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Membrane IL-18 identifies a human macrophage subset with distinct proteomic and functional traits
Chiara Vitale1, Andrea Petretto2, Katia Cortese1
1DIMES, Department of Experimental Medicine, Università di Genova, Genova, Italy.
Oncoimmunology
|November 6, 2025
Summary
Researchers identified a unique macrophage population expressing membrane-associated IL-18 (mIL-18). These mIL-18+ macrophages are prevalent in cancer patients and exhibit distinct characteristics influencing tumor progression.
Area of Science:
- Immunology
- Cell Biology
- Oncology
Background:
- Macrophages play critical roles in both normal physiological processes and pathological conditions, including cancer.
- Understanding macrophage heterogeneity is crucial for deciphering their impact on disease progression.
Purpose of the Study:
- To characterize a novel population of human macrophages expressing membrane-associated IL-18 (mIL-18).
- To investigate the proteomic, phenotypic, ultrastructural, and functional properties of mIL-18+ macrophages.
- To determine the role of mIL-18+ macrophages in cancer and other pathological conditions.
Main Methods:
- Proteomic analysis to identify key proteins.
- Phenotypic and ultrastructural characterization.
- Functional assays assessing cellular processes.
- Analysis of mIL-18+ macrophage presence in patient samples (peritoneal fluid, bone marrow).
Main Results:
- mIL-18+ macrophages possess unique proteomic profiles with increased proteins for pathogen recognition, activation, migration, and endocytosis.
- These cells show specialized functions in vesicle transport, actin dynamics, lipid metabolism, and distinct mitochondrial features.
- mIL-18+ macrophages are dominant in the peritoneal fluid of adult cancer patients and found in pediatric neuroblastoma bone marrow.
- TREM2 expression is high, while FOLR2 expression is heterogeneous, indicating distinct mIL-18+ macrophage subsets.
- Transcriptional signatures linked to mIL-18 expression have variable prognostic value in neuroblastoma.
Conclusions:
- mIL-18+ macrophages represent a distinct subset with unique functional capabilities.
- These macrophages are prevalent in the tumor microenvironment and exhibit significant heterogeneity.
- The heterogeneity of mIL-18+ macrophages may differentially impact tumor progression, highlighting their complex role in cancer.

