4.8 Review

Harnessing and Enhancing Macrophage Phagocytosis for Cancer Therapy

Journal

FRONTIERS IN IMMUNOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2021.635173

Keywords

macrophage; cancer immunotherapy; phagocytosis; antibody; chimeric antigen receptor (CAR); nanoparticle

Categories

Funding

  1. National Cancer Institute of the National Institutes of Health [K99CA201075/R00CA201075]
  2. Margaret E. Early Medical Research Trust Grant
  3. V Foundation for Cancer Research V Scholar Award [V2018-012]
  4. City of Hope
  5. Damon Runyon-Dale F. Frey Award for Breakthrough Scientists [DFS-22-16]

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Macrophage phagocytosis has emerged as a pivotal therapeutic strategy in cancer treatment. Targeting phagocytosis checkpoint blockade and using nanoparticles are effective ways to enhance macrophage phagocytosis, while chimeric antigen receptor macrophages serve as a next-generation therapeutic modality to induce efficacious anti-tumor immune responses by linking innate and adaptive immunity.
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.

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