Lipid-loaded macrophages as new therapeutic target in cancer
Open accessAbstract
Macrophages are main players of the innate immune system. They show great heterogeneity and play diverse functions that include support to development, sustenance of tissue homeostasis and defense against infections. Dysfunctional macrophages have been described in multiple pathologies including cancer. Indeed tumor-associated macrophages (TAMs) are abundant in most tumors and sustain cancer growth, promote invasion and mediate immune evasion. Importantly, lipid metabolism influences macrophage activation and lipid accumulation confers pathogenic features on macrophages. Notably, a subset of lipid-loaded macrophages has been recently identified in many tumor types. Lipid-loaded TAMs support tumor growth and progression and exert immune-suppressive activities. In this review, we describe the role of lipid metabolism in macrophage activation in physiology and pathology and we discuss the impact of lipid accumulation in macrophages in the context of cancer.
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LD accumulation in macrophages is associated with inflammatory conditions, infectious diseases, and cancer.
“LD accumulation in macrophages is associated with several inflammatory conditions (e.g., atherosclerosis) (4, 5), infectious diseases (e.g., mycobacterial infections) (6, 7), and cancer (8, 9).”
From Reducing microglial lipid load enhances β amyloid phagocytosis in an Alzheimer’s disease mouse model (2025) · cites this paper as [9]
Lipid droplet accumulation in macrophages occurs in lipid-rich microenvironments in the periphery.
“LD accumulation in macrophages has also been documented in lipid-rich microenvironments in the peripheral, such as atherosclerosis plaques (5), white adipose tissue (10), and tumors (9).”
From Reducing microglial lipid load enhances β amyloid phagocytosis in an Alzheimer’s disease mouse model (2025) · cites this paper as [9]
Lipid droplet accumulation in macrophages elevates ROS production, promoting neurovascular dysfunction.
“LD accumulation in macrophages can elevate their ROS production (9, 11), promoting neurovascular dysfunction (67).”
From Reducing microglial lipid load enhances β amyloid phagocytosis in an Alzheimer’s disease mouse model (2025) · cites this paper as [9]
The 'Lipid accumulation in tumor-associated macrophages' section describes lipid droplets in macrophages but does not link them to increased ROS production. The ROS passage in Figure 2 concerns CD4+ T cells, not macrophages. I searched for ROS, reactive oxygen species, and lipid droplets in macrophages; neurovascular dysfunction is attached to a different citation in the citing sentence. (LLM, conf=0.72)
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“LD accumulation in macrophages has also been documented in lipid-rich microenvironments in the peripheral, such as atherosclerosis plaques ( 5 ), white adipose tissue ( 10 ), and tumors ( 9 ).”
- Authors
- Marelli, G., Morina, N., Portale, F., Pandini, M., Iovino, M., Di Conza, G., Ho, P.-C., & Di Mitri, D.
- Affiliations
- IRCCS Humanitas Research Hospital (IT)
- Humanitas University (IT)
- Department of Oncology, University of Lausanne, Lausanne, Switzerland
- University of Lausanne (CH)
- Tumor Microenvironment Unit, IRCCS Humanitas Research Hospital, Lombardia, Italy
- Venue
- Journal for ImmunoTherapy of Cancer
- Publisher
- BMJ
- Published
- 2022-07
- Volume
- 10
- Issue
- 7
- Pages
- e004584
- ISSN
- 2051-1426 (ISSN-L)
- PMC
- PMC9263925
- OpenAlex
- W4284712532
- Cited by
- 69
- References
- 15
- Citations by year
- 2026: 21 · 2025: 26 · 2024: 11 · 2023: 9 · 2022: 2
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal for ImmunoTherapy of Cancer (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (publishedVersion, cc-by-nc)
- IRIS (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Cancer Research Institute
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (182470)
- Associazione Italiana per la Ricerca sul Cancro (22757, 5X 1000, AIRC5x1000)
- H2020 European Research Council (802773)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- tumor-associated macrophages, lipid metabolism, macrophage activation, lipid accumulation, tumor immunosuppression, tumor growth and progression, innate immunity
- MeSH terms
- Humans, Lipids, Macrophages, Neoplasms, Tumor Microenvironment
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