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Updated: Dec 12, 2025

An Immunohistopathologic Study to Profile the Folate Receptor Beta Macrophage and Vascular Immune Microenvironment in Giant Cell Arteritis
Published on: February 8, 2019
FGF2 alters macrophage polarization, tumour immunity and growth and can be targeted during radiotherapy
Jae Hong Im1, Jon N Buzzelli1, Keaton Jones1
1Oxford Institute for Radiation Oncology, University of Oxford, Oxford, OX3 7DQ, UK.
Abstract:
Regulation of the programming of tumour-associated macrophages (TAMs) controls tumour growth and anti-tumour immunity. We examined the role of FGF2 in that regulation. Tumours in mice genetically deficient in low-molecular weight FGF2 (FGF2LMW) regress dependent on T cells. Yet, TAMS not T cells express FGF receptors. Bone marrow derived-macrophages from Fgf2LMW-/- mice co-injected with cancer cells reduce tumour growth and express more inflammatory cytokines. FGF2 is induced in the tumour microenvironment following fractionated radiation in murine tumours consistent with clinical reports. Combination treatment of in vivo tumours with fractionated radiation and a blocking antibody to FGF2 prolongs tumour growth delay, increases long-term survival and leads to a higher iNOS+/CD206+ TAM ratio compared to irradiation alone. These studies show for the first time that FGF2 affects macrophage programming and is a critical regulator of immunity in the tumour microenvironment.
Insights
Fibroblast Growth Factor 2 (FGF2) influences tumour-associated macrophage (TAM) programming, impacting anti-tumour immunity. Blocking FGF2 alongside radiation therapy enhances anti-tumour responses and survival.
Area of Science:
- Immunology
- Cancer Biology
- Macrophage Biology
Background:
- Tumour-associated macrophages (TAMs) play a critical role in regulating tumour growth and anti-tumour immunity.
- The precise mechanisms by which TAMs are programmed within the tumour microenvironment are not fully understood.
Purpose of the Study:
- To investigate the role of Fibroblast Growth Factor 2 (FGF2) in the programming of TAMs.
- To determine if FGF2 is a viable therapeutic target for enhancing anti-tumour immunity.
Main Methods:
- Utilized genetically modified mice deficient in low-molecular weight FGF2 (FGF2LMW-/-).
- Assessed tumour growth, T cell responses, and macrophage cytokine production in vivo and ex vivo.
- Administered fractionated radiation and FGF2-blocking antibodies in combination therapy models.
Main Results:
- Tumours in FGF2LMW-/- mice showed T cell-dependent regression.
- Macrophages from FGF2LMW-/- mice exhibited reduced tumour growth and increased inflammatory cytokine production.
- Combination therapy with radiation and FGF2 blockade prolonged tumour growth delay and improved survival.
- Fractionated radiation induced FGF2 in the tumour microenvironment.
- Combination therapy increased the iNOS+/CD206+ TAM ratio.
Conclusions:
- FGF2 significantly influences macrophage programming within the tumour microenvironment.
- FGF2 is a critical regulator of anti-tumour immunity.
- Targeting FGF2 in combination with radiation represents a promising strategy for cancer immunotherapy.
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