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December 9, 2013The Journal of Experimental MedicineOpen Access

KIT oncogene inhibition drives intratumoral macrophage M2 polarization

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Authors

MCMichael J. CavnarUniversity of Kentucky HealthCareSZShan ZengCentral South UniversityTKTeresa S. KimUniversity of Washington

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Implication

Preclinical study reveals that KIT inhibition shifts macrophages to a pro-tumor M2 state in gastrointestinal stromal tumors, highlighting oncogene control over immune cell polarization.

Key Points

  • To determine how KIT oncogene activity and targeted inhibition regulate tumor-associated macrophage polarization in gastrointestinal stromal tumors.
  • Evaluated macrophage phenotypes using a spontaneous mouse model of gastrointestinal stromal tumor (GIST) and 57 freshly procured human GIST specimens.
  • Investigated the phenotypic and transcriptional impact of the KIT inhibitor imatinib on tumor-associated macrophages during active treatment and upon the emergence of drug resistance.
  • Tumor-associated macrophages (TAMs) in untreated mouse and human GISTs displayed an M1-like antitumor phenotype and function at baseline.
  • Imatinib treatment polarized TAMs toward a tumor-promoting M2-like phenotype through macrophage interaction with apoptotic tumor cells and induction of C/EBP transcription factors.
  • Imatinib-resistant human GISTs reverted to an M1-like TAM phenotype with gene expression profiles resembling untreated tumors.

Cite This Study

Cavnar et al. (2013) studied this question.

synapsesocial.com/papers/6a7ddab933dcb27c99cb5daehttps://doi.org/10.1084/jem.20130875
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