Wang Dan, Lei Qingyang, Yang Li, Huo Yachang, Yu Weina, Liu Shasha, Duan Yangfei, Feng Shumin, Li Zhen, Liu Jinbo, Sun Zhenqiang, Yuan Weitang, Liu Lihua, Zhang Bin, Zhang Yi
Biotherapy Center and Cancer Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
Department of Anorectal Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
Theranostics. 2025 Jul 2;15(15):7709-7725. doi: 10.7150/thno.113190. eCollection 2025.
Local intestinal invasion of tumor cells often leads to recurrent and refractory colorectal cancer (CRC). However, the driven mechanism is not fully understood. A total of 145 patients with CRC and 10 patients with intestinal perforations or benign lesions were randomly enrolled. The distribution and clinical relevance of macrophages in different tissues were determined by flow cytometry and immunohistochemistry. PCR screening and RNA-sequencing analysis were used to explore the regulatory mechanisms. The functions of macrophages were further verified using an orthotopic mouse model of mice. Here, we unveil the role of M2 macrophages in local intestinal invasion. M2 macrophages infiltrated more in peritumor tissues than in tumor and normal tissues of CRC patients, which were significantly associated with the tumor local intestinal invasion and recurrence. Macrophage elimination attenuated local intestinal invasion. Mechanistically, CXCL12 is highly expressed in peritumor tissues and recruits monocytes and polarizes them into M2 macrophages by binding to CXCR4. Furthermore, -containing exosomes from primary colorectal tumor cells promoted CXCL12 secretion by peritumoral fibroblasts through HIF-2α binding to the CXCL12 promoter, which in turn induced M2 macrophage accumulation and tumor cell invasion. Macrophage-specific deletion of CXCR4 or knockdown of in colorectal tumor cells reduced M2 accumulation in peritumor tissue and subsequent local invasion of tumor cells. These data reveal a fine-tuned collaborative action between primary cancer cells and peritumoral stromal cells in distinct tumor areas, which reshape the immunosuppressive microenvironment and inducing local intestinal invasion via the HIF2A/CXCL12/CXCR4 axis.
肿瘤细胞的局部肠道侵袭常导致复发性和难治性结直肠癌(CRC)。然而,其驱动机制尚未完全明确。共随机纳入145例CRC患者以及10例肠穿孔或良性病变患者。通过流式细胞术和免疫组化确定不同组织中巨噬细胞的分布及其临床相关性。采用PCR筛选和RNA测序分析来探索调控机制。利用小鼠原位模型进一步验证巨噬细胞的功能。在此,我们揭示了M2巨噬细胞在局部肠道侵袭中的作用。在CRC患者中,M2巨噬细胞在肿瘤周围组织中的浸润多于肿瘤组织和正常组织,这与肿瘤局部肠道侵袭和复发显著相关。清除巨噬细胞可减轻局部肠道侵袭。机制上,CXCL12在肿瘤周围组织中高表达,通过与CXCR4结合募集单核细胞并将其极化为M2巨噬细胞。此外,原发性结直肠肿瘤细胞来源的含 外泌体通过HIF-2α与CXCL12启动子结合促进肿瘤周围成纤维细胞分泌CXCL12,进而诱导M2巨噬细胞聚集和肿瘤细胞侵袭。在结直肠肿瘤细胞中特异性敲除CXCR4或敲低 可减少肿瘤周围组织中M2的聚集以及随后肿瘤细胞的局部侵袭。这些数据揭示了不同肿瘤区域中原发性癌细胞与肿瘤周围基质细胞之间的精细协同作用,其通过HIF2A/CXCL12/CXCR4轴重塑免疫抑制微环境并诱导局部肠道侵袭。
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