Tong Ni, He Zhenqiang, Ma Yujie, Wang Zheng, Huang Ziming, Cao Haihong, Xu Lanyang, Zou Yuheng, Wang Wanyu, Yi Chenpeng, Yin Zhixin, Wang Qirui
Department of Pharmacy, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Department of Molecular Biology, State Administration of Traditional Chinese Medicine of the People's Republic of China, School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
Front Cell Dev Biol. 2021 Jul 21;9:706286. doi: 10.3389/fcell.2021.706286. eCollection 2021.
Tumor microenvironment (TME) is the cornerstone of the occurrence, development, invasion and diffusion of the malignant central nerve system (CNS) tumor, glioma. As the largest number of inflammatory cells in glioma TME, tumor associated macrophages (TAMs) and their secreted factors are indispensable to the progression of glioma, which is a well-known immunologically "cold" tumor, including the growth of tumor cells, invasion, migration, angiogenesis, cancer immunosuppression and metabolism. TAMs intimately interface with the treatment failure and poor prognosis of glioma patients, and their density increases with increasing glioma grade. Recently, great progress has been made in TAM-targeting for anti-tumor therapy. According to TAMs' function in tumorigenesis and progression, the major anti-tumor treatment strategies targeting TAMs are to hinder macrophage recruitment in TME, reduce TAMs viability or remodel TAMs phenotype from M2 to M1. Different approaches offer unique and effective anti-tumor effect by regulating the phagocytosis, polarization and pro-tumor behaviors of macrophages in the therapy of glioma. The present review summarizes the significant characteristics and related mechanisms of TAMs and addresses the related research progress on targeting TAMs in glioma.
肿瘤微环境(TME)是恶性中枢神经系统(CNS)肿瘤——胶质瘤发生、发展、侵袭和扩散的基石。作为胶质瘤TME中数量最多的炎性细胞,肿瘤相关巨噬细胞(TAM)及其分泌因子对于胶质瘤的进展不可或缺,胶质瘤是一种众所周知的免疫“冷”肿瘤,其进展包括肿瘤细胞的生长、侵袭、迁移、血管生成、癌症免疫抑制和代谢。TAM与胶质瘤患者的治疗失败和预后不良密切相关,并且其密度随着胶质瘤分级的增加而升高。最近,针对TAM的抗肿瘤治疗取得了重大进展。根据TAM在肿瘤发生和进展中的作用,针对TAM的主要抗肿瘤治疗策略是阻碍TME中巨噬细胞的募集、降低TAM的活力或使TAM的表型从M2重塑为M1。在胶质瘤治疗中,不同的方法通过调节巨噬细胞的吞噬作用、极化和促肿瘤行为提供独特且有效的抗肿瘤作用。本综述总结了TAM的重要特征和相关机制,并阐述了胶质瘤中针对TAM的相关研究进展。