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HRG inhibits tumor growth and metastasis by inducing macrophage polarization and vessel normalization through downregulation of PlGF
Authors:Rolny Charlotte  Mazzone Massimiliano  Tugues Sònia  Laoui Damya  Johansson Irja  Coulon Cathy  Squadrito Mario Leonardo  Segura Inmaculada  Li Xiujuan  Knevels Ellen  Costa Sandra  Vinckier Stefan  Dresselaer Tom  Åkerud Peter  De Mol Maria  Salomäki Henriikka  Phillipson Mia  Wyns Sabine  Larsson Erik  Buysschaert Ian  Botling Johan  Himmelreich Uwe  Van Ginderachter Jo A  De Palma Michele  Dewerchin Mieke  Claesson-Welsh Lena  Carmeliet Peter
Institution:Uppsala University, Department of Genetics and Pathology, Rudbeck Laboratory, 75185 Uppsala, Sweden.
Abstract:Polarization of tumor-associated macrophages (TAMs) to a proangiogenic/immune-suppressive (M2-like) phenotype and abnormal, hypoperfused vessels are hallmarks of malignancy, but their molecular basis and interrelationship remains enigmatic. We report that the host-produced histidine-rich glycoprotein (HRG) inhibits tumor growth and metastasis, while improving chemotherapy. By skewing TAM polarization away from the M2- to a tumor-inhibiting M1-like phenotype, HRG promotes antitumor immune responses and vessel normalization, effects known to decrease tumor growth and metastasis and to enhance chemotherapy. Skewing of TAM polarization by HRG relies substantially on downregulation of placental growth factor (PlGF). Besides unveiling an important role for TAM polarization in tumor vessel abnormalization, and its regulation by HRG/PlGF, these findings offer therapeutic opportunities for anticancer and antiangiogenic treatment.
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