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Blood, 15 December 2007, Vol. 110, No. 13, pp. 4319-4330.
Prepublished online as a Blood First Edition Paper on September 11, 2007; DOI 10.1182/blood-2007-02-072587.


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Submitted February 20, 2007
Accepted August 29, 2007

Tumor-associated leukemia inhibitory factor and IL-6 skew monocyte differentiation into tumor-associated-macrophage-like cells

Dorothee Duluc, Yves Delneste, Fang Tan, Marie-Pierre Moles, Linda Grimaud, Julien Lenoir, Laurence Preisser, Ignacio Anegon, Laurent Catala, Norbert Ifrah, Philippe Descamps, Erick Gamelin, Hugues Gascan, Mohamed Hebbar, and Pascale Jeannin*

Equipe AVENIR, Inserm U564, Angers, France
UMR-S 564, Universite d'Angers, Angers, France
UPRES EA3863, Universite d'Angers, Angers, France
Universite de Nantes, Institut de Transplantation et de Recherche en Transplantation, FOCIS, Nantes, France
Departement de Gynecologie, CHU d'Angers, Angers, France
Departement des Maladies du sang, CHU d'Angers, Angers, France
Centre de lutte contre le Cancer Paul Papin, Angers, France
Inserm U564, Angers, France
Departement d'Oncologie, CHU de Lille, Lille, France
Laboratoire d'Immunologie et d'Allergologie, CHU d'Angers, Angers, France

* Corresponding author; email: pascale.jeannin{at}univ-angers.fr.

Tumor-associated macrophages (TAM), the most abundant immunosuppressive cells in the tumor microenvironment, originate from blood monocytes and exhibit an IL-10highIL-12low M2 profile. The factors involved in TAM generation remain unidentified. We identify here leukemia inhibitory factor (LIF) and IL-6 as tumor microenvironmental factors that can promote TAM generation. Ovarian cancer ascites switched monocyte differentiation into TAM-like cells that exhibit most ovarian TAM functional and phenotypic characteristics. Ovarian cancer ascites contained high concentrations of LIF and IL-6. Recombinant LIF and IL-6 skew monocyte differentiation into TAM-like cells by enabling monocytes to consume M-CSF. Depletion of LIF, IL-6 and M-CSF in ovarian cancer ascites suppressed TAM-like cell induction. We extended these observations to different tumor-cell line supernatants. In addition to revealing a new tumor-escape mechanism associated to TAM generation via LIF and IL-6, these findings offer novel therapeutic perspectives to subvert TAM-induced immunosuppression and hence improve T-cell-based anti-tumor immunotherapy efficacy.


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