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Altered macrophage differentiation and immune dysfunction in tumor development
Antonio Sica, Vincenzo Bronte
Antonio Sica, Vincenzo Bronte
Published May 1, 2007
Citation Information: J Clin Invest. 2007;117(5):1155-1166. https://doi.org/10.1172/JCI31422.
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Review Series

Altered macrophage differentiation and immune dysfunction in tumor development

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Abstract

Tumors require a constant influx of myelomonocytic cells to support the angiogenesis and stroma remodeling needed for their growth. This is mediated by tumor-derived factors, which cause sustained myelopoiesis and the accumulation and functional differentiation of myelomonocytic cells, most of which are macrophages, at the tumor site. An important side effect of the accumulation and functional differentiation of these cells is that they can induce lymphocyte dysfunction. A complete understanding of the complex interplay between neoplastic and myelomonocytic cells might offer novel targets for therapeutic intervention aimed at depriving tumor cells of important growth support and enhancing the antitumor immune response.

Authors

Antonio Sica, Vincenzo Bronte

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Figure 1

Current view of TAM and MDSC differentiation.

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Current view of TAM and MDSC differentiation.
HSCs give rise to common m...
HSCs give rise to common myeloid precursors (CMPs), which subsequently originate at least three subsets of cells circulating in tumor-bearing hosts that can be identified by specific markers: monocytes (CD11b+Gr-1+F4/80+), granulocytes (CD11b+Gr-1highF4/80–IL-4Rα–), and MDSCs (CD11b+Gr-1medF4/80low/–IL-4Rα+). Circulating monocytes are recruited by tumors and differentiate into TAMs, acquiring protumoral functions. During tumor progression, MDSCs accumulating in blood and in lymphoid organs such as the spleen may also be recruited to the tumor microenvironment, where they become F4/80+. This latter pathway of MDSC-TAM phenotype transition (dashed arrow) was recently proposed (13, 27). Finally, it has been hypothesized that immature forms of granulocytes might differentiate into MDSCs or condition their function and/or further differentiation (red arrows), as suggested by some studies (14).

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