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Updated: Feb 7, 2026

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
Oral squamous carcinoma cells promote macrophage polarization in an MIF-dependent manner
M Barbosa de Souza Rizzo1,2,3, M Brasilino de Carvalho1,2, E J Kim3
1Department of Radiology and Oncology, Medical School, University of Sao Paulo, São Paulo, São Paulo, Brazil.
Background:
Tumor-associated macrophages (TAMs) are important determinants of intratumoral immune evasion, neoangiogenesis, extracellular matrix remodeling and dysregulated tumor cell proliferation. Our prior studies revealed that macrophage-derived, but not tumor cell-derived, macrophage migration inhibitory factor (MIF), is an important determinant of TAM alternative activation and M2 polarization.
Aim:
Because MIF is historically thought to initiate signaling via a receptor-dependent, outside-in mode of action, we wished to investigate the specific contributions of tumor-derived vs. macrophage-derived MIF to M2 marker expression during macrophage polarization.
Design:
Murine oral squamous cell-carcinoma cells (SCCVII) were co-cultured with either the RAW 264.7 mouse macrophage cell line or mouse primary bone marrow-derived macrophages in the context of MIF genetic loss/inhibition individually or in combination each cell type.
Methods:
Twelve well Transwell plates were used to co-culture SCCVII cells and RAW 264.7, MIF+/+ or MIF-/- macrophages treated with/without the small molecule MIF inhibitor, 4-iodo-6-phenylpyrimidine and incubated in the presence or absence of interleukin (IL-4) for 48 h. Macrophages were analyzed by quantitative real-time polymerase chain reaction and/or immunoblotting for relative macrophage polarization marker expression.
Results:
IL-4 treatment synergizes with SCCVII co-culture in inducing the expression of macrophage M2 markers and loss or inhibition of macrophage-derived MIF significantly reduces both IL-4 alone and IL-4/SCCVII co-culture-induced macrophage M2 marker expression.
Conclusion:
These studies identify an important and dominant requirement for macrophage MIF in maximal Th2-cytokine and oral squamous carcinoma cell-induced macrophage polarization and M2 marker expression.
Insights
Macrophage migration inhibitory factor (MIF) from macrophages, not tumor cells, is crucial for M2 polarization. Inhibiting macrophage MIF significantly reduces M2 marker expression, highlighting its dominant role in this process.
Area of Science:
- Immunology
- Cancer Biology
- Cell Signaling
Background:
- Tumor-associated macrophages (TAMs) drive tumor progression through immune evasion and neoangiogenesis.
- Macrophage migration inhibitory factor (MIF) from macrophages, not tumor cells, dictates TAM alternative activation and M2 polarization.
Purpose of the Study:
- To investigate the distinct roles of tumor-derived versus macrophage-derived MIF in M2 marker expression during macrophage polarization.
- To understand the signaling mechanisms of MIF in macrophage polarization, considering its known receptor-dependent action.
Main Methods:
- Co-culture of murine oral squamous cell-carcinoma cells (SCCVII) with RAW 264.7 or primary macrophages with genetic MIF loss/inhibition.
- Treatment with interleukin-4 (IL-4) and/or a small molecule MIF inhibitor (4-iodo-6-phenylpyrimidine).
- Analysis of macrophage M2 polarization markers using quantitative real-time PCR and immunoblotting.
Main Results:
- IL-4 and SCCVII co-culture synergistically induce M2 macrophage markers.
- Loss or inhibition of macrophage-derived MIF significantly diminishes IL-4 and SCCVII co-culture-induced M2 marker expression.
- Macrophage MIF plays a dominant role in promoting M2 polarization.
Conclusions:
- Macrophage-derived MIF is essential for maximal Th2-cytokine-induced and tumor cell-induced macrophage polarization.
- This study identifies a critical requirement for macrophage MIF in M2 marker expression during oral squamous cell carcinoma progression.
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