Abstract

Macrophages can promote the growth of some tumors, such as those of the breast and lung, but it is unknown whether this is true for all tumors, including those of the nervous system. On the contrary, we have previously shown that macrophages can slow the progression of malignant gliomas through a tumor necrosis factor-dependent mechanism. Here, we provide evidence suggesting that this antitumor effect could be mediated by T lymphocytes, as their number was drastically reduced in tumor necrosis factor-deficient mice and inversely correlated with glioma volume. However, this correlation was only observed in allogeneic recipients, prompting a reevaluation of the role of macrophages in a nonimmunogenic context. Using syngeneic mice expressing the herpes simplex virus thymidine kinase under the control of the CD11b promoter, we show that macrophages can exert an antitumor effect without the help of T lymphocytes. Macrophage depletion achieved by ganciclovir treatment resulted in a 33% increase in glioma volume. The antitumor effect of macrophages was not likely due to a tumoricidal activity because phagocytosis or apoptosis of glioma cells, transduced ex vivo with a lentiviral vector expressing green fluorescent protein, was rarely observed. Their antitumor effect was also not due to a destructive action on the tumor vasculature because macrophage depletion resulted in a modest reduction in vascular density. Therefore, this study suggests that macrophages can attenuate glioma growth by an unconventional mechanism. This study also validates a new transgenic model to explore the role of macrophages in cancer.

Highlights

  • Tumors affecting the central nervous system are a leading cause of cancer-related death in children and young adults [1]

  • In the mouse glioma model used in the present study, for example, we have shown that macrophages account for f8% of the cells of the tumor mass [4], which is comparable to the proportion of microglia in the normal brain

  • In the initial part of the present study, we found evidence suggesting that the antitumor effect of tumor necrosis factor (TNF) could be mediated by T lymphocytes, as their number was drastically reduced in TNF-deficient mice and inversely correlated with glioma volume

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Summary

Introduction

Tumors affecting the central nervous system are a leading cause of cancer-related death in children and young adults [1]. An alternative hypothesis has been proposed in which macrophages contribute to glioma progression by secreting growth factors, angiogenic molecules, extracellular matrix–degrading enzymes, and immunosuppressors [2, 3]. This possibility is supported by several observations in the case of some cancers, such as those of the breast and lung [8,9,10,11,12,13], it has not been directly tested in gliomas. The question of whether macrophages promote or counteract glioma progression remains unanswered and needs to be addressed in orthotopic models

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