PMID- 27141354 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210112 IS - 2162-4011 (Print) IS - 2162-402X (Electronic) IS - 2162-4011 (Linking) VI - 5 IP - 3 DP - 2016 Mar TI - Small cell lung cancer: Recruitment of macrophages by circulating tumor cells. PG - e1093277 LID - e1093277 AB - Tumor-associated macrophages (TAMs) play an important role in tumor progression, suppression of antitumor immunity and dissemination. Blood monocytes infiltrate the tumor region and are primed by local microenvironmental conditions to promote tumor growth and invasion. Although many of the interacting cytokines and factors are known for the tumor-macrophage interactions, the putative contribution of circulating tumor cells (CTCs) is not known so far. These specialized cells are characterized by increased mobility, ability to degrade the extracellular matrix (ECM) and to enter the blood stream and generate secondary lesions which is a leading cause of death for the majority of tumor patients. The first establishment of two permanent CTC lines, namely BHGc7 and 10, from blood samples of advanced stage small cell lung cancer (SCLC) patients allowed us to investigate the CTC-immune cell interaction. Cocultures of peripheral blood mononuclear cells (PBMNCs) with CTCs or addition of CTC-conditioned medium (CTC-CM) in vitro resulted in monocyte-macrophage differentiation and appearance of CD14(+), CD163(weak) and CD68(+) macrophages expressing markers of TAMs. Furthermore, we screened the supernatants of CTC-primed macrophages for presence of approximately 100 cytokines and compared the expression with those induced by the local metastatic SCLC26A cell line. Macrophages recruited by SCLC26A-CM showed expression of osteopontin (OPN), monocyte chemoattractant protein-1 (MCP-1), IL-8, chitinase3-like 1 (CHI3L1), platelet factor (Pf4), IL-1ra and matrix metalloproteinase-9 (MMP-9) among other minor cytokines/chemokines. In contrast, BHGc7-CM induced marked overexpression of complement factor D (CFD)/adipsin and vitamin D-BP (VDBP), as well as increased secretion of OPN, lipocalin-2 (LCN2), CHI3L1, uPAR, MIP-1 and GDF-15/MIC-1. BHGc10, derived independently from relapsed SCLC, revealed an almost identical pattern with added expression of ENA-78/CXCL5. CMs of the non-tumor HEK293 cell line revealed no induction of macrophages, whereas incubation of PBMNCs with recombinant CHI3L1 gave positive results. Thus, the specific contributions of CTCs in SCLC affect CFD/adipsin, possibly involved in immunity/cachexia, VDBP which gives rise to group-specific component protein-derived macrophage-activating factor (GcMAF), GDF-15/MIC-1 which enhances the malignant phenotype of tumor cells and ENA-78/CXCL5 which attracts angiogenic neutrophils. In conclusion, CTCs are competent to specifically manipulate TAMs to increase invasiveness, angiogenesis, immunosuppression and possibly lipid catabolism. FAU - Hamilton, Gerhard AU - Hamilton G AD - Department of Surgery, Medical University Vienna , Vienna, Austria. FAU - Rath, Barbara AU - Rath B AD - Ludwig Boltzmann Cluster of Translational Oncology , Vienna, Austria. FAU - Klameth, Lukas AU - Klameth L AD - Ludwig Boltzmann Cluster of Translational Oncology , Vienna, Austria. FAU - Hochmair, Maximilan J AU - Hochmair MJ AD - Respiratory Oncology Unit, Otto Wagner Hospital , Vienna, Austria. LA - eng PT - Journal Article DEP - 20151029 PL - United States TA - Oncoimmunology JT - Oncoimmunology JID - 101570526 PMC - PMC4839345 OTO - NOTNLM OT - Cachexia OT - circulating tumor cells OT - cytokines OT - small cell lung cancer OT - tumor-associated macrophages EDAT- 2016/05/04 06:00 MHDA- 2016/05/04 06:01 PMCR- 2016/10/29 CRDT- 2016/05/04 06:00 PHST- 2015/05/20 00:00 [received] PHST- 2015/08/25 00:00 [revised] PHST- 2015/09/04 00:00 [accepted] PHST- 2016/05/04 06:00 [entrez] PHST- 2016/05/04 06:00 [pubmed] PHST- 2016/05/04 06:01 [medline] PHST- 2016/10/29 00:00 [pmc-release] AID - 1093277 [pii] AID - 10.1080/2162402X.2015.1093277 [doi] PST - epublish SO - Oncoimmunology. 2015 Oct 29;5(3):e1093277. doi: 10.1080/2162402X.2015.1093277. eCollection 2016 Mar.