Distinct Tumor Infiltrating Immune Cell Profiles in Mice by Non-Steroidal Anti-Inflammatory Drugs (Aspirin and

Munendra Singh Tomar1, Komal Raina1,2, Neha Mishra1

  • 1Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

Molecular Carcinogenesis
|February 23, 2026
PubMed

Insights

Non-steroidal anti-inflammatory drugs (NSAIDs) show differential efficacy in prostate cancer models by remodeling the tumor immune microenvironment. NSAIDs promote pro-inflammatory macrophages and reduce mast cells, impacting cancer progression.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Prostate cancer (PCa) exhibits diverse subtypes, including TMPRSS2-ERG fusion-positive tumors with heightened inflammation.
  • Non-steroidal anti-inflammatory drugs (NSAIDs) demonstrate differential efficacy in inhibiting prostate tumorigenesis, particularly in fusion-driven models.
  • The tumor immune microenvironment is implicated in NSAID responsiveness.

Purpose of the Study:

  • To investigate the immunomodulatory effects of NSAIDs on the tumor immune microenvironment in TMPRSS2-ERG fusion-driven and non-fusion prostate cancer models.
  • To identify specific immune cell populations affected by NSAID intervention and their correlation with treatment response.

Main Methods:

  • Systematic profiling of innate and adaptive immune cells (macrophages, mast cells, neutrophils, T cells, B cells, plasma cells) in prostate tumor tissues.
  • Comparison of immune cell infiltration and polarization in fusion-positive and non-fusion PCa models with and without NSAID treatment.
  • Analysis of macrophage polarization (M1/M2 phenotype) and T-cell subsets (CD8+, FoxP3+ Tregs).

Main Results:

  • Pronounced macrophage infiltration was observed in TMPRSS2-ERG models, further augmented by NSAIDs.
  • NSAID intervention shifted macrophage polarization towards a pro-inflammatory M1-like state.
  • NSAID treatment reduced mast cell density and decreased CD8+ cytotoxic T cell infiltration in the fusion model.
  • B-cell infiltration increased in both models, independent of NSAID efficacy.

Conclusions:

  • NSAIDs modulate the tumor immune microenvironment in prostate cancer, particularly in TMPRSS2-ERG fusion-driven models.
  • NSAID-induced immunomodulation involves promoting pro-inflammatory macrophages and reducing mast cells.
  • Further research into immune subtyping and spatial mapping is needed to fully elucidate NSAID responsiveness mechanisms.

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