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Article

Pexidartinib and Immune Checkpoint Inhibitors Combine to Activate Tumor Immunity in a Murine Colorectal Cancer Model by Depleting M2 Macrophages Differentiated by Cancer-Associated Fibroblasts

Department of Gastroenterology, Hiroshima University Hospital, Hiroshima 734-0037, Japan
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Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2024, 25(13), 7001; https://doi.org/10.3390/ijms25137001
Submission received: 22 April 2024 / Revised: 20 June 2024 / Accepted: 23 June 2024 / Published: 26 June 2024

Abstract

Tumor-associated macrophages (TAMs) and cancer-associated fibroblasts (CAFs) are known to play supportive roles in tumor development and progression, but their interactions in colorectal cancer (CRC) remain unclear. Here, we investigated the effects of colon-cancer-derived CAFs on TAM differentiation, migration, and tumor immunity, both in vitro and in vivo. When co-cultured with monocytes, CAFs attracted monocytes and induced their differentiation into M2 macrophages. Immunohistology of surgically resected human CRC specimens and orthotopically transplanted mouse tumors revealed a correlation between numbers of CAFs and numbers of M2 macrophages. In a mouse model of CRC orthotopic transplantation, treatment with an inhibitor of the colony-stimulating factor-1 receptor (PLX3397) depleted M2 macrophages and increased CD8-positive T cells infiltrating the tumor nest. While this treatment had a minor effect on tumor growth, combining PLX3397 with anti-PD-1 antibody significantly reduced tumor growth. RNA-seq following combination therapy showed activation of tumor immunity. In summary, CAFs are involved in the induction and mobilization of M2 macrophage differentiation in the CRC tumor immune microenvironment, and the combination of cancer immunotherapy and PLX3397 may represent a novel therapeutic option for CRC.
Keywords: pexidartinib; CSF-1R inhibitor; colorectal cancer; cancer-associated fibroblasts; tumor-associated macrophages pexidartinib; CSF-1R inhibitor; colorectal cancer; cancer-associated fibroblasts; tumor-associated macrophages

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MDPI and ACS Style

Shimizu, D.; Yuge, R.; Kitadai, Y.; Ariyoshi, M.; Miyamoto, R.; Hiyama, Y.; Takigawa, H.; Urabe, Y.; Oka, S. Pexidartinib and Immune Checkpoint Inhibitors Combine to Activate Tumor Immunity in a Murine Colorectal Cancer Model by Depleting M2 Macrophages Differentiated by Cancer-Associated Fibroblasts. Int. J. Mol. Sci. 2024, 25, 7001. https://doi.org/10.3390/ijms25137001

AMA Style

Shimizu D, Yuge R, Kitadai Y, Ariyoshi M, Miyamoto R, Hiyama Y, Takigawa H, Urabe Y, Oka S. Pexidartinib and Immune Checkpoint Inhibitors Combine to Activate Tumor Immunity in a Murine Colorectal Cancer Model by Depleting M2 Macrophages Differentiated by Cancer-Associated Fibroblasts. International Journal of Molecular Sciences. 2024; 25(13):7001. https://doi.org/10.3390/ijms25137001

Chicago/Turabian Style

Shimizu, Daisuke, Ryo Yuge, Yuki Kitadai, Misa Ariyoshi, Ryo Miyamoto, Yuichi Hiyama, Hidehiko Takigawa, Yuji Urabe, and Shiro Oka. 2024. "Pexidartinib and Immune Checkpoint Inhibitors Combine to Activate Tumor Immunity in a Murine Colorectal Cancer Model by Depleting M2 Macrophages Differentiated by Cancer-Associated Fibroblasts" International Journal of Molecular Sciences 25, no. 13: 7001. https://doi.org/10.3390/ijms25137001

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