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Updated: Sep 20, 2025

Macrophage Differentiation and Polarization into an M2-Like Phenotype using a Human Monocyte-Like THP-1 Leukemia Cell Line
Published on: August 2, 2021
Cellular Carcinogenesis: Role of Polarized Macrophages in Cancer Initiation
Ram Babu Undi1,2, Adrian Filiberti1,2, Naushad Ali2,3
1Department of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Abstract:
Inflammation is an essential hallmark of cancer. Macrophages are key innate immune effector cells in chronic inflammation, parainflammation, and inflammaging. Parainflammation is a form of subclinical inflammation associated with a persistent DNA damage response. Inflammaging represents low-grade inflammation due to the dysregulation of innate and adaptive immune responses that occur with aging. Whether induced by infection, injury, or aging, immune dysregulation and chronic macrophage polarization contributes to cancer initiation through the production of proinflammatory chemokines/cytokines and genotoxins and by modulating immune surveillance. This review presents pre-clinical and clinical evidence for polarized macrophages as endogenous cellular carcinogens in the context of chronic inflammation, parainflammation, and inflammaging. Emerging strategies for cancer prevention, including small molecule inhibitors and probiotic approaches, that target macrophage function and phenotype are also discussed.
Insights
Macrophages drive cancer initiation in chronic inflammation, parainflammation, and inflammaging. Targeting macrophage polarization offers novel cancer prevention strategies by modulating these key immune cells.
Area of Science:
- Oncology
- Immunology
- Cellular Biology
Background:
- Inflammation is a critical hallmark of cancer development.
- Macrophages are central innate immune cells involved in chronic inflammation, parainflammation, and inflammaging.
- Parainflammation and inflammaging involve immune dysregulation contributing to cancer initiation.
Purpose of the Study:
- To review evidence on polarized macrophages as endogenous carcinogens in chronic inflammation, parainflammation, and inflammaging.
- To discuss emerging cancer prevention strategies targeting macrophage function.
Main Methods:
- Review of pre-clinical and clinical evidence.
- Analysis of macrophage polarization in inflammatory contexts.
- Discussion of therapeutic strategies targeting macrophages.
Main Results:
- Chronic macrophage polarization promotes cancer initiation via proinflammatory mediators and genotoxins.
- Evidence supports macrophages acting as endogenous carcinogens in specific inflammatory conditions.
- Targeting macrophage phenotype presents potential for cancer prevention.
Conclusions:
- Immune dysregulation and macrophage polarization are key drivers of cancer in chronic inflammatory states.
- Modulating macrophage function represents a promising avenue for cancer prevention strategies.
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