Controlling the Phenotype of Tumor-Infiltrating Macrophages via the PHD-HIF Axis Inhibits Tumor Growth in a Mouse

Shunji Nishide1, Shinji Matsunaga2, Masayuki Shiota3

  • 1Department of Pharmacology, Osaka City University Graduate School of Medicine, Osaka 545-8585, Japan; Department of Urology, Osaka City University Graduate School of Medicine, Osaka 545-8585, Japan.

Iscience
|September 14, 2019
PubMed

Insights

The prolyl hydroxylase (PHD) inhibitor FG-4592 effectively inhibits malignant tumor growth by enhancing macrophage anti-tumor activity. This drug normalizes tumor blood vessels and boosts macrophage phagocytosis, improving cancer therapy outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Cancer Biology

Background:

  • Tumor microenvironment (TME) promotes macrophage polarization towards tumor support.
  • Macrophage-rich tumors exhibit high malignancy, poor prognosis, and therapeutic resistance.

Purpose of the Study:

  • To investigate the efficacy of the prolyl hydroxylase (PHD) inhibitor FG-4592 (FG) in treating macrophage-abundant tumors.
  • To elucidate the mechanisms by which FG affects tumor-infiltrating macrophages and tumor growth.

Main Methods:

  • Utilized a malignant tumor mouse model to study macrophage function and subsets.
  • Administered FG-4592 and analyzed its effects on tumor growth, vascularization, oxygenation, and macrophage subsets (Ly6C lo and Ly6C neg ).
  • Investigated the PHD-hypoxia-inducible factor (HIF) axis in FG-mediated macrophage activation.

Main Results:

  • FG-4592 significantly inhibited tumor growth and prolonged survival in mice with macrophage-abundant tumors.
  • FG treatment normalized tumor vasculature and improved tumor oxygenation.
  • FG enhanced the phagocytic capacity of Ly6C lo tumor-infiltrating macrophages and promoted blood vessel normalization via Ly6C neg macrophages.

Conclusions:

  • The PHD inhibitor FG-4592 demonstrates potent anti-tumor effects in macrophage-abundant tumors.
  • FG activates macrophages, particularly the Ly6C lo subset, enhancing their anti-tumor functions.
  • Targeting the PHD-HIF axis with inhibitors like FG-4592 offers a promising strategy to improve cancer immunotherapy by modulating macrophage activity.

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