# Expression and Clinical Significance of CD47 in Colorectal Cancer: A Review

Source: https://onco.cc/key-papers/paper-cd47-colorectal-cancers-basel-2025/  
OnCo record `paper-cd47-colorectal-cancers-basel-2025` (Key paper). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

Review on CD47 in Colorectal cancer, in Cancers (2025), one of the most cited Europe PMC records with CD47 in its title.

## Summary

Cluster of Differentiation 47 (CD47), an innate immune checkpoint, facilitates immune escape by binding signal regulatory protein alpha (SIRPα) to inhibit macrophage phagocytosis. Its significance in colorectal cancer (CRC) has garnered heightened interest. This review summarizes five immunohistochemistry (IHC) studies and complementary transcriptomic analyses assessing CD47 in CRC. IHC results consistently indicated membrane overexpression, though positivity rates varied widely (16-91%) due to methodological heterogeneity. Transcriptomic results confirmed CD47 upregulation, especially in Consensus Molecular Subtype 1 (CMS1) and CMS4 subtypes and revealed co-expression with immune checkpoints and oncogenic pathways. Clinically, high CD47 levels were associated with advanced TNM stage, metastasis, poor differentiation, and altered immune infiltration; however, the prognostic significance varied among cohorts. Overall, CD47 appears to be a promising biomarker and therapeutic target, but clinical translation requires standardized evaluation, including harmonized antibody selection and scoring cut-offs, and prospective validation.

Indexed on Europe PMC as PubMed record 41514569 (DOI 10.3390/cancers18010054). Its title names CD47 and its text names Colorectal cancer; PubMed types it as a review (review-article, Review). It was matched automatically to the idea "Engineered bacteria that live in tumours and manufacture drugs there" and no figure has been checked by an editor.

## Fields

- Kind: Key paper
- Last checked: 2026-09-22
- Tags: europepmc-ingest
- Journal: Cancers
- Year: 2025
- DOI: 10.3390/cancers18010054
- Authors: Li Q, Vignali P, Tang D, et al.
- What it means: One of the most cited reviews Europe PMC returns for CD47 in Colorectal cancer, so it is a natural first reading for anyone weighing the idea it is linked from. The record was linked automatically by title and abstract; read the abstract above and the paper itself before relying on any figure.
- Caveats: Matched by CD47 in the title and Colorectal cancer in the title or abstract of the Europe PMC record; the summary reproduces the record's abstract and no figure has been verified against the full paper.; A review summarises other studies; the primary reports it cites are the evidence.

## Sources

- Cancers (Basel) 2025: https://doi.org/10.3390/cancers18010054
- PubMed: https://pubmed.ncbi.nlm.nih.gov/41514569/
- Europe PMC: https://europepmc.org/article/MED/41514569

## Connected records

- journals: [Cancers](https://onco.cc/journals/cancers-mdpi/)
- ideas: [Engineered bacteria that live in tumours and manufacture drugs there](https://onco.cc/ideas/idea-bio2-engineered-bacteria-payloads/), [Make every cold tumour hot: a coordinated programme to reprogramme immune-excluded tumours](https://onco.cc/ideas/idea-moon-cold-to-hot-programme/)

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