“Re-educating” tumor-associated macrophages by targeting NF-κB

T Hagemann, T Lawrence, I McNeish… - The Journal of …, 2008 - rupress.org
T Hagemann, T Lawrence, I McNeish, KA Charles, H Kulbe, RG Thompson, SC Robinson…
The Journal of experimental medicine, 2008rupress.org
The nuclear factor κB (NF-κB) signaling pathway is important in cancer-related inflammation
and malignant progression. Here, we describe a new role for NF-κB in cancer in maintaining
the immunosuppressive phenotype of tumor-associated macrophages (TAMs). We show that
macrophages are polarized via interleukin (IL)-1R and MyD88 to an immunosuppressive
“alternative” phenotype that requires IκB kinase β–mediated NF-κB activation. When NF-κB
signaling is inhibited specifically in TAMs, they become cytotoxic to tumor cells and switch to …
The nuclear factor κB (NF-κB) signaling pathway is important in cancer-related inflammation and malignant progression. Here, we describe a new role for NF-κB in cancer in maintaining the immunosuppressive phenotype of tumor-associated macrophages (TAMs). We show that macrophages are polarized via interleukin (IL)-1R and MyD88 to an immunosuppressive “alternative” phenotype that requires IκB kinase β–mediated NF-κB activation. When NF-κB signaling is inhibited specifically in TAMs, they become cytotoxic to tumor cells and switch to a “classically” activated phenotype; IL-12high, major histocompatibility complex IIhigh, but IL-10low and arginase-1low. Targeting NF-κB signaling in TAMs also promotes regression of advanced tumors in vivo by induction of macrophage tumoricidal activity and activation of antitumor activity through IL-12–dependent NK cell recruitment. We provide a rationale for manipulating the phenotype of the abundant macrophage population already located within the tumor microenvironment; the potential to “re-educate” the tumor-promoting macrophage population may prove an effective and novel therapeutic approach for cancer that complements existing therapies.
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