M2 type macrophages promote OSCC progress via conferring resistance to Erastin-induced ferroptosis

Chuanchao Su1,2, Zhen Gu1, Jingfei Wang1

  • 1Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, China.

Scientific Reports
|April 14, 2026
PubMed
Abstract

Insights

M2 macrophages accelerate oral squamous cell carcinoma (OSCC) progression by enhancing tumor cell resistance to ferroptosis, a cell death pathway. This suggests targeting ferroptosis or M2 macrophages could be potential therapies for OSCC.

Area of Science:

  • Oncology
  • Immunology
  • Cell Biology

Background:

  • M2 macrophages are implicated in promoting oral squamous cell carcinoma (OSCC) progression.
  • Ferroptosis, a distinct form of programmed cell death, plays a role in tumor suppression; its inhibition can drive tumor growth.
  • Understanding the interplay between M2 macrophages and ferroptosis in OSCC is crucial for therapeutic development.

Purpose of the Study:

  • To investigate if M2 macrophages influence OSCC progression by regulating tumor cell ferroptosis.
  • To explore the correlation between M2 macrophage infiltration and ferroptosis resistance in OSCC.
  • To determine the impact of M2 macrophage-induced ferroptosis modulation on OSCC cell behavior.

Main Methods:

  • Immunohistochemistry to assess CD206 (M2 marker) and GPX4 (ferroptosis resistance marker) expression in OSCC tissues.
  • In vitro experiments exposing OSCC cells to ferroptosis inducers and analyzing proliferation, migration, and invasion.
  • Co-culture systems involving polarized macrophages and OSCC cells to evaluate effects on ferroptosis and cancer cell aggressiveness.

Main Results:

  • A positive correlation was observed between CD206 and GPX4 expression in OSCC samples.
  • Downregulation of ferroptosis correlated with inhibited OSCC cell proliferation, migration, and invasion.
  • M2 macrophages were found to upregulate ferroptosis in OSCC cells, concurrently enhancing their proliferation, migration, and invasion capacity.

Conclusions:

  • M2 macrophages accelerate OSCC progression by increasing cancer cell resistance to ferroptosis.
  • These findings suggest potential therapeutic strategies targeting ferroptosis or macrophage polarization for OSCC treatment.