical and hippocampal amyloid plaque burden will decrease by >30% compared to vehicle-treated 5xFAD mice, as measured by in vivo [11C]PiB PET or po
Predicted outcome: Amyloid plaque burden decreases by >30% in anti-CD47 treated mice (from ~15% plaque area to <10.5%)
Falsification: No significant reduction in amyloid plaque burden (<15% decrease) or plaque load increases with anti-CD47 treatment
Metadatasource: v1_phase_c_backfill · origin_type: gap_debate
sourcev1_phase_c_backfill
origin_typegap_debate
_schema_version1
📊 Evidence Profile
Evidence Balance
+0%
Certainty
0%
Debates
0
Incoming
0
Outgoing
0
0 supporting 0 contradicting 0 neutral
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