Table 1.
Parameters | Murine Mφ | Human Mφ | Tumor microenvironment and human TAMs | Therapeutic implications |
Roles of GM-CSF | Induces DCs and Mφ generation | Induces Mφ generation | Present in inflammatory and tumor sites Modulates the phenotype of human TAMs |
M-CSF neutralization may boost the impact of GM-CSF and thereby favor DC generation in mice but not in human |
Type II IFN expression | High expression | Low expression by both in vitro generated human Mφ and TAMs | Type II IFN production by murine TAMs may favor cytotoxic T lymphocyte responses and their reprogramming into antitumor Mφ | |
M1/M1-type versus M2/M2-type polarizing factors | M1: IFNγ+LPS | M1-type: GM-CSF, GM-CSF+IFNγ M-CSF+IFNγ |
Cancers are mostly infiltrated by Th1, Th17 and Treg cells rather than Th2 cells | The M1/M2 model is not relevant for human TAM characterization |
M2: M-CSF+IL-4 | M2-type: M-CSF+IL-4 (or IL-1 or IL-10) |
The M1/M2 classification (based on the Th1/Th2 dichotomy) and IL-4-induced M2-like cells as a model of TAMs are poorly relevant in human cancer | ||
M1/M1-type and M2/M2-type markers | M1: iNOS, CD80, MHC-II, IFNγ | M1-type: inflammatory cytokines (IL-1β, IL-6 and TNFα), IL-12 | Human TAMs exhibit both M1 and M2 characteristics (concomitant expression of inflammatory and regulatory cytokines and of growth factors) | Prototypic mouse M1 and M2 markers cannot be used to characterize human TAMs |
M2: Arg1, Ym1, VEGF … | M2-type: growth factors (TGF-β, VEGF, EGF, PDGF), IL-10 | |||
Polarization versus activation | Resting (M2) and LPS-stimulated (M1) cells are usually compared | Human Mφ and TAMs require to be stimulated (such as via CD40 or TLRs) to reveal their phenotypes | Human Mφ polarization and activation are two independent processes |
Arg1, arginase 1; DCs, dendritic cells; EGF, epithelial growth factor; GM-CSF, granulocyte-macrophage colony-stimulating factor; IFN, interferon; IL, interleukin; iNOS, inducible nitric oxide synthase; LPS, lipopolysaccharide; M-CSF, macrophage colony-stimulating factor; MHC-II, major histocompatibility complex class II; Mφ, macrophage; PDGF, platelet-derived growth factor; PRR, pattern recognition receptors; TAMs, tumor-associated macrophages; TGF-β, transforming growth factor-β; TNF, tumor necrosis factor; VEGF, vascular endothelial growth factor.