Cited by 69Immune cells in cancerCancer, Lipids, and MetabolismLipid metabolism and biosynthesis

Lipid-loaded macrophages as new therapeutic target in cancer

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Marelli, Giulia, Morina, Nicolò, Portale, Federica, Pandini, Marta, Iovino, Marta, Di Conza, Giusy, Ho, Ping-Chih, Di Mitri, Diletta·2022·Journal for ImmunoTherapy of Cancer

Abstract

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).”
  • 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).”
  • 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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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)
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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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