Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice

Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, imm...

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Vydáno v:Frontiers in oncology Ročník 9; s. 1512
Hlavní autoři: Jayasingam, Sharmilla Devi, Citartan, Marimuthu, Thang, Thean Hock, Mat Zin, Anani Aila, Ang, Kai Cheen, Ch'ng, Ewe Seng
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland Frontiers Media S.A 24.01.2020
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ISSN:2234-943X, 2234-943X
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Abstract Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, immune evasion, and tumor metastasis has prompted various studies to investigate their clinical significance as a biomarker of predictive and prognostic value across different cancer types. Yet, the methodologies to investigate the polarization phenomena in solid tumor tissue vary. Nonetheless, quantifying the ratio of M1 to M2 TAMs has emerged to be a prevailing parameter to evaluate this polarization phenomena for clinical application. This mini-review focuses on recent studies exploring clinical significance of M1/M2 TAM ratio in human cancer tissue and critically evaluates the technicalities and challenges in quantifying this parameter for routine clinical practice. Immunohistochemistry appears to be the preferred methodology for M1/M2 TAM evaluation as it is readily available in clinical laboratories, albeit with certain limitations. Recommendations are made to standardize the quantification of TAMs for better transition into clinical practice and for better comparison among studies in various populations of patients and cancer types.
AbstractList Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, immune evasion, and tumor metastasis has prompted various studies to investigate their clinical significance as a biomarker of predictive and prognostic value across different cancer types. Yet, the methodologies to investigate the polarization phenomena in solid tumor tissue vary. Nonetheless, quantifying the ratio of M1 to M2 TAMs has emerged to be a prevailing parameter to evaluate this polarization phenomena for clinical application. This mini-review focuses on recent studies exploring clinical significance of M1/M2 TAM ratio in human cancer tissue and critically evaluates the technicalities and challenges in quantifying this parameter for routine clinical practice. Immunohistochemistry appears to be the preferred methodology for M1/M2 TAM evaluation as it is readily available in clinical laboratories, albeit with certain limitations. Recommendations are made to standardize the quantification of TAMs for better transition into clinical practice and for better comparison among studies in various populations of patients and cancer types.Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, immune evasion, and tumor metastasis has prompted various studies to investigate their clinical significance as a biomarker of predictive and prognostic value across different cancer types. Yet, the methodologies to investigate the polarization phenomena in solid tumor tissue vary. Nonetheless, quantifying the ratio of M1 to M2 TAMs has emerged to be a prevailing parameter to evaluate this polarization phenomena for clinical application. This mini-review focuses on recent studies exploring clinical significance of M1/M2 TAM ratio in human cancer tissue and critically evaluates the technicalities and challenges in quantifying this parameter for routine clinical practice. Immunohistochemistry appears to be the preferred methodology for M1/M2 TAM evaluation as it is readily available in clinical laboratories, albeit with certain limitations. Recommendations are made to standardize the quantification of TAMs for better transition into clinical practice and for better comparison among studies in various populations of patients and cancer types.
Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, immune evasion, and tumor metastasis has prompted various studies to investigate their clinical significance as a biomarker of predictive and prognostic value across different cancer types. Yet, the methodologies to investigate the polarization phenomena in solid tumor tissue vary. Nonetheless, quantifying the ratio of M1 to M2 TAMs has emerged to be a prevailing parameter to evaluate this polarization phenomena for clinical application. This mini-review focuses on recent studies exploring clinical significance of M1/M2 TAM ratio in human cancer tissue and critically evaluates the technicalities and challenges in quantifying this parameter for routine clinical practice. Immunohistochemistry appears to be the preferred methodology for M1/M2 TAM evaluation as it is readily available in clinical laboratories, albeit with certain limitations. Recommendations are made to standardize the quantification of TAMs for better transition into clinical practice and for better comparison among studies in various populations of patients and cancer types.
Author Citartan, Marimuthu
Jayasingam, Sharmilla Devi
Thang, Thean Hock
Ang, Kai Cheen
Ch'ng, Ewe Seng
Mat Zin, Anani Aila
AuthorAffiliation 2 Infectious Disease Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia , Kepala Batas , Malaysia
3 Faculty of Applied Sciences, AIMST University , Kedah , Malaysia
4 Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia , Kubang Kerian , Malaysia
1 Oncological and Radiological Sciences Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia , Kepala Batas , Malaysia
AuthorAffiliation_xml – name: 4 Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia , Kubang Kerian , Malaysia
– name: 3 Faculty of Applied Sciences, AIMST University , Kedah , Malaysia
– name: 2 Infectious Disease Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia , Kepala Batas , Malaysia
– name: 1 Oncological and Radiological Sciences Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia , Kepala Batas , Malaysia
Author_xml – sequence: 1
  givenname: Sharmilla Devi
  surname: Jayasingam
  fullname: Jayasingam, Sharmilla Devi
– sequence: 2
  givenname: Marimuthu
  surname: Citartan
  fullname: Citartan, Marimuthu
– sequence: 3
  givenname: Thean Hock
  surname: Thang
  fullname: Thang, Thean Hock
– sequence: 4
  givenname: Anani Aila
  surname: Mat Zin
  fullname: Mat Zin, Anani Aila
– sequence: 5
  givenname: Kai Cheen
  surname: Ang
  fullname: Ang, Kai Cheen
– sequence: 6
  givenname: Ewe Seng
  surname: Ch'ng
  fullname: Ch'ng, Ewe Seng
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32039007$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2020 Jayasingam, Citartan, Thang, Mat Zin, Ang and Ch'ng.
Copyright © 2020 Jayasingam, Citartan, Thang, Mat Zin, Ang and Ch'ng. 2020 Jayasingam, Citartan, Thang, Mat Zin, Ang and Ch'ng
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Keywords CD163
M1
M2
cancer
immunohistochemistry
CD68
tumor-associated macrophages
Language English
License Copyright © 2020 Jayasingam, Citartan, Thang, Mat Zin, Ang and Ch'ng.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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Edited by: Mei Lan Tan, University of Science, Malaysia
Reviewed by: Till Adhikary, University of Marburg, Germany; Guoguang Zheng, Chinese Academy of Medical Sciences and Peking Union Medical College, China; Rathindranath Baral, Chittaranjan National Cancer Institute, India
This article was submitted to Radiation Oncology, a section of the journal Frontiers in Oncology
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Snippet Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in...
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SubjectTerms CD163
CD68
immunohistochemistry
Oncology
tumor-associated macrophages
Title Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
URI https://www.ncbi.nlm.nih.gov/pubmed/32039007
https://www.proquest.com/docview/2353012356
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