Abstract

BackgroundM2-polarized macrophages are tumor-associated-macrophages (TAMs), which are important contents of tumor-infiltrating immune cells. Toll-like receptor 4 (TLR4) is a molecular biomarker of tumor aggressiveness and poor prognosis. Toll-like receptors (TLRs) have important roles in the immune system and M2-polarized macrophages. However, the effects of TLR4 on M2-polarized macrophages in hepatocellular carcinoma (HCC) are unknown. Here, TLR4 expressed on HCC cells mediates the pro-tumor effects and mechanisms of M2-polarized macrophages.MethodsTHP-1 cells were induced to differentiate into M2-like macrophages through treatments with IL-4, IL-13, and phorbol myristate acetate (PMA). We used the HCC cell lines SMMC-7721 and MHCC97-H cultured in conditioned medium from M2-like macrophages (M2-CM) to investigate the migration potential of HCC cells and epithelial-mesenchymal transition (EMT)-associated molecular genetics. Signaling pathways that mediated M2-CM-promoted HCC migration were detected using western blotting.ResultsHCC cells cultured with M2-CM displayed a fibroblast-like morphology, an increased metastatic capability, and expression of EMT markers. TLR4 expression was markedly increased in M2-CM-treated HCC cells. TLR4 overexpression promoted HCC cell migration, and a TLR4-neutralizing antibody markedly inhibited HCC EMT in cells cultured with M2-CM. Furthermore, the TLR4/(signal transducer and activator of transcription 3 (STAT3) signaling pathway contributed to the effects of M2-CM on HCC cells.ConclusionsTaken together, M2-polarized macrophages facilitated the migration and EMT of HCC cells via the TLR4/STAT3 signaling pathway, suggesting that TLR4 may be a novel therapeutic target. These results improve our understanding of M2-polarized macrophages.

Highlights

  • M2-polarized macrophages are tumor-associated-macrophages (TAMs), which are important contents of tumor-infiltrating immune cells

  • Toll-like receptor 4 (TLR4) overexpression further promotes the malignant properties of hepatocellular carcinoma (HCC) cells cultured with macrophage-conditioned medium (M2-CM) We investigated the effects of treatment with the TLR4 agonist LPS, which upregulates TLR4 expression, and the M2-CM treatment to elucidate the role of TLR4 in HCC cell malignancy [11, 16, 17]

  • Our study provides the first evidence that activation of the TLR4/STAT3 pathways take part in M2-polarized macrophage-induced HCC invasion and metastasis

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Summary

Introduction

M2-polarized macrophages are tumor-associated-macrophages (TAMs), which are important contents of tumor-infiltrating immune cells. Toll-like receptor 4 (TLR4) is a molecular biomarker of tumor aggressiveness and poor prognosis. Toll-like receptors (TLRs) have important roles in the immune system and M2-polarized macrophages. The effects of TLR4 on M2-polarized macrophages in hepatocellular carcinoma (HCC) are unknown. TLR4 expressed on HCC cells mediates the pro-tumor effects and mechanisms of M2-polarized macrophages. The important role of the immune microenvironment in HCC pathogenesis has been widely explored in recent years. M2-polarized macrophages are generally considered tumor-associated macrophages (TAMs) that sustain tumor progression and one of the primary tumorinfiltrating immune cells [2]. M2-polarized macrophages further tumor cell growth, invasion, and metastasis by secreting several cytokines [3,4,5] and stimulating specific. The exact mechanisms by which M2-polarized macrophages modulate the migration potential of HCC are not completely defined

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