Endostatin gene therapy inhibits intratumoral macrophage M2 polarization

Karen Foguer1, Marina de Souza Braga1, Jean Pierre Schatzmann Peron2

  • 1Nephrology Division, Federal University of Sao Paulo, Sao Paulo, Brazil; Biotechnology Department, IPEN-CNEN, Sao Paulo, Brazil.

Abstract

Insights

Endostatin gene therapy effectively targets M2 macrophages in renal cell carcinoma lung metastases. This approach reduces pro-tumorigenic cytokines and promotes tumor elimination by modulating the tumor microenvironment.

Area of Science:

  • Oncology
  • Immunology
  • Gene Therapy

Background:

  • Renal cell carcinoma (RCC) is a vascularized cancer resistant to conventional treatments.
  • Tumor-associated macrophages (TAMs), particularly M2 macrophages, promote RCC progression.
  • Endostatin (ES), an antiangiogenic collagen fragment, is investigated for its therapeutic potential.

Purpose of the Study:

  • To investigate the impact of Endostatin (ES) gene therapy on tumor-associated macrophage (TAM) polarization in a murine model of renal cell carcinoma lung metastases.
  • To assess the effect of ES gene therapy on M2 macrophage markers and associated cytokine profiles.

Main Methods:

  • BALB/c mice bearing tumors were treated with ES-transduced cells or control cells.
  • Pulmonary macrophages were isolated for flow cytometry (FACS) and gene expression analysis (RT-PCR).
  • Plasma and cell culture supernatants were analyzed for cytokine levels using ELISA.

Main Results:

  • ES treatment significantly reduced pro-angiogenic and anti-inflammatory cytokines (IL-4, IL-10, IL-13, VEGF).
  • Gene expression of M2 markers (IL-10, Arg-1, VEGF, YM-1) and the number of M2 macrophages (F4/80+CD36+CD206+CD209+) decreased significantly.
  • ES therapy reduced IL-10 secretion by macrophages.

Conclusions:

  • Endostatin gene therapy demonstrates an anti-tumoral role by modulating TAMs.
  • ES therapy shifts TAM polarization away from pro-tumorigenic M2 phenotypes.
  • This macrophage polarization switch, alongside T cell response enhancement, favors tumor elimination in RCC.