Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice

Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, imm...

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Main Authors: Sharmilla Devi Jayasingam, Marimuthu Citartan, Thean Hock Thang, Anani Aila Mat Zin, Kai Cheen Ang, Ewe Seng Ch'ng
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2019.01512/full
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author Sharmilla Devi Jayasingam
Marimuthu Citartan
Thean Hock Thang
Thean Hock Thang
Anani Aila Mat Zin
Kai Cheen Ang
Ewe Seng Ch'ng
author_facet Sharmilla Devi Jayasingam
Marimuthu Citartan
Thean Hock Thang
Thean Hock Thang
Anani Aila Mat Zin
Kai Cheen Ang
Ewe Seng Ch'ng
author_sort Sharmilla Devi Jayasingam
collection DOAJ
description Tumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, immune evasion, and tumor metastasis has prompted various studies to investigate their clinical significance as a biomarker of predictive and prognostic value across different cancer types. Yet, the methodologies to investigate the polarization phenomena in solid tumor tissue vary. Nonetheless, quantifying the ratio of M1 to M2 TAMs has emerged to be a prevailing parameter to evaluate this polarization phenomena for clinical application. This mini-review focuses on recent studies exploring clinical significance of M1/M2 TAM ratio in human cancer tissue and critically evaluates the technicalities and challenges in quantifying this parameter for routine clinical practice. Immunohistochemistry appears to be the preferred methodology for M1/M2 TAM evaluation as it is readily available in clinical laboratories, albeit with certain limitations. Recommendations are made to standardize the quantification of TAMs for better transition into clinical practice and for better comparison among studies in various populations of patients and cancer types.
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spelling doaj.art-d4b393b7b9b34fa9a508c0cffaf681e82022-12-22T00:03:46ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-01-01910.3389/fonc.2019.01512494426Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical PracticeSharmilla Devi Jayasingam0Marimuthu Citartan1Thean Hock Thang2Thean Hock Thang3Anani Aila Mat Zin4Kai Cheen Ang5Ewe Seng Ch'ng6Oncological and Radiological Sciences Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Kepala Batas, MalaysiaInfectious Disease Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Kepala Batas, MalaysiaInfectious Disease Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Kepala Batas, MalaysiaFaculty of Applied Sciences, AIMST University, Kedah, MalaysiaDepartment of Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MalaysiaInfectious Disease Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Kepala Batas, MalaysiaOncological and Radiological Sciences Cluster, Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia, Kepala Batas, MalaysiaTumor-associated macrophages (TAMs) as immune cells within the tumor microenvironment have gained much interests as basic science regarding their roles in tumor progression unfolds. Better understanding of their polarization into pro-tumoral phenotype to promote tumor growth, tumor angiogenesis, immune evasion, and tumor metastasis has prompted various studies to investigate their clinical significance as a biomarker of predictive and prognostic value across different cancer types. Yet, the methodologies to investigate the polarization phenomena in solid tumor tissue vary. Nonetheless, quantifying the ratio of M1 to M2 TAMs has emerged to be a prevailing parameter to evaluate this polarization phenomena for clinical application. This mini-review focuses on recent studies exploring clinical significance of M1/M2 TAM ratio in human cancer tissue and critically evaluates the technicalities and challenges in quantifying this parameter for routine clinical practice. Immunohistochemistry appears to be the preferred methodology for M1/M2 TAM evaluation as it is readily available in clinical laboratories, albeit with certain limitations. Recommendations are made to standardize the quantification of TAMs for better transition into clinical practice and for better comparison among studies in various populations of patients and cancer types.https://www.frontiersin.org/article/10.3389/fonc.2019.01512/fulltumor-associated macrophagesM1M2immunohistochemistryCD68CD163
spellingShingle Sharmilla Devi Jayasingam
Marimuthu Citartan
Thean Hock Thang
Thean Hock Thang
Anani Aila Mat Zin
Kai Cheen Ang
Ewe Seng Ch'ng
Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
Frontiers in Oncology
tumor-associated macrophages
M1
M2
immunohistochemistry
CD68
CD163
title Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
title_full Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
title_fullStr Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
title_full_unstemmed Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
title_short Evaluating the Polarization of Tumor-Associated Macrophages Into M1 and M2 Phenotypes in Human Cancer Tissue: Technicalities and Challenges in Routine Clinical Practice
title_sort evaluating the polarization of tumor associated macrophages into m1 and m2 phenotypes in human cancer tissue technicalities and challenges in routine clinical practice
topic tumor-associated macrophages
M1
M2
immunohistochemistry
CD68
CD163
url https://www.frontiersin.org/article/10.3389/fonc.2019.01512/full
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