Journal article
Inflammatory monocyte mobilization decreases patient survival in pancreatic cancer: a role for targeting the CCL2/CCR2 axis
Clinical cancer research, Vol.19(13), pp.3404-3415
07/01/2013
DOI: 10.1158/1078-0432.CCR-13-0525
PMCID: PMC3700620
PMID: 23653148
Abstract
To determine the role of the CCL2/CCR2 axis and inflammatory monocytes (CCR2(+)/CD14(+)) as immunotherapeutic targets in the treatment of pancreatic cancer.
Survival analysis was conducted to determine if the prevalence of preoperative blood monocytes correlates with survival in patients with pancreatic cancer following tumor resection. Inflammatory monocyte prevalence in the blood and bone marrow of patients with pancreatic cancer and controls was compared. The immunosuppressive properties of inflammatory monocytes and macrophages in the blood and tumors, respectively, of patients with pancreatic cancer were assessed. CCL2 expression by human pancreatic cancer tumors was compared with normal pancreas. A novel CCR2 inhibitor (PF-04136309) was tested in an orthotopic model of murine pancreatic cancer.
Monocyte prevalence in the peripheral blood correlates inversely with survival, and low monocyte prevalence is an independent predictor of increased survival in patients with pancreatic cancer with resected tumors. Inflammatory monocytes are increased in the blood and decreased in the bone marrow of patients with pancreatic cancer compared with controls. An increased ratio of inflammatory monocytes in the blood versus the bone marrow is a novel predictor of decreased patient survival following tumor resection. Human pancreatic cancer produces CCL2, and immunosuppressive CCR2(+) macrophages infiltrate these tumors. Patients with tumors that exhibit high CCL2 expression/low CD8 T-cell infiltrate have significantly decreased survival. In mice, CCR2 blockade depletes inflammatory monocytes and macrophages from the primary tumor and premetastatic liver resulting in enhanced antitumor immunity, decreased tumor growth, and reduced metastasis.
Inflammatory monocyte recruitment is critical to pancreatic cancer progression, and targeting CCR2 may be an effective immunotherapeutic strategy in this disease.
Details
- Title: Subtitle
- Inflammatory monocyte mobilization decreases patient survival in pancreatic cancer: a role for targeting the CCL2/CCR2 axis
- Creators
- Dominic E Sanford - Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USABrian A BeltRoheena Z PanniAllese MayerAnjali D DeshpandeDanielle CarpenterJonathan B MitchemStacey M Plambeck-SuessLori A WorleyBrian D GoetzAndrea Wang-GillamTimothy J EberleinDavid G DenardoSimon Peter GoedegebuureDavid C Linehan
- Resource Type
- Journal article
- Publication Details
- Clinical cancer research, Vol.19(13), pp.3404-3415
- Publisher
- United States
- DOI
- 10.1158/1078-0432.CCR-13-0525
- PMID
- 23653148
- PMCID
- PMC3700620
- ISSN
- 1078-0432
- eISSN
- 1557-3265
- Grant note
- R01 CA168863 / NCI NIH HHS P30 CA091842 / NCI NIH HHS KL2 TR000450 / NCATS NIH HHS T32 CA009621 / NCI NIH HHS T32 CA 009621 / NCI NIH HHS UL1 TR000448 / NCATS NIH HHS
- Language
- English
- Date published
- 07/01/2013
- Academic Unit
- Epidemiology
- Record Identifier
- 9983996070502771
Metrics
11 Record Views