The role of tumor-associated macrophages in gastric cancer development and their potential as a therapeutic target.

Autores de INCLIVA
Grupos y Plataformas de I+D+i
Abstract
Gastric cancer (GC) represents the fifth cause of cancer-related death worldwide. Molecular biology has become a central area of research in GC and there are currently at least three major classifications available to elucidate the mechanisms that drive GC oncogenesis. Further, tumor microenvironment seems to play a crucial role, and tumor-associated macrophages (TAMs) are emerging as key players in GC development. TAMs are cells derived from circulating chemokine- receptor-type 2 (CCR2) inflammatory monocytes in blood and can be divided into two main types, M1 and M2 TAMs. M2 TAMs play an important role in tumor progression, promoting a pro-angiogenic and immunosuppressive signal in the tumor. The diffuse GC subtype, in particular, seems to be strongly characterized by an immuno-suppressive and pro-angiogenic phenotype. No molecular targets in this subgroup have yet been identified. There is an urgent need to understand the molecular pathways and tumor microenvironment features in the GC molecular subtypes. The role of anti-angiogenics and checkpoint inhibitors has recently been clinically validated in GC. Both ramucirumab, a fully humanized IgG1 monoclonal anti-vascular endothelial growth factor receptor 2 (VEGFR2) antibody, and checkpoint inhibitors in Epstein Bar Virus (EBV) and Microsatellite Instable (MSI) subtypes, have proved beneficial in advanced GC. Nevertheless, there is a need to identify predictive markers of response to anti-angiogenics and immunotherapy in clinical practice for a personalized treatment approach. The importance of M2 TAMs in development of solid tumors is currently gaining increasing interest. In this literature review we analyze immune microenvironment composition and signaling related to M1 and M2 TAMs in GC as well as its potential role as a therapeutic target. Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
© 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/)
Datos de la publicación
- ISSN/ISSNe:
- 0305-7372, 1532-1967
- Tipo:
- Article
- Páginas:
- 102015-102015
- PubMed:
- 32248000
CANCER TREATMENT REVIEWS ELSEVIER SCI LTD
Citas Recibidas en Web of Science: 252
Documentos
Filiaciones
Keywords
- Gastric cancer; Tumor-associated macrophages; Tumor immune microenvironment; Angiogenesis
Financiación
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Cita
Gambardella V,Castillo J,Tarazona N,Gimeno F,Martinez C,Cabeza M,Rosello S,Roda D,Huerta M,Cervantes A,Fleitas T. The role of tumor-associated macrophages in gastric cancer development and their potential as a therapeutic target. Cancer Treat. Rev. 2020. 86. p. 102015-102015. IF:12,111. (1).
The role of tumor-associated macrophages in gastric cancer development and their potential as a therapeutic target. Gambardella V, Castillo J, Tarazona N, Gimeno F, Martinez C, Cabeza M, Rosello S et al. CANCER TREATMENT REVIEWS. 2020 enero 01. 86102015-102015. DOI:10.1016/j.ctrv.2020.102015. PMID:32248000.