Tan Yifan, Wang Min, Zhang Yang, Ge Shengyang, Zhong Fan, Xia Guowei, Sun Chuanyu
Department of Urology, Huashan Hospital, Fudan University, Shanghai, China.
Department of Urology, Renmin Hospital of Wuhan University, Wuhan, China.
Front Oncol. 2021 Jun 10;11:693517. doi: 10.3389/fonc.2021.693517. eCollection 2021.
Macrophages, an important class of innate immune cells that maintain body homeostasis and ward off foreign pathogens, exhibit a high degree of plasticity and play a supportive role in different tissues and organs. Thus, dysfunction of macrophages may contribute to advancement of several diseases, including cancer. Macrophages within the tumor microenvironment are known as tumor-associated macrophages (TAMs), which typically promote cancer cell initiation and proliferation, accelerate angiogenesis, and tame anti-tumor immunity to promote tumor progression and metastasis. Massive infiltration of TAMs or enrichment of TAM-related markers usually indicates cancer progression and a poor prognosis, and consequently tumor immunotherapies targeting TAMs have gained significant attention. Here, we review the interaction between TAMs and cancer cells, discuss the origin, differentiation and phenotype of TAMs, and highlight the role of TAMs in pro-cancer functions such as tumor initiation and development, invasive metastasis, and immunosuppression. Finally, we review therapies targeting TAMs, which are very promising therapeutic strategies for malignant tumors.
巨噬细胞是一类重要的固有免疫细胞,可维持体内稳态并抵御外来病原体,具有高度可塑性,在不同组织和器官中发挥支持作用。因此,巨噬细胞功能障碍可能促使包括癌症在内的多种疾病进展。肿瘤微环境中的巨噬细胞被称为肿瘤相关巨噬细胞(TAM),通常可促进癌细胞的起始和增殖,加速血管生成,并抑制抗肿瘤免疫,从而促进肿瘤进展和转移。TAM的大量浸润或TAM相关标志物的富集通常表明癌症进展且预后不良,因此针对TAM的肿瘤免疫疗法备受关注。在此,我们综述TAM与癌细胞之间的相互作用,讨论TAM的起源、分化和表型,并强调TAM在肿瘤起始和发展、侵袭转移及免疫抑制等促癌功能中的作用。最后,我们综述针对TAM的疗法,这是治疗恶性肿瘤非常有前景的治疗策略。