Alveolar Macrophages Drive Hepatocellular Carcinoma Lung Metastasis by Generating Leukotriene B4

Takuto Nosaka1,2, Tomohisa Baba3, Yamato Tanabe1,4

  • 1Division of Molecular Bioregulation, Cancer Research Institute, Kanazawa University, Kanazawa, Ishikawa 920-1192, Japan.

Insights

Alveolar macrophages (AMs) promote lung metastasis by producing leukotriene B4 (LTB4), a key growth factor. Interstitial macrophages (IMs) recruit AMs to the lungs, driving hepatocellular carcinoma (HCC) progression.

Area of Science:

  • Immunology
  • Oncology
  • Cell Biology

Background:

  • Lung macrophages comprise alveolar macrophages (AMs) and interstitial macrophages (IMs), with IMs implicated in lung metastasis.
  • The specific role of AMs in lung metastasis has remained largely unclear.
  • Hepatocellular carcinoma (HCC) is a significant cause of cancer-related mortality worldwide, with lung metastasis being a common complication.

Purpose of the Study:

  • To elucidate the role of alveolar macrophages (AMs) in hepatocellular carcinoma (HCC) lung metastasis.
  • To investigate the mechanisms by which AMs contribute to tumor growth and metastasis in the lungs.
  • To identify potential therapeutic targets for preventing or treating HCC lung metastasis.

Main Methods:

  • Establishment of a mouse model of HCC lung metastasis via intravenous injection of BNL cells.
  • Comprehensive analysis of arachidonic acid metabolite levels, including leukotrienes and prostaglandins (PGs).
  • Pharmacological inhibition of 5-lipoxygenase (5-LOX) and cyclooxygenase (COX) pathways.
  • In vitro assessment of LTB4's effect on HCC cell proliferation.
  • Selective depletion of AMs using clodronate liposomes.
  • Immunohistochemical analysis of 5-LOX expression in human HCC patient lung tissues.
  • Investigation of chemokine (CCL2) and receptor (CCR2) involvement in macrophage recruitment.

Main Results:

  • HCC metastasis induced infiltration of both AMs and IMs, alongside increased leukotrienes and PGs in the lungs.
  • Inhibition of 5-LOX, but not COX, significantly reduced metastatic foci, especially larger ones.
  • Leukotriene B4 (LTB4) enhanced HCC cell proliferation in vitro.
  • AMs demonstrated higher 5-LOX and LTB4 expression than IMs during metastasis, a finding consistent in human HCC patients.
  • Selective AM depletion reduced LTB4 levels and metastatic burden.
  • Interstitial macrophages (IMs) produced CCL2, recruiting CCR2-expressing AMs to the metastatic lungs.

Conclusions:

  • Alveolar macrophages (AMs) play a critical role in promoting HCC lung metastasis.
  • AMs contribute to metastasis by producing LTB4, which enhances tumor cell proliferation.
  • IMs facilitate AM recruitment to the lungs via CCL2 signaling, creating a pro-metastatic microenvironment.
  • Targeting the 5-LOX pathway and AM recruitment presents a potential therapeutic strategy for HCC lung metastasis.

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