2016
DOI: 10.1158/2326-6066.cir-15-0170
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Post-Sepsis State Induces Tumor-Associated Macrophage Accumulation through CXCR4/CXCL12 and Favors Tumor Progression in Mice

Abstract: Survivors from sepsis are in an immunosuppressed state that is associated with higher long-term mortality and risk of opportunistic infections. Whether these factors contribute to neoplastic proliferation, however, remains unclear. Tumorassociated macrophages (TAM) can support malignant cell proliferation, survival, and angiogenesis. We addressed the relationship between the post-sepsis state, tumor progression and TAM accumulation, and phenotypic and genetic profile, using a mouse model of sepsis resolution a… Show more

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Cited by 55 publications
(46 citation statements)
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“…In a mouse model of lung cancer, CXCL12 could recruit tumor-promoting myeloid CD11b+ cells [19]. Besides, powerful evidences indicate a role for CXCR4-CXCL12 axis in promoting macrophages polarization toward the M2 phenotype [37, 38]. In addition, M2 subpopulation is associated with angiogenic factors such as VEGF and CXCL12-CXCR4 axis can also promote tumor vascularization [39].…”
Section: Discussionmentioning
confidence: 99%
“…In a mouse model of lung cancer, CXCL12 could recruit tumor-promoting myeloid CD11b+ cells [19]. Besides, powerful evidences indicate a role for CXCR4-CXCL12 axis in promoting macrophages polarization toward the M2 phenotype [37, 38]. In addition, M2 subpopulation is associated with angiogenic factors such as VEGF and CXCL12-CXCR4 axis can also promote tumor vascularization [39].…”
Section: Discussionmentioning
confidence: 99%
“…There are no data that rigorously define the duration of immunoparalysis following a septic event, but recent data suggest it lasts at least for 60 days (in mice) as CLP surgery resulted in mice being more susceptible to tumor growth and development (179). To independently determine the duration of chronic immunoparalysis that increases tumor-associated mortality in sepsis survivors, B6 mice were challenged with B16 tumors at multiple times distal to surgery and subsequent cancer progression was monitored ( Figure 27A).…”
Section: Resultsmentioning
confidence: 99%
“…Use of the B16 tumor model disclosed unique immunological lesions specific to malignancy-bearing hosts including the rapid loss of highly-activated PD-1 hi CD8 TILs that occurred exclusively in the tumor environment. Since sepsis globally alters immune cell subsets, it could be predicted the increased tumor progression seen after sepsis is attributed to altered functionality of several cell subsets in the tumor, some of which have been explored previously (179,230). Despite this, it seems remarkable a targeted immunotherapy that inhibits ligation of activation/inhibitory receptors (PD-1 and LAG-3) on CD8 T cells appeared to completely negate the sepsis-induced impairments in tumor control when administered before the loss of PD-1 hi CD8 TILs was observed.…”
Section: Discussionmentioning
confidence: 99%
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