Atmospheric pressure plasma-activated medium activates macrophages toward an antitumor M1 phenotype by modulating the

Jinren Liu1, Yifei Jiang2, Linghui Zhong2

  • 1Key Laboratory for Disease Prevention and Control and Health Promotion of Shaanxi Province, School of Public Health, Medical Science Center, Xi'an Jiaotong University, Xi'an, China; Xi'an Key Laboratory of Toxicology and Biological Effect, Institute for Hygiene of Ordnance Industry, Xi'an, China.

Insights

Plasma-activated medium (PAM) enhances macrophage antitumor activity by promoting recruitment and engulfment of cancer cells. PAM overcomes immunosuppression by modulating key signaling pathways and downregulating inhibitory receptors.

Area of Science:

  • Immunology
  • Cancer Biology
  • Biomedical Engineering

Background:

  • The tumor microenvironment often suppresses macrophage-mediated cancer cell clearance.
  • Developing strategies to enhance macrophage antitumor functions is crucial for effective cancer immunotherapy.

Purpose of the Study:

  • To investigate the immunomodulatory effects of plasma-activated medium (PAM) on macrophage activation and antitumor capabilities.
  • To elucidate the underlying signaling mechanisms responsible for PAM-induced functional enhancements in macrophages.

Main Methods:

  • Treatment of murine macrophages (RAW264.7 and primary bone marrow-derived) with helium atmospheric pressure plasma jet-generated PAM.
  • Assessment of phenotypic changes and signaling pathway activation (TLR4/NF-κB, PI3K/AKT).
  • Quantification of macrophage recruitment and tumor cell engulfment using chemotaxis and 3D confocal co-culture assays with pancreatic cancer cells.

Main Results:

  • PAM significantly enhanced macrophage spatial recruitment and tumor cell engulfment.
  • PAM activated the TLR4/NF-κB and PI3K/AKT signaling cascades, driving macrophage pro-inflammatory and phagocytic functions.
  • PAM's reactive oxygen and nitrogen species (RONS) bypassed negative feedback to downregulate the inhibitory SIRPα receptor, overcoming the 'don't-eat-me' signal.

Conclusions:

  • PAM effectively modulates macrophages to enhance innate antitumor immunity.
  • PAM represents a promising strategy for cancer immunotherapy by overcoming tumor-induced immunosuppression.