# Harnessing and Enhancing Macrophage Phagocytosis for Cancer Therapy

**Authors:** Siqi Chen, Seigmund W. T. Lai, Christine E. Brown, Mingye Feng

PMC · DOI: 10.3389/fimmu.2021.635173 · Frontiers in Immunology · 2021-03-10

## TL;DR

This paper reviews how macrophage phagocytosis can be harnessed to improve cancer therapy by combining innate and adaptive immunity.

## Contribution

The paper introduces new strategies like phagocytosis checkpoint blockade and chimeric antigen receptor macrophages for cancer treatment.

## Key findings

- Macrophage phagocytosis is a pivotal therapeutic strategy in cancer treatment.
- Phagocytosis checkpoint blockade and nanoparticles can enhance macrophage activity.
- Chimeric antigen receptor macrophages link innate and adaptive immunity for better anti-tumor responses.

## Abstract

Cancer immunotherapy has revolutionized the paradigm for the clinical management of cancer. While FDA-approved cancer immunotherapies thus far mainly exploit the adaptive immunity for therapeutic efficacy, there is a growing appreciation for the importance of innate immunity in tumor cell surveillance and eradication. The past decade has witnessed macrophages being thrust into the spotlight as critical effectors of an innate anti-tumor response. Promising evidence from preclinical and clinical studies have established targeting macrophage phagocytosis as an effective therapeutic strategy, either alone or in combination with other therapeutic moieties. Here, we review the recent translational advances in harnessing macrophage phagocytosis as a pivotal therapeutic effort in cancer treatment. In addition, this review emphasizes phagocytosis checkpoint blockade and the use of nanoparticles as effective strategies to potentiate macrophages for phagocytosis. We also highlight chimeric antigen receptor macrophages as a next-generation therapeutic modality linking the closely intertwined innate and adaptive immunity to induce efficacious anti-tumor immune responses.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Genes:** Sirpa (signal-regulatory protein alpha) [NCBI Gene 19261] {aka Bit, CD172a, Idd13.2, P84, Ptpns1, SHP-1}, ALB (albumin) [NCBI Gene 213] {aka FDAHT, HSA, PRO0883, PRO0903, PRO1341}, NR0B2 (nuclear receptor subfamily 0 group B member 2) [NCBI Gene 8431] {aka SHP, SHP1}, MEGF10 (multiple EGF like domains 10) [NCBI Gene 84466] {aka CMYO10A, CMYO10B, CMYP10A, CMYP10B, EMARDD, SR-F3}, IL12B (interleukin 12B) [NCBI Gene 3593] {aka CLMF, CLMF2, IL-12B, IMD28, IMD29, NKSF}, AXL (AXL receptor tyrosine kinase) [NCBI Gene 558] {aka ARK, AXL3, JTK11, Tyro7, UFO}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, FCAR (Fc alpha receptor) [NCBI Gene 2204] {aka CD89, CTB-61M7.2, FcalphaR, FcalphaRI}, CD38 (CD38 molecule) [NCBI Gene 952] {aka ADPRC 1, ADPRC1, cADPR1}, TLR7 (toll like receptor 7) [NCBI Gene 51284] {aka IMD74, SLEB17, TLR7-like}, CARS1 (cysteinyl-tRNA synthetase 1) [NCBI Gene 833] {aka CARS, CYSRS, MCDDBH, MDBH, MGC:11246}, IGHE (immunoglobulin heavy constant epsilon) [NCBI Gene 3497] {aka IgE}, Mmp13 (matrix metallopeptidase 13) [NCBI Gene 17386] {aka Clg, MMP-13, Mmp1}, Cd33 (CD33 molecule) [NCBI Gene 12489] {aka Siglec-3, gp67}, Irf5 (interferon regulatory factor 5) [NCBI Gene 27056] {aka mirf5}, CD19 (CD19 molecule) [NCBI Gene 930] {aka B4, CVID3}, CD70 (CD70 molecule) [NCBI Gene 970] {aka CD27-L, CD27L, CD27LG, LPFS3, TNFSF7, TNLG8A}, Il4 (interleukin 4) [NCBI Gene 287287] {aka Il4e12}, FCGR2A (Fc gamma receptor IIa) [NCBI Gene 2212] {aka CD32, CD32A, CDw32, FCG2, FCGR2, FCGR2A1}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, CGAS (cyclic GMP-AMP synthase) [NCBI Gene 115004] {aka C6orf150, D4, MB21D1, h-cGAS}, BTK (Bruton tyrosine kinase) [NCBI Gene 695] {aka AGMX1, AT, ATK, BPK, IGHD3, IMD1}, FCER1A (Fc epsilon receptor Ia) [NCBI Gene 2205] {aka FCE1A, FCERIA, FcERI}, PXN (paxillin) [NCBI Gene 5829], MERTK (MER proto-oncogene, tyrosine kinase) [NCBI Gene 10461] {aka MER, RP38, Tyro12, c-Eyk, c-mer}, AIM2 (absent in melanoma 2) [NCBI Gene 9447] {aka PYHIN4}, Cd47 (CD47 antigen (Rh-related antigen, integrin-associated signal transducer)) [NCBI Gene 16423] {aka 9130415E20Rik, B430305P08Rik, IAP, Itgp}, SNCA (synuclein alpha) [NCBI Gene 6622] {aka NACP, PARK1, PARK4, PD1}, CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, CALR (calreticulin) [NCBI Gene 811] {aka CALR1, CRT, HEL-S-99n, RO, SSA, cC1qR}, TFRC (transferrin receptor) [NCBI Gene 7037] {aka CD71, IMD46, T9, TFR, TFR1, TR}, NR1I3 (nuclear receptor subfamily 1 group I member 3) [NCBI Gene 9970] {aka CAR, CAR1, MB67}, MS4A1 (membrane spanning 4-domains A1) [NCBI Gene 931] {aka B1, Bp35, CD20, CVID5, FMC7, LEU-16}, SCFV (single-chain Fv fragment) [NCBI Gene 652070], Cd19 (CD19 antigen) [NCBI Gene 12478], CD24 (CD24 molecule) [NCBI Gene 100133941] {aka CD24A}, Fcgr1 (Fc receptor, IgG, high affinity I) [NCBI Gene 14129] {aka CD64, FcgammaRI, IGGHAFC}, IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, SPARC (secreted protein acidic and cysteine rich) [NCBI Gene 6678] {aka BM-40, OI17, ON, ONT}, IDO1 (indoleamine 2,3-dioxygenase 1) [NCBI Gene 3620] {aka IDO, IDO-1, INDO}, Cd274 (CD274 antigen) [NCBI Gene 60533] {aka A530045L16Rik, B7h1, Pdcd1l1, Pdcd1lg1, Pdl1}, Ms4a1 (membrane-spanning 4-domains, subfamily A, member 1) [NCBI Gene 12482] {aka Cd20, Ly-44, Ms4a2}, TYRO3 (TYRO3 protein tyrosine kinase) [NCBI Gene 7301] {aka BYK, Dtk, Etk-2, RSE, Rek, Sky}, LILRB1 (leukocyte immunoglobulin like receptor B1) [NCBI Gene 10859] {aka CD85J, ILT-2, ILT2, LIR-1, LIR1, MIR-7}, SIGLEC10 (sialic acid binding Ig like lectin 10) [NCBI Gene 89790] {aka PRO940, SIGLEC-10, SLG2}, Erbb2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 13866] {aka Erbb-2, HER-2, HER2, Neu, c-erbB2, c-neu}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}, SIRPA (signal regulatory protein alpha) [NCBI Gene 140885] {aka BIT, CD172A, MFR, MYD-1, MYD1, P84}, Bsg (basigin) [NCBI Gene 12215] {aka CD147, EMMPRIN, HT-7}, Ikbkb (inhibitor of kappaB kinase beta) [NCBI Gene 16150] {aka IKK-2, IKK-B, IKK-beta, IKK2, IKK[b], IKKbeta}, CARTPT (CART prepropeptide) [NCBI Gene 9607] {aka CART}, Mmp3 (matrix metallopeptidase 3) [NCBI Gene 17392] {aka EMS-2, MMP-3, SL-1, SLN-1, SLN1, STR-1}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, CD79A (CD79a molecule) [NCBI Gene 973] {aka IGA, IGAlpha, MB-1, MB1}, Ighg1 (immunoglobulin heavy constant gamma 1 (G1m marker)) [NCBI Gene 16017] {aka IgG1, Igh-4, VH7183}, FCGR1A (Fc gamma receptor Ia) [NCBI Gene 2209] {aka CD64, CD64A, FCG1, FCGR1, FCRI, FcgammaRI}, Nr1i3 (nuclear receptor subfamily 1, group I, member 3) [NCBI Gene 12355] {aka CAR, CAR-beta, Care2, ESTM32, MB67}, MSLN (mesothelin) [NCBI Gene 10232] {aka MPF, SMRP}, CD247 (CD247 molecule) [NCBI Gene 919] {aka CD3-ZETA, CD3H, CD3Q, CD3Z, CD3ZETA, IMD25}, TLR9 (toll like receptor 9) [NCBI Gene 54106] {aka CD289}
- **Diseases:** metastasis (MESH:D009362), autoimmune diseases (MESH:D001327), -cell (MESH:D002292), ovarian cancer (MESH:D010051), lymphoma (MESH:D008223), inflammation (MESH:D007249), MDS (MESH:D009190), metastatic (MESH:D000092182), breast cancer tumor (MESH:D001943), head/neck squamous cell carcinoma (MESH:D000077195), colonic carcinoma (MESH:D003110), MAS (MESH:D055501), renal cancer (MESH:D007680), Hematological Malignancies (MESH:D019337), Tumor (MESH:D009369), infection (MESH:D007239), TAA (MESH:D017545), Burkitt's lymphoma (MESH:D002051), degenerative central nervous system diseases (MESH:D019636), NHL (MESH:D008228), Gliomas (MESH:D005910), melanoma (MESH:D008545), B-cell non-Hodgkin's lymphoma (MESH:D016393), ADCP (MESH:D007153), AML (MESH:D015470), ICD (MESH:D003643), cytotoxic (MESH:D064420), multiple myeloma (MESH:D009101), Cytokine (MESH:D000080424), PR (MESH:D008151), T-cell lymphoma (MESH:D016399), anemia (MESH:D000740), chronic lymphocytic leukemia (MESH:D015451), -dependent (MESH:D019966)
- **Species:** Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Saccharomyces cerevisiae (baker's yeast, species) [taxon 4932], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** L235A, L234A, P329G
- **Cell lines:** J774A.1 — Mus musculus (Mouse), Mouse reticulum cell sarcoma, Cancer cell line (CVCL_0358), Raji — Homo sapiens (Human), EBV-related Burkitt lymphoma, Cancer cell line (CVCL_0511), Raw264.7 — Mus musculus (Mouse), Mouse leukemia, Cancer cell line (CVCL_0493), Hepa1-6 — Mus musculus (Mouse), Hepatocellular carcinoma of the mouse, Cancer cell line (CVCL_0327), THP-1 — Homo sapiens (Human), Childhood acute monocytic leukemia, Cancer cell line (CVCL_0006), 4T1 — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_0125), KWAR23 — Cricetulus griseus (Chinese hamster), Spontaneously immortalized cell line (CVCL_K265)

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC8006289/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC8006289/full.md

## References

162 references — full list in the complete paper: https://tomesphere.com/paper/PMC8006289/full.md

---
Source: https://tomesphere.com/paper/PMC8006289