Targeting tumor‑associated macrophages: Critical players in tumor progression and therapeutic strategies (Review)

Int J Oncol. 2024 Jun;64(6):60. doi: 10.3892/ijo.2024.5648. Epub 2024 May 2.

Abstract

Tumor‑associated macrophages (TAMs) are essential components of the tumor microenvironment (TME) and display phenotypic heterogeneity and plasticity associated with the stimulation of bioactive molecules within the TME. TAMs predominantly exhibit tumor‑promoting phenotypes involved in tumor progression, such as tumor angiogenesis, metastasis, immunosuppression and resistance to therapies. In addition, TAMs have the potential to regulate the cytotoxic elimination and phagocytosis of cancer cells and interact with other immune cells to engage in the innate and adaptive immune systems. In this context, targeting TAMs has been a popular area of research in cancer therapy, and a comprehensive understanding of the complex role of TAMs in tumor progression and exploration of macrophage‑based therapeutic approaches are essential for future therapeutics against cancers. The present review provided a comprehensive and updated overview of the function of TAMs in tumor progression, summarized recent advances in TAM‑targeting therapeutic strategies and discussed the obstacles and perspectives of TAM‑targeting therapies for cancers.

Keywords: targeted therapy; tumor microenvironment; tumor progression; tumor-associated macrophage.

Publication types

  • Review

MeSH terms

  • Animals
  • Disease Progression*
  • Humans
  • Molecular Targeted Therapy / methods
  • Neoplasms* / drug therapy
  • Neoplasms* / immunology
  • Neoplasms* / pathology
  • Neoplasms* / therapy
  • Neovascularization, Pathologic / immunology
  • Tumor Microenvironment* / immunology
  • Tumor-Associated Macrophages* / immunology
  • Tumor-Associated Macrophages* / metabolism

Grants and funding

The present study was supported by grants from the Key Medical Science and Technology Project of Zhejiang Province (grant no. WKJ-ZJ-2201), the Key Projects of Zhejiang Provincial Science and Technology (grant no. 2022C03099), Zhejiang Provincial Science and Technology Program of Traditional Chinese Medicine (grant nos. GZY-ZJ-KJ-24056 and 2023ZL252), the Zhejiang Provincial Medical and Health Technology Program (grant no. 2023KY517) and the Key Project of Laboratory Research in Hangzhou Medical College (grant no. KYZD2023010).