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Blood, 15 July 2006, Vol. 108, No. 2, pp. 525-535.
Prepublished online as a Blood First Edition Paper on March 9, 2006; DOI 10.1182/blood-2005-09-3777.
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IMMUNOBIOLOGY
Peroxisome proliferator-activated receptor (PPAR ) ligands reverse CTL suppression by alternatively activated (M2) macrophages in cancer
Jo A. Van Ginderachter,
Sofie Meerschaut,
Yuanqing Liu,
Lea Brys,
Kurt De Groeve,
Gholamreza Hassanzadeh Ghassabeh,
Geert Raes, and
Patrick De Baetselier
From the Laboratory of Cellular and Molecular Immunology, Department of Molecular and Cellular Interactions, Vlaams Interuniversitair Instituut voor Biotechnologie, Vrije Universiteit Brussel, Brussels, Belgium.
Tumors may escape from immune control by the induction of CD11b+Gr-1+ myeloid suppressor cells in the spleen. In this study, we demonstrate that this cell population can be subdivided into a CD11bhiGr-1intSSCloLy6GnegM-CSFRint immature monocytic fraction and a CD11bhi+Gr-1hiSSChiLy6GhiM-CSFRneg granulocytic fraction. Upon in vitro culture, the monocytic CD11b+Gr-1+ cell fraction is sufficient for cytotoxic T lymphocyte (CTL) suppression, which is linked to the gradual differentiation of these monocytic cells into mature F4/80+ CD68+ macrophages. These CTL-suppressive macrophages are alternatively activated (M2), as demonstrated by the expression of known and novel M2 signature genes. In search of M2-associated genes involved in the suppressive activity, it is shown that stimulation of peroxisome proliferator-activated receptor (PPAR ) and inhibition of phospholipase A2 (PLA2) activity cooperate to alleviate CTL suppression. Of importance, purified tumor-associated macrophages display a similar M2 phenotype and are suppressive for antitumor CTLs, via a mechanism that can be almost completely reversed by PPAR ligands. Overall, our data identify PLA2 and especially PPAR as new potential therapeutic targets to subvert macrophage-mediated CTL suppression in cancer.

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