Macrophages in the microenvironment of head and neck cancer: potential targets for cancer therapy

Oral Oncol. 2019 Jan:88:29-38. doi: 10.1016/j.oraloncology.2018.10.040. Epub 2018 Nov 20.

Abstract

The microenvironment of solid tumors has become a promising target for future therapies modulating immune cells. Patients with advanced head and neck cancer, which still portends a poor outcome, are particularly in need of innovative approaches. In oral squamous cell carcinoma, high density of tumor-associated macrophages (TAMs) appears consistently associated with poor prognosis, whereas data are currently limited for other head and neck sites. Several approaches to block TAMs have been investigated, including TAMs inactivation by means of the colony stimulating factor 1 (CSF-1)/CSF-1 receptor (CSF-1R) inhibitors or strategies to reprogram TAMs from M2 protumoral phenotype toward M1 antitumoral phenotype. This review focuses on both prognostic and therapeutic aspects related to TAMs in head and neck carcinomas.

Keywords: CSF-1R inhibitor; Cancer treatment; Protumoral activities; Targeted therapy; Tumor microenvironment; Tumor-associated macrophages (TAMs).

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antineoplastic Agents / pharmacology
  • Head and Neck Neoplasms / drug therapy*
  • Head and Neck Neoplasms / immunology*
  • Head and Neck Neoplasms / virology
  • Humans
  • Immunomodulation
  • Macrophage Activation / drug effects
  • Macrophage Colony-Stimulating Factor / antagonists & inhibitors
  • Macrophages / classification
  • Macrophages / drug effects
  • Macrophages / immunology*
  • Macrophages / metabolism
  • Molecular Targeted Therapy / methods
  • Prognosis
  • Receptors, Granulocyte-Macrophage Colony-Stimulating Factor / antagonists & inhibitors
  • Tumor Microenvironment / immunology*

Substances

  • Antineoplastic Agents
  • CSF1 protein, human
  • CSF1R protein, human
  • Receptors, Granulocyte-Macrophage Colony-Stimulating Factor
  • Macrophage Colony-Stimulating Factor