Andreou Kleopatra E, Soto Manuel Sarmiento, Allen Danny, Economopoulos Vasiliki, de Bernardi Axel, Larkin James R, Sibson Nicola R
Department of Oncology, Cancer Research UK and Medical Research Council, Oxford Institute for Radiation Oncology, University of Oxford, Oxford, United Kingdom.
Front Oncol. 2017 Oct 30;7:251. doi: 10.3389/fonc.2017.00251. eCollection 2017.
Brain metastasis is a common complication of cancer patients and is associated with poor survival. Histological data from patients with brain metastases suggest that microglia are the major immune population activated around the metastatic foci. Microglia and macrophages have the ability to polarize to different phenotypes and to exert both tumorigenic and cytotoxic effects. However, the role of microglia/macrophages during the early stages of metastatic growth in the brain has not yet been determined. The aim of this study was to profile microglial/macrophage activation in a mouse model of breast cancer brain metastasis during the early stages of tumor growth, and to assess the role of the anti-inflammatory microglial/macrophage population, specifically, during this phase. Following intracerebral injection of 5 × 10 4T1-GFP mammary carcinoma cells into female BALB/c mice, robust microglial/macrophage activation around the 4T1 metastatic foci was evident throughout the time-course studied (28 days) and correlated positively with tumor volume ( = 0.67). Populations of classically (proinflammatory) and alternatively (anti-inflammatory) activated microglia/macrophages were identified immunohistochemically by expression of either induced nitric oxide synthase/cyclooxygenase 2 or mannose receptor 1/arginase 1, respectively. Temporally, levels of both pro- and anti-inflammatory cells were broadly stable across the time-course. Subsequently, selective depletion of the anti-inflammatory microglia/macrophage population by intracerebral injection of mannosylated clodronate liposomes significantly reduced metastatic tumor burden ( < 0.01). Moreover, increased levels of apoptosis were associated with tumors in clodronate liposome treated animals compared to controls ( < 0.05). These findings suggest that microglia/macrophages are important effectors of the inflammatory response in the early stages of brain metastasis, and that targeting the anti-inflammatory microglial/macrophage population may offer an effective new therapeutic avenue for patients with brain metastases.
脑转移是癌症患者常见的并发症,与生存率低相关。脑转移患者的组织学数据表明,小胶质细胞是转移灶周围被激活的主要免疫细胞群体。小胶质细胞和巨噬细胞具有极化至不同表型并发挥促肿瘤和细胞毒性作用的能力。然而,小胶质细胞/巨噬细胞在脑转移瘤生长早期阶段的作用尚未确定。本研究的目的是描绘乳腺癌脑转移小鼠模型在肿瘤生长早期阶段小胶质细胞/巨噬细胞的激活情况,并评估抗炎性小胶质细胞/巨噬细胞群体在此阶段的具体作用。将5×10⁴个T1-GFP乳腺癌细胞脑内注射到雌性BALB/c小鼠后,在整个研究时间进程(28天)中,4T1转移灶周围均出现了强烈的小胶质细胞/巨噬细胞激活,且与肿瘤体积呈正相关(r = 0.67)。分别通过诱导型一氧化氮合酶/环氧化酶2或甘露糖受体1/精氨酸酶1的表达,免疫组化鉴定出经典(促炎性)和替代性(抗炎性)激活的小胶质细胞/巨噬细胞群体。在时间进程上,促炎和抗炎细胞的水平总体上保持稳定。随后,通过脑内注射甘露糖化氯膦酸脂质体选择性清除抗炎性小胶质细胞/巨噬细胞群体,显著降低了转移瘤负担(P < 0.01)。此外,与对照组相比氯膦酸脂质体处理动物的肿瘤细胞凋亡水平升高(P < 0.05)。这些发现表明,小胶质细胞/巨噬细胞是脑转移早期炎症反应的重要效应细胞,靶向抗炎性小胶质细胞/巨噬细胞群体可能为脑转移患者提供一种有效的新治疗途径。
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