Zhou Fei, Mukherjee Pritha, Mu Jinming, Chen Peiwen
Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
Trends Pharmacol Sci. 2025 Aug 9. doi: 10.1016/j.tips.2025.07.006.
Glioblastoma (GBM) is a highly aggressive and lethal form of brain tumor in human adults that resists standard of care (SOC) and immunotherapy. Tumor-associated macrophages and microglia (TAMs) represent the most abundant cell population within the GBM tumor microenvironment (TME), comprising up to 50% of the whole tumor mass. TAMs play a pivotal role in promoting tumor progression, driving immunosuppression and inducing therapy resistance. Recent advances have revealed TAM heterogeneity - including their cellular identity (e.g., bone marrow-derived macrophages versus microglia) and the presence of distinct activation/function states and subpopulations within each subtype - in GBM tumors. Targeting the context-dependent TAM infiltration, reprogramming, new subpopulations, survival, phagocytosis, and their interactions with GBM cells in the TME has emerged as a promising therapeutic strategy. Herein we review recent advances in pharmacological targeting of the TAM biology and highlight how these strategies may enhance the effectiveness of SOC and immunotherapies in GBM.
胶质母细胞瘤(GBM)是成人中一种极具侵袭性和致命性的脑肿瘤,对标准治疗(SOC)和免疫疗法均具有抗性。肿瘤相关巨噬细胞和小胶质细胞(TAM)是GBM肿瘤微环境(TME)中最丰富的细胞群体,占整个肿瘤质量的50%。TAM在促进肿瘤进展、驱动免疫抑制和诱导治疗抗性方面发挥着关键作用。最近的研究进展揭示了GBM肿瘤中TAM的异质性,包括它们的细胞身份(例如,骨髓来源的巨噬细胞与小胶质细胞)以及每个亚型中不同激活/功能状态和亚群的存在。针对TME中依赖于背景的TAM浸润、重编程、新亚群、存活、吞噬作用及其与GBM细胞的相互作用,已成为一种有前景的治疗策略。在此,我们综述了TAM生物学药理学靶向方面的最新进展,并强调这些策略如何提高GBM中SOC和免疫疗法的有效性。
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