Targeting Macrophages with CAR T Cells Delays Solid Tumor Progression and Enhances Antitumor Immunity
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Abstract
Tumor-associated macrophages (TAM) are one of the most abundant cell types in many solid tumors and typically exert protumor effects. This has led to an interest in macrophage-depleting agents for cancer therapy, but approaches developed to date have had limited success in clinical trials. Here, we report the development of a strategy for TAM depletion in mouse solid tumor models using chimeric antigen receptor (CAR) T cells targeting the macrophage marker F4/80 (F4.CAR-T). F4.CAR-T cells effectively killed macrophages in vitro and in vivo without toxicity. When injected into mice bearing orthotopic lung tumors, F4.CAR-T cells infiltrated tumor lesions and delayed tumor growth comparably with PD-1 blockade, and significantly extended mouse survival. Antitumor effects were mediated by F4.CAR-T–produced IFNγ, which promoted upregulation of MHC molecules on cancer cells and tumor-infiltrating myeloid cells. Notably, F4.CAR-T promoted expansion of endogenous CD8 T cells specific for tumor-associated antigen and led to immune editing of highly antigenic tumor cell clones. Antitumor impact was also observed in mouse models of ovarian and pancreatic cancer. These studies provide proof of principle to support CAR T-cell targeting of TAMs as a means to enhance antitumor immunity.
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Macrophages have a major advantage over other immune cells for adoptive cell therapy: propensity to migrate and infiltrate into tumors.
“Compared with other immune cells, one major advantage of using macrophages for ACT is the propensity in migration and infiltration into tumors [133].”
From Advances on immunotherapy for osteosarcoma (2024) · cites this paper as [133]
The Introduction says tumor-associated macrophages are abundant in solid tumors, and the Results report recruitment of monocyte-derived macrophages to tumor-bearing lungs. These passages support macrophage accumulation in tumors, but do not establish that adoptively transferred macrophages migrate or infiltrate better than other immune cells. (LLM, conf=0.82)
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- Authors
- Sánchez-Paulete, A. R., Mateus-Tique, J., Mollaoglu, G., Nielsen, S. R., Marks, A., Lakshmi, A., Khan, J. A., Wilk, C. M., Pia, L., Baccarini, A., Merad, M., & Brown, B. D.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- 1Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
- Tisch Cancer Institute (US)
- Corresponding author
- Brown, Brian D.
- ORCID
- Venue
- Cancer Immunology Research
- Published
- 2022-09-12
- Volume
- 10
- Issue
- 11
- Pages
- 1354-1369
- ISSN
- 2326-6066 (ISSN-L)
- 2326-6074
- PMC
- PMC10704925
- OpenAlex
- W4295309587
- Cited by
- 98
- References
- 66
- Citations by year
- 2026: 21 · 2025: 29 · 2024: 28 · 2023: 18 · 2022: 2
- FWCI
- 7.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer Immunology Research (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01CA257195, R01CA254104)
- Alliance for Cancer Gene Therapy
- Applebaum Foundation
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Keywords
- tumor-associated macrophages, chimeric antigen receptor T cells, F4/80, macrophage depletion, antitumor immunity, interferon-gamma, CD8+ T cell proliferation, immunoediting, lung cancer, ovarian cancer, pancreatic cancer, solid tumors
- MeSH terms
- Receptors, Chimeric Antigen, Animals, Antigens, Neoplasm, Disease Models, Animal, Macrophages, T-Lymphocytes, Immunotherapy, Adoptive, Disease Progression, Xenograft Model Antitumor Assays, Cell Line, Tumor, Mice
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