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Publication : Heme catabolism by tumor-associated macrophages controls metastasis formation.

First Author  Consonni FM Year  2021
Journal  Nat Immunol Volume  22
Issue  5 Pages  595-606
PubMed ID  33903766 Mgi Jnum  J:305303
Mgi Id  MGI:6706380 Doi  10.1038/s41590-021-00921-5
Citation  Consonni FM, et al. (2021) Heme catabolism by tumor-associated macrophages controls metastasis formation. Nat Immunol 22(5):595-606
abstractText  Although the pathological significance of tumor-associated macrophage (TAM) heterogeneity is still poorly understood, TAM reprogramming is viewed as a promising anticancer therapy. Here we show that a distinct subset of TAMs (F4/80(hi)CD115(hi)C3aR(hi)CD88(hi)), endowed with high rates of heme catabolism by the stress-responsive enzyme heme oxygenase-1 (HO-1), plays a critical role in shaping a prometastatic tumor microenvironment favoring immunosuppression, angiogenesis and epithelial-to-mesenchymal transition. This population originates from F4/80(+)HO-1(+) bone marrow (BM) precursors, accumulates in the blood of tumor bearers and preferentially localizes at the invasive margin through a mechanism dependent on the activation of Nrf2 and coordinated by the NF-kappaB1-CSF1R-C3aR axis. Inhibition of F4/80(+)HO-1(+) TAM recruitment or myeloid-specific deletion of HO-1 blocks metastasis formation and improves anticancer immunotherapy. Relative expression of HO-1 in peripheral monocyte subsets, as well as in tumor lesions, discriminates survival among metastatic melanoma patients. Overall, these results identify a distinct cancer-induced HO-1(+) myeloid subgroup as a new antimetastatic target and prognostic blood marker.
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