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The Scavenger Receptor MARCO Expressed by Tumor-Associated Macrophages Are Highly Associated With Poor Pancreatic
Bian Shi1, Junfeng Chu2, Tao Huang3
1Department of Integrated Traditional Chinese and Western Medicine, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Abstract:
Macrophage-targeting therapies have become attractive strategies for immunotherapy. Deficiency of MARCO significantly inhibits tumor progression and metastasis in murine models of pancreatic cancer. However, the role of MARCO in patients with pancreatic cancer remains unclear. In the present study, we analyzed tumor-associated macrophage (TAM)-related changes using the Cancer Genome Atlas database. We observed a significant enrichment of M2 macrophages in pancreatic cancer tissues. We found that several pro-tumor markers are increased in cancer tissues, including CD163, CD206, SIRPα, LILRB1, SIGLEC10, AXL, MERTK, and MARCO. Crucially, MARCO is highly or exclusively expressed in pancreatic cancer across many types of solid tumors, suggesting its significant role in pancreatic cancer. Next, we investigated the expression of MARCO in relation to the macrophage marker CD163 in a treatment-naïve pancreatic cancer cohort after surgery (n = 65). MARCO and CD163 were analyzed using immunohistochemistry. We observed increased expression of CD163 and MARCO in pancreatic cancer tissues compared with paracancerous tissues. Furthermore, we observed a large variation in CD163 and MARCO expression in pancreatic cancer tissues among cases, suggesting the heterogeneous expression of these two markers among patients. Correlation to clinical data indicated a strong trend toward worse survival for patients with high CD163 and MARCO macrophage infiltration. Moreover, high CD163 and MARCO expression negatively affected the disease-free survival and overall survival rates of patients with pancreatic cancer. Univariate and multivariate analysis revealed that CD163 and MARCO expression was an independent indicator of pancreatic cancer prognosis. In conclusion, high CD163 and MARCO expression in cancer tissues is a negative prognostic marker for pancreatic cancer after surgery. Furthermore, anti-MARCO may be a novel therapy that is worth studying in depth.
Insights
High expression of MARCO and CD163 in pancreatic cancer tissues indicates poor prognosis. Targeting MARCO may offer a new immunotherapy strategy for pancreatic cancer patients.
Area of Science:
- Immunology
- Oncology
- Pathology
Background:
- Macrophage-targeting therapies are promising for cancer immunotherapy.
- MARCO deficiency inhibits pancreatic cancer progression in mice, but its role in human patients is unknown.
Purpose of the Study:
- To investigate the role of MARCO and CD163 in pancreatic cancer prognosis.
- To analyze tumor-associated macrophage (TAM) changes in pancreatic cancer tissues.
Main Methods:
- Analysis of The Cancer Genome Atlas database for TAM-related changes.
- Immunohistochemical analysis of MARCO and CD163 expression in surgical pancreatic cancer tissues (n=65).
- Correlation of marker expression with clinical data and patient survival.
Main Results:
- Pancreatic cancer tissues showed enrichment of M2 macrophages and increased expression of pro-tumor markers, including MARCO and CD163.
- MARCO expression is notably high in pancreatic cancer compared to other solid tumors.
- High MARCO and CD163 expression correlated with worse disease-free and overall survival, independent of other factors.
Conclusions:
- Elevated MARCO and CD163 expression in pancreatic cancer tissues serves as a negative prognostic marker.
- Targeting MARCO presents a potential novel therapeutic strategy for pancreatic cancer.
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