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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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Submitted September 20, 2005
Accepted February 27, 2006

Peroxisome proliferator-activated receptor {gamma} (PPAR{gamma}) 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

Laboratory of Cellular and Molecular Immunology, Department of Molecular and Cellular Interactions, Vlaams Interuniversitair Instituut voor Biotechnologie, Vrije Universiteit Brussel, Brussels, Belgium

* Corresponding author; email: jvangind{at}vub.ac.be.

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 in a CD11bhi Gr-1int SSClo Ly6Gneg M-CSFRint immature monocytic fraction and a CD11bhi+ Gr-1hi SSChi Ly6Ghi M-CSFRneg granulocytic fraction. Upon in vitro culture, the monocytic CD11b+Gr-1+ cell fraction is sufficient for CTL suppression, linked to their gradual differentiation 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 {gamma} (PPAR{gamma}) and inhibition of phospholipase A2 (PLA2) activity co-operate to alleviate CTL suppression. Importantly, purified tumor-associated macrophages display a similar M2 phenotype and are suppressive for anti-tumor CTLs, via a mechanism which can be almost completely reversed by PPAR{gamma} ligands. Overall, our data identify PLA2 and especially PPAR{gamma} as new potential therapeutic targets to subvert macrophage-mediated CTL suppression in cancer.


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