Antitumor strategies targeting macrophages: the importance of considering the differences in

Marine Monnier1,2, Léa Paolini1,2, Emeline Vinatier1,2,3

  • 1Univ Angers, Nantes Université, Inserm, CNRS, CRCI2NA, LabEx IGO, Angers, France.

Insights

Tumor-associated macrophages (TAMs) are key in cancer but treatments effective in mice fail in humans. Biological differences between human and mouse macrophages explain this discrepancy, guiding better drug development.

Area of Science:

  • Immunology
  • Oncology
  • Translational Medicine

Background:

  • Macrophages are the most abundant immune cells in established tumors, correlating with poor prognosis.
  • Tumor-associated macrophages (TAMs) promote tumor growth and metastasis via cytokines and growth factors.

Purpose of the Study:

  • To review biological differences between human and mouse macrophages.
  • To explain the varying efficacy of TAM-targeting antitumor strategies in human versus animal studies.
  • To inform the design of more effective TAM-targeting drugs.

Main Methods:

  • Literature review focusing on comparative immunology and oncology.
  • Analysis of factors influencing macrophage survival and polarization.
  • Examination of cytokine production and marker expression differences.

Main Results:

  • Significant biological disparities exist between human and mouse macrophages.
  • Differences in survival factors, polarization, cytokines, and markers impact treatment efficacy.
  • In vitro models of TAM-like cells have limitations in predicting in vivo responses.

Conclusions:

  • Understanding human-mouse macrophage differences is crucial for successful TAM-targeted therapies.
  • Improved drug design requires consideration of these biological variations.
  • Bridging the gap between preclinical models and clinical outcomes is essential for advancing cancer treatment.