Mesenchymal stem cells (MSC) localized to the tumor microenvironment produce
16:4(n-3) PUFA in response to platinum-based chemotherapeutics such as cisplatin
via an intracellular signaling mechanism that is dependent on
Ca+2, PLA2, thromboxane synthase (TXAS), and
cyclooxygenase-1 (COX1) (86). 16:4(n-3)
that is released by MSC agonizes FFA4 on splenic macrophages
(F4/80+/CD11blow in mice, presumably
CD163+ in humans) to activate cytosolic PLA2 via an
unresolved pathway that is likely
Gαq/11/Ca+2-mediated. FFA4-induced activation of
cPLA2 forms the lysophosphatidylcholine LPC(24:1), which directly alters the
ability of platinum-based chemotherapeutics to mediate DNA damage responses in
cancer cells, leading to chemoresistance to the agents (88–89).