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Macrophages in ovarian cancer and their interactions with monoclonal antibody therapies
Authors:Gabriel Osborn  Chara Stavraka  Rebecca Adams  Ahmad Sayasneh  Sharmistha Ghosh  Ana Montes  Katie E Lacy  Rebecca Kristeleit  James Spicer  Debra H Josephs  James N Arnold  Sophia N Karagiannis
Abstract:The unmet clinical need for effective treatments in ovarian cancer has yet to be addressed using monoclonal antibodies (mAbs), which have largely failed to overcome tumour-associated immunosuppression, restrict cancer growth, and significantly improve survival. In recent years, experimental mAb design has moved away from solely targeting ovarian tumours and instead sought to modulate the wider tumour microenvironment (TME). Tumour-associated macrophages (TAMs) may represent an attractive therapeutic target for mAbs in ovarian cancer due to their high abundance and close proximity to tumour cells and their active involvement in facilitating several pro-tumoural processes. Moreover, the expression of several antibody crystallisable fragment (Fc) receptors and broad phenotypic plasticity of TAMs provide opportunities to modulate TAM polarisation using mAbs to promote anti-tumoural phenotypes. In this review, we discuss the role of TAMs in ovarian cancer TME and the emerging strategies to target the contributions of these cells in tumour progression through the rationale design of mAbs.
Keywords:macrophages   antibodies   immunotherapy   tumour immunology   Fc receptors
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