[PDF][PDF] Cancer-associated fibroblasts neutralize the anti-tumor effect of CSF1 receptor blockade by inducing PMN-MDSC infiltration of tumors

V Kumar, L Donthireddy, D Marvel, T Condamine… - Cancer cell, 2017 - cell.com
V Kumar, L Donthireddy, D Marvel, T Condamine, F Wang, S Lavilla-Alonso, A Hashimoto…
Cancer cell, 2017cell.com
Tumor-associated macrophages (TAM) contribute to all aspects of tumor progression. Use of
CSF1R inhibitors to target TAM is therapeutically appealing, but has had very limited anti-
tumor effects. Here, we have identified the mechanism that limited the effect of CSF1R
targeted therapy. We demonstrated that carcinoma-associated fibroblasts (CAF) are major
sources of chemokines that recruit granulocytes to tumors. CSF1 produced by tumor cells
caused HDAC2-mediated downregulation of granulocyte-specific chemokine expression in …
Summary
Tumor-associated macrophages (TAM) contribute to all aspects of tumor progression. Use of CSF1R inhibitors to target TAM is therapeutically appealing, but has had very limited anti-tumor effects. Here, we have identified the mechanism that limited the effect of CSF1R targeted therapy. We demonstrated that carcinoma-associated fibroblasts (CAF) are major sources of chemokines that recruit granulocytes to tumors. CSF1 produced by tumor cells caused HDAC2-mediated downregulation of granulocyte-specific chemokine expression in CAF, which limited migration of these cells to tumors. Treatment with CSF1R inhibitors disrupted this crosstalk and triggered a profound increase in granulocyte recruitment to tumors. Combining CSF1R inhibitor with a CXCR2 antagonist blocked granulocyte infiltration of tumors and showed strong anti-tumor effects.
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