Tumor-Associated Macrophages in Osteosarcoma: From Mechanisms to Therapy
Open accessAbstract
Osteosarcomas (OSs) are bone tumors most commonly found in pediatric and adolescent patients characterized by high risk of metastatic progression and recurrence after therapy. Effective therapeutic management of this disease still remains elusive as evidenced by poor patient survival rates. To achieve a more effective therapeutic management regimen, and hence patient survival, there is a need to identify more focused targeted therapies for OSs treatment in the clinical setting. The role of the OS tumor stroma microenvironment plays a significant part in the development and dissemination of this disease. Important components, and hence potential targets for treatment, are the tumor-infiltrating macrophages that are known to orchestrate many aspects of OS stromal signaling and disease progression. In particular, increased infiltration of M2-like tumor-associated macrophages (TAMs) has been associated with OS metastasis and poor patient prognosis despite currently used aggressive therapies regimens. This review aims to provide a summary update of current macrophage-centered knowledge and to discuss the possible roles that macrophages play in the process of OS metastasis development focusing on the potential influence of stromal cross-talk signaling between TAMs, cancer-stem cells and additional OSs tumoral microenvironment factors.
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In osteosarcoma, high levels of M2 tumor-associated macrophages are implicated with an increased risk of osteosarcoma metastasis.
“Specifically, in OS, high levels of M2 TAMs have been implicated with an increased risk of OS metastasis [4].”
From Mesenchymal Stem/Stromal Cells: Immunomodulatory and Bone Regeneration Potential after Tumor Excision in Osteosarcoma Patients (2023) · cites this paper as [4]
In primary osteosarcoma, heterogeneous tumor-associated macrophages displaying an intermediate phenotype between M1 and M2 have been associated with anti-metastatic effects.
“However, in primary OS, heterogenous TAMs displaying an intermediate phenotype between M1 and M2 have been associated with anti-metastatic effects [4,5].”
From Mesenchymal Stem/Stromal Cells: Immunomodulatory and Bone Regeneration Potential after Tumor Excision in Osteosarcoma Patients (2023) · cites this paper as [4]
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- Authors
- Cersosimo, F., Lonardi, S., Bernardini, G., Telfer, B., Mandelli, G. E., Santucci, A., Vermi, W., & Giurisato, E.
- Affiliations
- University of Siena (IT)
- University of Brescia (IT)
- University of Manchester (GB)
- Washington University in St. Louis (US)
- Corresponding author
- Giurisato, Emanuele
- ORCID
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2020-07-23
- Volume
- 21
- Issue
- 15
- Pages
- 5207
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC7432207
- OpenAlex
- W3045264243
- Cited by
- 280
- References
- 20
- Citations by year
- 2026: 38 · 2025: 65 · 2024: 50 · 2023: 46 · 2022: 45 · 2021: 30 · 2020: 6
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
- Use Siena air (University of Siena) (submittedVersion, cc-by)
- Funders
- Università degli Studi di Siena (PSR2020)
- Fondazione Beretta
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Keywords
- osteosarcoma, tumor-associated macrophages, M2 macrophages, tumor microenvironment, metastasis, cancer stem cells, targeted therapy, prognosis
- MeSH terms
- Tumor-Associated Macrophages, Bone Neoplasms, Humans, Neoplasm Metastasis, Osteosarcoma, Signal Transduction, 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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