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10.1158/0008-5472.CAN-14-3587

http://scihub22266oqcxt.onion/10.1158/0008-5472.CAN-14-3587
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C5024531!5024531!26269531
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suck abstract from ncbi


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pmid26269531      Cancer+Res 2015 ; 75 (17): 3479-91
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  • Perivascular M2 Macrophages Stimulate Tumor Relapse after Chemotherapy #MMPMID26269531
  • Hughes R; Qian BZ; Rowan C; Muthana M; Keklikoglou I; Olson OC; Tazzyman S; Danson S; Addison C; Clemons M; Gonzalez-Angulo AM; Joyce JA; De Palma M; Pollard JW; Lewis CE
  • Cancer Res 2015[Sep]; 75 (17): 3479-91 PMID26269531show ga
  • Tumor relapse after chemotherapy-induced regression is a major clinical problem, because it often involves inoperable metastatic disease. Tumor-associated macrophages (TAM) are known to limit the cytotoxic effects of chemotherapy in preclinical models of cancer. Here, we report that an alternatively activated (M2) subpopulation of TAMs (MRC1+TIE2HiCXCR4Hi) accumulate around blood vessels in tumors after chemotherapy, where they promote tumor revascularization and relapse, in part, via VEGF-A release. A similar perivascular, M2-related TAM subset was present in human breast carcinomas and bone metastases after chemotherapy. Although a small proportion of M2 TAMs were also present in hypoxic tumor areas, when we genetically ablated their ability to respond to hypoxia via hypoxia-inducible factors 1 and 2, tumor relapse was unaffected. TAMs were the predominant cells expressing immunoreactive CXCR4 in chemotherapy-treated mouse tumors, with the highest levels expressed by MRC1+ TAMs clustering around the tumor vasculature. Furthermore, the primary CXCR4 ligand, CXCL12, was upregulated in these perivascular sites after chemotherapy, where it was selectively chemotactic for MRC1+ TAMs. Interestingly, HMOX-1, a marker of oxidative stress, was also upregulated in perivascular areas after chemotherapy. This enzyme generates carbon monoxide from the breakdown of heme, a gas known to upregulate CXCL12. Finally, pharmacologic blockade of CXCR4 selectively reduced M2-related TAMs after chemotherapy, especially those in direct contact with blood vessels, thereby reducing tumor revascularization and regrowth. Our studies rationalize a strategy to leverage chemotherapeutic efficacy by selectively targeting this perivascular, relapse-promoting M2-related TAM cell population.
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