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. 2022 Dec 12;20:586. doi: 10.1186/s12967-022-03813-w

Table 1.

Signals involved in the interaction of TAMs with tumor cells

Signaling pathways Modulation of TAMs Regulation of tumor cells Functions
WNT signaling pathway Wnt signaling-inducible proteins released from tumor cells mediate TAMs recruitment and m2-like polarization Wnt proteins released from TAMs augment the stemness of tumor cells through a β-catenin-dependent pathway and promote the invasiveness of tumor cells through a β-catenin-independent pathway Facilitates tumor advancement through β-catenin-dependent and β-catenin-independent pathways; Wnt5a promotes tumor cell invasion through an atypical pathway
PI3K signaling pathway Various cytokines, including EGFR, activate the PI3K pathway and contribute to the recruitment of TAMs and their polarization to the M2 phenotype, providing a suitable environment for tumor progression Tumor cells release succinate via the pi3k-hypoxia inducible factor 1a (HIF1A) axis, thus promoting macrophage transformation Enhance the proliferation, differentiation and migration of tumor cells
STAT3 signaling pathway Activation of JAK3/STAT3 pathway and secretion of IL-6 and IL-10 induce TAMs to M2 polarization IL-6 secreted by TAMs activates the JAK2/STAT3 pathway, which stimulates tumor cell invasion and metastasis Enhancement of tumor proliferation, invasion and metastasis
NF-kB signaling pathway Decreased phosphorylation of RELA protein stimulates TAMs to M2 polarization Cytokines secreted by M2 enhance TNF and iNOS expression in tumor cells, resulting in activation of the NF-kB pathway Inhibition of apoptosis of tumor cells and promotion of tumor angiogenesis and metastasis
Exosome signaling Exosomes secreted by TAMs promote tumor neoangiogenesis and tumor cell invasiveness Tumor cell-derived exosomes promote tumor progression by activating TAMs Mediates communication between tumor cells and TAMs to create conditions for tumor cell survival and development