CD163(+) M2-type tumor-associated macrophage support the suppression of tumor-infiltrating T cells in osteosarcoma

Qinglin Han1, Hongguang Shi1, Fan Liu1

  • 1Surgical Research Laboratory, The Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.

Insights

Tumor-infiltrating T cells in osteosarcoma exhibit suppressed function, exacerbated by M2 macrophages. Depleting these macrophages enhances T cell activity, offering a potential immunotherapy target for this childhood cancer.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Research

Background:

  • Osteosarcoma is a prevalent childhood cancer with poor outcomes.
  • Conventional therapies offer limited improvement, highlighting the need for novel treatments.
  • T cell-based immunotherapy shows promise, but its efficacy is hindered by tumor microenvironment factors.

Purpose of the Study:

  • To investigate the regulatory mechanisms of T cells within the osteosarcoma tumor microenvironment.
  • To evaluate the impact of tumor-associated macrophages on T cell function in osteosarcoma.

Main Methods:

  • Comparative analysis of peripheral blood (PB) and tumor-infiltrating (TI) T cells.
  • Assessment of T cell markers (TIM-3, PD-1) and cytokine secretion.
  • Correlation analysis between T cell function, macrophage phenotypes (M2/CD163+), and clinical characteristics.
  • Experimental depletion of CD163+ macrophages to assess functional recovery of T cells.

Main Results:

  • TI T cells showed higher frequencies of TIM-3(+)PD-1(-) and TIM-3(+)PD-1(+) cells compared to PB T cells.
  • These T cells exhibited diminished proliferation and proinflammatory cytokine production, similar to chronic infections.
  • M2-type (CD163+) macrophages were associated with increased T cell immunosuppression.
  • Depletion of CD163+ macrophages led to improved T cell proliferation and cytokine secretion.

Conclusions:

  • Osteosarcoma features intratumoral T cell-specific immunosuppression.
  • M2-type tumor-associated macrophages significantly amplify this T cell suppression.
  • Targeting M2 macrophages may enhance T cell-based immunotherapy efficacy in osteosarcoma.

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