2.Progressin Tumor-Associated Macrophages in the Treatment of Pancreatic Cancer.
Ke ZHANG ; Ya-Han QIN ; Jie SHEN ; Meng-Yu ZHANG ; Mei-Yu PENG
Acta Academiae Medicinae Sinicae 2023;45(3):471-478
Pancreatic cancer is one of the digestive system tumors with a high degree of malignancy,and most of the patients are diagnosed in advanced stages.Because of limited available therapies,the mortality of this disease remains high.Tumor-associated macrophages(TAM),the main immune cells in the tumor microenvironment,are involved in the regulation of the occurrence and development of pancreatic cancer.Specifically,TAM are involved in the proliferation,invasion,immune escape,and chemoresistance of pancreatic cancer cells,demonstrating potential in the targeted therapy of pancreatic cancer.In this paper,we summarize the TAM-based therapies including consuming TAM,reprogramming TAM,dynamic imaging of TAM with nanoprobes,and regulating the phagocytic ability of TAM for pancreatic cancer,aiming to provide a theoretical basis for developing new therapies for pancreatic cancer.
Humans
;
Tumor-Associated Macrophages
;
Macrophages
;
Pancreatic Neoplasms/pathology*
;
Tumor Microenvironment
3.Research Progress on the Role of Tumor-Associated Macrophages in Multiple Myeloma --Review.
Ping-Ping ZHANG ; Bing-Zong LI ; Ying-Hua GENG ; Feng ZHANG ; Yan-Li YANG
Journal of Experimental Hematology 2023;31(2):589-592
Bone marrow microenvironment is a highly complex environment surrounding tumor, which plays an important role in the survival, proliferation, drug resistance and migration of multiple myeloma (MM) cells. As an important cellular component in tumor microenvironment, tumor-associated macrophages(TAM) has attracted attention due to its key role in tumor progression and drug resistance. Targeting TAM has shown potential therapeutic value in cancer treatment. In order to clarify the role of macrophages in MM progression, it is necessary to understand the differentiation of TAM and its characteristics of promoting MM. This paper reviews the research progress on how TAM is programmed in MM and the mechanism of TAM promoting tumor development and drug resistance.
Humans
;
Multiple Myeloma/pathology*
;
Tumor-Associated Macrophages
;
Macrophages/pathology*
;
Cell Differentiation
;
Tumor Microenvironment
5.Prevention and treatment of lung cancer by regulating tumor-associated macrophages with traditional Chinese medicine.
Yun-Feng LIAN ; Hui-Tong YANG ; Ying SUN ; He ZHANG ; Xue MEI ; Long FENG ; Jin-Chan XIA
China Journal of Chinese Materia Medica 2023;48(8):2000-2009
Lung cancer is one of the common malignant tumors in the world, and its incidence and mortality is increasing year by year. Interactions between tumor cells and immune cells in the tumor microenvironment(TME) affect tumor proliferation, infiltration, and metastasis. Tumor-associated macrophages(TAMs) are prominent components of TME, and they have dual regulation effects on malignant progression of lung cancer. The number, activity, and function of M2 macrophages are related to the poor prognosis of lung cancer, and M2 macrophages participate in tumor angiogenesis and immune escape. It has been proved that traditional Chinese medicines(TCMs) and their active ingredients can enhance the antitumor effects, reduce the toxicity of chemotherapy and radiotherapy, and prolong the survival rates of patients with cancer. This paper summarized the role of TAMs in the lung cancer initiation and progression, explored the molecular mechanism of TCM in regulating the recruitment, polarization phenotype, activity, and expression of related factors and proteins of TAMs, and discussed related signal pathways in the prevention and treatment of lung cancer based on the TCM theory of "reinforcing healthy qi and eliminating pathogen". This paper is expected to provide new ideas for the immunotherapy of targeted TAMs.
Humans
;
Tumor-Associated Macrophages/pathology*
;
Medicine, Chinese Traditional
;
Lung Neoplasms/genetics*
;
Macrophages
;
Immunotherapy
;
Tumor Microenvironment
6.Macrophage Polarization and Infection.
Journal of Bacteriology and Virology 2014;44(3):290-295
Monocytes and macrophages regulate host immune system against infectious pathogens. Activated macrophages play an important role in restricting the multiplication and dissemination of pathogens. The concept of alternative activation of macrophages might provide useful insights into pathology of infectious diseases. M1 macrophages (classically activated macrophages) and M2 macrophages (alternatively activated macrophages) are associated with responses to tissue remodeling, pro-inflammatory and anti-inflammatory reactions in various infectious diseases. However, the relevance of macrophage polarization in several infectious diseases was not revealed clearly. Macrophage plasticity and polarization should be considered as a useful conceptual framework for understanding the unknown pathogenesis of infectious diseases. Here we reviewed the recent progress on macrophage polarization and its characters in infectious diseases.
Communicable Diseases
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Immune System
;
Macrophages*
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Monocytes
;
Pathology
;
Plastics
7.Macrophages polarization and their role in chronic obstructive pulmonary disease.
Yin LI ; Jing LU ; Yi ZHANG ; Chen CHENG ; Zi-Bing LIU
Acta Physiologica Sinica 2019;71(4):604-612
Macrophages are highly plastic and can be polarized into classical activated macrophages (M1) and alternative activated macrophages (M2) under the induction of inflammatory factors and regulation of a variety of information molecules. Chronic pulmonary inflammation and pulmonary parenchyma injury are the main pathological manifestations of chronic obstructive pulmonary disease (COPD). M1 promotes pulmonary inflammation, whereas M2 inhibits inflammatory response, participates in lung tissue injury and repair, and swallows and removes pathogenic microorganisms and apoptotic cells. Target intervention in the polarization direction of macrophages may be a new strategy for COPD treatment.
Humans
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Lung
;
Macrophages
;
cytology
;
Pulmonary Disease, Chronic Obstructive
;
pathology
8.Ultrastructure study on patients with spontaneous rupture of hepatocellular carcinoma.
Li-xin ZHU ; Xiao-ping GENG ; Shang-da FAN
Chinese Journal of Surgery 2006;44(3):161-164
OBJECTIVETo investigate the ultrastructure of small artery wall in patients with spontaneous rupture of hepatocellular carcinoma (HCC).
METHODSTransmission electron microscopy was used to study 11 specimens from ruptured HCC and 11 cases with non-ruptured HCC.
RESULTSThe phenomenon of activated phagocytosis in macrophage could be found in 3 cases with ruptured HCC and 10 cases with non-ruptured HCC, respectively (P < 0.05). In 9 specimens with ruptured HCC, the evidence of vascular injury characterized as less cell junctions and larger fenestrae in endothelial cells, broken elastic lamina, proliferated and fragmented elastin and damaged structure of collagen was found in small arteries. The phenomenon of electron-dense deposit in the elastic lamina, and signs of more protein synthesis in endothelial cells were also present in these specimens. In the patients with non-ruptured HCC, the evidence of vascular injury can be found only in 2 cases (P < 0.01). Less cell junctions and larger fenestrae could increase the permeability of vascular wall. The electron-dense deposition in elastic lamina may represent the deposition of antigen-antibody complex in elastic membrane which had been found in our previous study. The vascular injury was postulated to be caused by the deposition of antigen-antibody complex in vascular wall which was identified by our previous study. The vascular wall in the patient with ruptured HCC could become stiff and weak due to the proliferated fragment elastin and damaged collagen which would make the blood vessels more prone to splitting and result in hemorrhage and the rupture of HCC.
CONCLUSIONSThe vascular injury caused by antigen-antibody complex deposition might related to the spontaneous rupture of HCC.
Carcinoma, Hepatocellular ; pathology ; ultrastructure ; Humans ; Liver Neoplasms ; pathology ; ultrastructure ; Macrophages ; immunology ; Microscopy, Electron ; Rupture, Spontaneous ; pathology
9.Effects of radiation therapy on tumor microenvironment: an updated review.
Zewen ZHANG ; Yuanhao PENG ; Xin PENG ; Desheng XIAO ; Ying SHI ; Yongguang TAO
Chinese Medical Journal 2023;136(23):2802-2811
Cancer is a major threat to human health and causes death worldwide. Research on the role of radiotherapy (RT) in the treatment of cancer is progressing; however, RT not only causes fatal DNA damage to tumor cells, but also affects the interactions between tumor cells and different components of the tumor microenvironment (TME), including immune cells, fibroblasts, macrophages, extracellular matrix, and some soluble products. Some cancer cells can survive radiation and have shown strong resistance to radiation through interaction with the TME. Currently, the complex relationships between the tumor cells and cellular components that play major roles in various TMEs are poorly understood. This review explores the relationship between RT and cell-cell communication in the TME from the perspective of immunity and hypoxia and aims to identify new RT biomarkers and treatment methods in lung cancer to improve the current status of unstable RT effect and provide a theoretical basis for further lung cancer RT sensitization research in the future.
Humans
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Neoplasms/pathology*
;
Lung Neoplasms/complications*
;
Fibroblasts/pathology*
;
Biomarkers
;
Macrophages/pathology*
;
Hypoxia
;
Tumor Microenvironment
10.Role and mechanism of macrophage-mediated osteoimmune in osteonecrosis of the femoral head.
Yushun WANG ; Jianrui ZHENG ; Yuhong LUO ; Lei CHEN ; Zhigang PENG ; Gensen YE ; Deli WANG ; Zhen TAN
Chinese Journal of Reparative and Reconstructive Surgery 2024;38(1):119-124
OBJECTIVE:
To summarize the research progress on the role of macrophage-mediated osteoimmune in osteonecrosis of the femoral head (ONFH) and its mechanisms.
METHODS:
Recent studies on the role and mechanism of macrophage-mediated osteoimmune in ONFH at home and abroad were extensively reviewed. The classification and function of macrophages were summarized, the osteoimmune regulation of macrophages on chronic inflammation in ONFH was summarized, and the pathophysiological mechanism of osteonecrosis was expounded from the perspective of osteoimmune, which provided new ideas for the treatment of ONFH.
RESULTS:
Macrophages are important immune cells involved in inflammatory response, which can differentiate into classically activated type (M1) and alternatively activated type (M2), and play specific functions to participate in and regulate the physiological and pathological processes of the body. Studies have shown that bone immune imbalance mediated by macrophages can cause local chronic inflammation and lead to the occurrence and development of ONFH. Therefore, regulating macrophage polarization is a potential ONFH treatment strategy. In chronic inflammatory microenvironment, inhibiting macrophage polarization to M1 can promote local inflammatory dissipation and effectively delay the progression of ONFH; regulating macrophage polarization to M2 can build a local osteoimmune microenvironment conducive to bone repair, which is helpful to necrotic tissue regeneration and repair to a certain extent.
CONCLUSION
At present, it has been confirmed that macrophage-mediated chronic inflammatory immune microenvironment is an important mechanism for the occurrence and development of ONFH. It is necessary to study the subtypes of immune cells in ONFH, the interaction between immune cells and macrophages, and the interaction between various immune cells and macrophages, which is beneficial to the development of potential therapeutic methods for ONFH.
Humans
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Femur Head/pathology*
;
Osteonecrosis/therapy*
;
Macrophages/pathology*
;
Inflammation
;
Femur Head Necrosis/pathology*