Brain metastases exhibit distinct spatial patterns of resident and infiltrating macrophages

Avinoam Ratzabi1, Itai M Caspit1,2, Ira Telechi1,2

  • 1Department of Neurobiology, School of Neurobiology, Biochemistry and Biophysics, George S. Wise Faculty of Life Sciences, Tel Aviv University, Tel Aviv, Israel.

Cell Death Discovery
|March 31, 2026
PubMed

Insights

Tumor-associated macrophages (TAMs) in brain metastases (BrM) vary by location and cancer type. Targeting these macrophages requires considering the specific brain compartment and cancer origin for effective treatment.

Area of Science:

  • Neuro-oncology
  • Immunology
  • Cancer Biology

Background:

  • Brain metastases (BrM) are a significant cause of cancer-related death.
  • Tumor-associated macrophages (TAMs), including microglia (MG), monocyte-derived macrophages (MDM), and border-associated macrophages (BAM), influence BrM progression.
  • The spatial distribution and composition of TAMs in BrM are not well understood.

Purpose of the Study:

  • To comprehensively analyze the spatial distribution, abundance, and compartment-specific composition of TAM subtypes in experimental BrM models.
  • To investigate how TAM composition varies with BrM size, brain compartment, and primary cancer type (lung, breast, melanoma).

Main Methods:

  • Utilized genetically traceable mouse models to distinguish TAM subsets by origin and location.
  • Performed spatial analysis of TAM subtypes across different brain regions in experimental BrM models.
  • Correlated TAM abundance and composition with BrM size, compartment, and cancer type.

Main Results:

  • Observed distinct TAM compositions in different brain compartments: parenchymal BrM contained MG and MDM, while ventricular/leptomeningeal BrM had BAM and MDM but lacked MG.
  • TAM abundance varied with BrM size and compartment; MG predominated in early lesions, with MDM increasing as tumors grew.
  • Melanoma BrM showed significantly less MDM infiltration compared to lung and breast cancer BrM.

Conclusions:

  • TAM subtypes and their distribution are compartment-specific and influenced by cancer type and BrM size.
  • Therapeutic strategies targeting TAMs in BrM should be tailored to the specific brain compartment and primary tumor.
  • Understanding TAM dynamics across brain compartments is crucial for improving BrM treatment precision and efficacy.