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Updated: Apr 15, 2026

In Vitro Assay to Study Tumor-macrophage Interaction
Published on: August 1, 2019
Macrophages and therapeutic resistance in cancer
Brian Ruffell1, Lisa M Coussens1
1Department of Cell, Developmental, and Cancer Biology and Knight Cancer Institute, Oregon Health and Science University, Portland, OR 97034.
Abstract:
How neoplastic cells respond to therapy is not solely dependent on the complexity of the genomic aberrations they harbor but is also regulated by numerous dynamic properties of the tumor microenvironment. Identifying and targeting critical pathways that improve therapeutic efficacy by bolstering anti-tumor immune responses holds great potential for improving outcomes and impacting long-term patient survival. Macrophages are key regulators of homeostatic tissue and tumor microenvironments. Therefore, therapeutics impacting macrophage presence and/or bioactivity have shown promise in preclinical models and are now being evaluated in the clinic. This review discusses the molecular/cellular pathways identified so far whereby macrophages mediate therapeutic responses.
Insights
Tumor microenvironment, not just genetics, affects cancer therapy response. Targeting macrophages, key immune regulators, shows promise for improving cancer treatment efficacy and patient survival.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Neoplastic cell response to therapy is influenced by tumor microenvironment dynamics, not solely genomic complexity.
- Tumor microenvironment plays a critical role in regulating therapeutic efficacy and patient survival.
- Macrophages are central regulators of tissue homeostasis and tumor microenvironments.
Purpose of the Study:
- To review molecular and cellular pathways through which macrophages mediate therapeutic responses.
- To highlight the potential of targeting macrophage pathways to enhance anti-tumor immunity and improve cancer treatment outcomes.
- To discuss the clinical evaluation of therapeutics that modulate macrophage presence and bioactivity.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of molecular and cellular mechanisms involving macrophages in cancer therapy.
- Synthesis of current research on macrophage-mediated therapeutic responses.
Main Results:
- Macrophages significantly influence the efficacy of cancer therapies.
- Targeting macrophage pathways can bolster anti-tumor immune responses.
- Therapeutics modulating macrophage activity show promise in preclinical models and are under clinical investigation.
Conclusions:
- Macrophages are critical mediators of therapeutic response in cancer.
- Modulating macrophage function presents a promising strategy for improving cancer treatment.
- Further research into macrophage-centric pathways is essential for advancing cancer therapy.
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