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Individualized precision treatment: Targeting TAM in HCC
Zhixuan Li1, Tong Wu1, Bo Zheng1
1International Cooperation Laboratory on Signal Transduction, Eastern Hepatobiliary Surgery Institute, Second Military Medical University, Shanghai, 200438, PR China.
Tumor-associated macrophages (TAMs) drive hepatocellular carcinoma (HCC) progression and treatment resistance through M2 polarization. Targeting TAMs offers potential for new HCC precision therapies.
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Hepatocellular carcinoma (HCC) is strongly linked to inflammation, often resulting in poor patient prognosis due to recurrence and metastasis.
- Tumor-associated macrophages (TAMs) are key players in the inflammatory tumor microenvironment, exhibiting M1 and M2 polarization states.
Purpose of the Study:
- To review the multifaceted role of TAMs in influencing hepatocellular carcinoma (HCC) progression.
- To explore how TAM polarization impacts HCC treatment outcomes, including resistance to therapies.
- To provide insights into potential individualized precision therapies for HCC targeting TAMs.
Main Methods:
- Literature review of studies investigating TAMs in HCC.
- Analysis of TAM polarization (M1/M2) and its functional consequences.
- Examination of TAM interactions with other immune cells and their effect on therapy resistance.
Main Results:
- M2-polarized TAMs promote HCC progression by inducing cellular proliferation, angiogenesis, and epithelial-mesenchymal transition (EMT).
- TAMs contribute to therapeutic resistance in HCC by interacting with other immune cell populations.
- TAMs represent a critical factor in the inflammatory microenvironment of HCC.
Conclusions:
- TAMs significantly influence HCC development, metastasis, and therapeutic response.
- Targeting TAM polarization and function presents a promising strategy for novel HCC treatments.
- Individualized monotherapy or combination strategies involving TAM modulation could improve HCC patient outcomes.
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