reviewSignal Transduction and Targeted TherapyAug 24, 2025GOLD OA

Dual roles and therapeutic targeting of tumor-associated macrophages in tumor microenvironments

Ministry of Education of the People's Republic of China · Zhejiang Cancer Hospital · +3 more institutions

PubMed
Indexed incrossrefdoajpubmed

Abstract

Tumor-associated macrophages (TAMs), derived from circulating monocytes recruited to tumor sites via chemotactic signals such as C-C motif ligand 2 (CCL2) and colony-stimulating factor-1 (CSF-1), are pivotal components of the tumor microenvironment (TME). Functionally polarized into distinct subtypes, TAMs play dual roles: proinflammatory M1-type TAMs enhance antitumor immunity through the secretion of cytokines such as interleukin-12 (IL-12) and tumor necrosis factor alpha (TNF-α) and direct tumor cell cytotoxicity, whereas M2-type TAMs promote tumor progression by facilitating angiogenesis, metastasis, and immunosuppression. This polarization is dynamically regulated by different cytokines, various signaling…

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