Abstract
Tumor progression largely depends on the presence of alternatively polarized (M2) tumor-associated macrophages (TAMs), whereas the classical M1-polarized macrophages can promote anti-tumorigenic immune responses. Thus, selective inhibition of M2-TAMs is a desirable anti-cancer approach in highly resistant tumor entities such as hepatocellular carcinoma (HCC) or breast cancer. We here examined whether a peptide that selectively binds to and is internalized by in vitro-differentiated murine M2 macrophages as compared to M1 macrophages, termed M2pep, could be used to selectively target TAMs in HCC and breast carcinoma. We confirmed selectivity of M2pep for in vitro M2 polarized macrophages. Upon incubation of suspended mixed 4T1 tumor cells with M2pep, high amounts of the TAMs were found to be associated with M2pep, whereas in mixed tumor cell suspensions from two HCC mouse models, M2pep showed only low-degree binding to TAMs. M2pep also showed low-degree targeting of liver macrophages. This indicates that the TAMs in different tumor entities show different targeting of M2pep and that M2pep is a very promising approach to develop selective M2-TAM-targeting in tumor entities containing M2-TAMs with significant amounts of the so far elusive M2pep receptor(s).
Highlights
Data Availability Statement: All relevant data are within the paper and its Supporting Information files
Immunophenotyping of the cells and fluorescence-activated cell sorting (FACS) analyses (CD206+ for M2 and CD86+ for M1) as well as analyses of the expression of arginase 1 (M2 marker) and inducible nitric oxide synthase (iNOS) (M1 marker) confirmed that these treatments led to the production of M1 and M2 macrophages, respectively (S1 Fig)
Incubation of the cells with fluorescently labeled M2pep or a scrambled control peptide and analysis of peptide binding to the cells by FACS analysis revealed much higher amounts of M2pep recognition by both M1 and M2 macrophages (Fig 1A)
Summary
Data Availability Statement: All relevant data are within the paper and its Supporting Information files. The majority of TAMs resembles M2 or alternatively polarized macrophages that promote tumor progression by secreting pro-angiogenic and growth factors and by suppressing the adaptive immunity [1,2,3]. The levels of M2-, but not M1-TAMs as well as of systemic CD163, which is shed from activated M2 macrophages, are indicators of unfavorable prognosis in cancer patients [4,5,6,7,8]. Due to their immunosuppressive and pro-tumorigenic properties, inhibition of TAMs is an anti-tumor strategy that is currently intensively explored. M2pep is an important tool to develop selective TAM-targeting in tumor entities containing high amounts of M2pep binding sites
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