Related Experiment Video
Updated: Feb 16, 2026

Studying the Effects of Tumor-Secreted Paracrine Ligands on Macrophage Activation using Co-Culture with Permeable Membrane Supports
Published on: November 28, 2019
Macrophages: Key orchestrators of a tumor microenvironment defined by therapeutic resistance
Kristen B Long1, Arthur I Collier1, Gregory L Beatty2
1Department of Biology, Mansfield University, Mansfield, PA 16933, USA.
Abstract:
Macrophages have emerged as promising therapeutic targets in cancer. Within tumor tissue, macrophages foster tumor development, invasion, and metastasis. As the phenotype of macrophages is inherently pliable and dependent on cues received from the surrounding microenvironment, macrophages co-evolve with malignant and other non-malignant cells during cancer progression. In doing so, they establish a microenvironment that is therapeutically resistant and thwarts the productivity of T cell immunosuveillance. Strategies designed to deplete, inhibit, or redirect macrophages with anti-tumor activity are being explored to reverse the pro-tumor properties of macrophages that are commonly observed in cancer. In this review, we discuss our current understanding of the mechanisms that regulate macrophage recruitment to tumors, their impact on the tumor microenvironment, and their promise as therapeutic targets for improving the efficacy of cytotoxic- and immune-based therapies.
Insights
Macrophages are key players in cancer progression, promoting tumor growth and resistance to therapy. Targeting these cells offers a promising strategy to enhance anti-cancer treatments and improve immune responses.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Macrophages within the tumor microenvironment (TME) exhibit plasticity, co-evolving with cancer cells.
- Tumor-associated macrophages (TAMs) promote tumor development, invasion, metastasis, and therapeutic resistance.
- TAMs suppress T cell immunosurveillance, hindering effective anti-cancer immunity.
Purpose of the Study:
- To review the mechanisms regulating macrophage recruitment to tumors.
- To discuss the impact of macrophages on the tumor microenvironment.
- To highlight macrophages as therapeutic targets for improving cancer therapies.
Main Methods:
- Literature review of current research on macrophages in cancer.
- Analysis of mechanisms governing macrophage recruitment and function in the TME.
- Evaluation of strategies targeting macrophages for anti-cancer therapy.
Main Results:
- Macrophages are recruited to tumors and adopt phenotypes that support cancer progression.
- The tumor microenvironment shapes macrophage plasticity, leading to immunosuppression and therapeutic resistance.
- Targeting macrophages can reverse pro-tumorigenic functions and enhance anti-cancer immunity.
Conclusions:
- Macrophages are critical regulators of the tumor microenvironment and cancer progression.
- Modulating macrophage activity presents a promising therapeutic avenue to overcome treatment resistance.
- Targeting macrophages can synergize with existing cytotoxic and immune-based therapies for improved cancer treatment efficacy.
Related Concept Videos
The Tumor Microenvironment
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Treatment Resistant Cancers
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Tumor Immunotherapy

