Tumor-associated macrophages: potential therapeutic strategies and future prospects in cancer

J Immunother Cancer. 2021 Jan;9(1):e001341. doi: 10.1136/jitc-2020-001341.

Abstract

Macrophages are the most important phagocytes in vivo. However, the tumor microenvironment can affect the function and polarization of macrophages and form tumor-associated macrophages (TAMs). Usually, the abundance of TAMs in tumors is closely associated with poor prognosis. Preclinical studies have identified important pathways regulating the infiltration and polarization of TAMs during tumor progression. Furthermore, potential therapeutic strategies targeting TAMs in tumors have been studied, including inhibition of macrophage recruitment to tumors, functional repolarization of TAMs toward an antitumor phenotype, and other therapeutic strategies that elicit macrophage-mediated extracellular phagocytosis and intracellular destruction of cancer cells. Therefore, with the increasing impact of tumor immunotherapy, new antitumor strategies to target TAMs are now being discussed.

Keywords: immunotherapy; macrophages; tumor microenvironment.

Publication types

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

MeSH terms

  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use
  • Cell Polarity
  • Humans
  • Neoplasms / drug therapy
  • Neoplasms / pathology*
  • Phagocytosis
  • Prognosis
  • Tumor Microenvironment
  • Tumor-Associated Macrophages / drug effects
  • Tumor-Associated Macrophages / pathology*

Substances

  • Antineoplastic Agents