Abstract

ObjectiveM2 macrophages are associated with a poor prognosis in a variety of malignancies. There are, however, few relevant investigations in clear cell renal cell carcinoma (ccRCC).MethodsThe expression of M2 macrophages in ccRCC tissues was first discovered using immunohistochemistry in this study. Then, M2 macrophages were created in vitro to see how they affected the proliferation, migration, invasion, and EMT of ccRCC cells. Using qPCR and prognostic analysis identifies important chemokine. Antibody neutralization tests confirmed the chemokine’s involvement and function. Pathway inhibitors confirmed the main pathway of M2 macrophages in ccRCC. Finally, qPCR and IHC were used to confirm the expression of chemokine receptors in ccRCC tissues.ResultsThe presence of M2 macrophages was linked to a poor outcome in ccRCC. M2 macrophages enhanced the proliferation, migration, invasion, and EMT of ccRCC lines in vitro. CXCL13 was identified as the main chemokine by prognostic analysis and qPCR tests. CXCL13 neutralizing antibodies can inhibit the stimulation of M2 macrophages in ccRCC lines’ proliferation, migration, invasion, and EMT. M2 macrophages and CXCL13 may activate the Akt pathway in ccRCC lines, and Akt inhibitors decrease ccRCC lines proliferation, migration, invasion, and EMT. CXCR5 expression is a poor prognostic factor for renal cell carcinoma, according to qPCR and immunohistochemistry. In vivo experiments further proved that CXCL13 secreted by M2 macrophages can promote tumor proliferation.ConclusionsM2 macrophages in the immunological milieu secrete CXCL13, which promotes ccRCC proliferation, migration, invasion, and EMT. Our findings contribute to a better understanding of the function of the tumor microenvironment in the incidence and progression of ccRCC, and they may point to novel therapeutic targets for ccRCC.

Highlights

  • Renal cell carcinoma (RCC) accounts for around 2–3% of all malignant tumors worldwide, and its prevalence is rising

  • Increased M2 macrophage infiltration is linked to a poor outcome in patients with ccRCCTo see if M2 macrophage infiltration is linked to Clear cell renal cell carcinoma (ccRCC) tumorigenesis and progression, we utilized CD206 protein as an M2 macrophage marker and assessed M2 macrophage infiltration in 55 ccRCC samples using IHC (Fig. 1)

  • These findings suggest that M2 macrophages play a crucial role in ccRCC tumorigenesis and development

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Summary

Introduction

Renal cell carcinoma (RCC) accounts for around 2–3% of all malignant tumors worldwide, and its prevalence is rising. Metastatic renal cell carcinoma accounts for 25–30% of all RCC and has an exceedingly poor prognosis [1]. Clear cell renal cell carcinoma (ccRCC) is the most prevalent form of RCC, accounting for about. Tumor-associated macrophages (TAM) are among the most numerous cells in TME. M2 macrophages, the major component, have been recognized as a poor prognostic factor for a variety of malignancies, including RCC [5,6,7]. M2 macrophages in TAM have been demonstrated in several studies to have a role in tumor growth, invasion, and metastasis through chemokines [8, 9]. Research on TAM’s function in ccRCC is currently limited

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