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Studying the Effects of Tumor-Secreted Paracrine Ligands on Macrophage Activation using Co-Culture with Permeable Membrane Supports
Published on: November 28, 2019
Targeting CD206+ macrophages disrupts the establishment of a key antitumor immune axis
Arja Ray1,2, Kenneth H Hu1,2, Kelly Kersten1,2
1Department of Pathology, University of California, San Francisco, CA, USA.
Abstract:
CD206 is a common marker of a putative immunosuppressive "M2" state in tumor-associated macrophages (TAMs). We made a novel conditional CD206 (Mrc1) knock-in mouse to specifically visualize and/or deplete CD206+ TAMs. Early depletion of CD206+ macrophages and monocytes (Mono/Macs) led to the indirect loss of conventional type I dendritic cells (cDC1), CD8 T cells, and NK cells in tumors. CD206+ TAMs robustly expressed CXCL9, contrasting with stress-responsive Spp1-expressing TAMs and immature monocytes, which became prominent with early depletion. CD206+ TAMs differentially attracted activated CD8 T cells, and the NK and CD8 T cells in CD206-depleted tumors were deficient in Cxcr3 and cDC1-supportive Xcl1 and Flt3l expressions. Disrupting this key antitumor axis decreased tumor control by antigen-specific T cells in mice. In human cancers, a CD206Replete, but not a CD206Depleted Mono/Mac gene signature correlated robustly with CD8 T cell, cDC1, and NK signatures and was associated with better survival. These findings negate the unqualified classification of CD206+ "M2-like" macrophages as immunosuppressive.
Insights
CD206+ macrophages, often deemed immunosuppressive, actually support anti-tumor immunity by recruiting CD8 T cells and NK cells. Their depletion impairs anti-tumor responses, challenging the M2 macrophage classification.
Area of Science:
- Immunology
- Cancer Biology
- Macrophage Biology
Background:
- Tumor-associated macrophages (TAMs) expressing CD206 are commonly classified as immunosuppressive M2 macrophages.
- The precise role of CD206+ TAMs in anti-tumor immunity remains incompletely understood.
Purpose of the Study:
- To investigate the functional role of CD206+ macrophages and monocytes (Mono/Macs) in the tumor microenvironment.
- To determine the impact of CD206+ Mono/Mac depletion on immune cell populations and anti-tumor responses.
Main Methods:
- Development of a novel conditional CD206 (Mrc1) knock-in mouse model for specific visualization and depletion of CD206+ cells.
- Analysis of immune cell composition, gene expression (CXCL9, Spp1, Cxcr3, Xcl1, Flt3l), and tumor control following CD206+ Mono/Mac depletion.
- Correlation of CD206 gene signatures with immune cell signatures and patient survival in human cancers.
Main Results:
- Early depletion of CD206+ Mono/Macs led to indirect loss of cDC1, CD8 T cells, and NK cells in tumors.
- CD206+ TAMs expressed CXCL9, attracting CD8 T cells, while depleted tumors showed reduced Cxcr3 and Xcl1 expression.
- A CD206-replete gene signature in human cancers correlated with CD8 T cell, cDC1, and NK cell signatures and better survival.
Conclusions:
- CD206+ macrophages are not uniformly immunosuppressive and play a crucial role in orchestrating anti-tumor immunity.
- Disruption of the CD206+ TAM-mediated axis impairs T cell-dependent tumor control.
- These findings necessitate a re-evaluation of the classification of CD206+ macrophages in cancer immunology.
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