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Updated: May 14, 2026

Drug-Induced Senescence in Liver Cells Promotes M2 Macrophage Polarization: Implications for Tyrosine Kinase Inhibitor-Associated Hepatotoxicity
Published on: October 17, 2025
Targeting NFKB by autophagy to polarize hepatoma-associated macrophage differentiation
Chih-Peng Chang1, Yu-Chi Su, Pei-Huan Lee
1Department of Microbiology & Immunology, College of Medicine, National Cheng Kung University, Tainan, Taiwan. cpchang@mail.ncku.edu.tw
Abstract:
Tumor-associated macrophages (TAMs) have been linked to promoting tumor progression by stimulating angiogenesis, cell growth and inflammation. NFKB activity in TAMs may mediate inflammation-associated tumor formation. However, most isolated TAMs from established tumors express a M2 phenotype with less NFKB activation and show a strong immunosuppressive phenomenon. How tumors affect the dynamic of NFKB activity in TAMs, and hence maintain their pro-tumor M2 phenotype is still poorly understood. We recently found that hepatoma-derived toll-like receptor 2 (TLR2)-related ligands are capable of stimulating M2 macrophage differentiation via controlling NFKB RELA/p65 protein homeostasis by selective autophagy. TLR2 signal induces NFKB RELA cytosolic ubiquitination and leads to its degradation by SQSTM1/p62-mediated autophagy. Inhibition of autophagy will rescue NFKB activity and shape the phenotype of hepatoma-polarized M2 macrophages. This suggests that autophagy might play a role in manipulating TAM functions and tumor-associated immune responses. Our study also demonstrates that autophagy can directly control a transcriptional factor in addition to its regulatory molecules. This finding uncovers a new role of autophagy in controlling cellular functions.
Insights
Tumor-associated macrophages (TAMs) promote cancer by maintaining an M2 phenotype. Autophagy controls NFKB RELA/p65 protein levels, influencing TAM function and tumor immunity.
Area of Science:
- Immunology
- Cell Biology
- Cancer Research
Background:
- Tumor-associated macrophages (TAMs) often exhibit an M2 phenotype, promoting tumor progression and immunosuppression.
- The mechanisms by which tumors regulate NFKB activity and maintain the M2 phenotype in TAMs are not fully understood.
Purpose of the Study:
- To investigate the role of autophagy in regulating NFKB activity and M2 polarization of TAMs in hepatoma.
- To elucidate how hepatoma-derived signals influence TAM phenotype and function.
Main Methods:
- Analysis of NFKB activity and M2 macrophage markers in TAMs.
- Investigating the effect of toll-like receptor 2 (TLR2) ligands on macrophage polarization.
- Utilizing selective autophagy inhibition to observe changes in NFKB activity and M2 phenotype.
- Studying the ubiquitination and degradation pathways of NFKB RELA/p65.
Main Results:
- Hepatoma-derived TLR2 ligands induce M2 macrophage differentiation by controlling NFKB RELA/p65 homeostasis through autophagy.
- TLR2 signaling leads to NFKB RELA ubiquitination and degradation via SQSTM1/p62-mediated autophagy.
- Inhibition of autophagy rescues NFKB activity and alters the M2 phenotype of hepatoma-polarized macrophages.
- Autophagy directly regulates a transcriptional factor, revealing a novel cellular function.
Conclusions:
- Autophagy plays a critical role in modulating TAM functions and tumor-associated immune responses by controlling NFKB activity.
- This study uncovers a new mechanism by which tumors manipulate the tumor microenvironment and highlights autophagy as a potential therapeutic target.
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