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Tumor Discovery                                                         Monocytes from single-cell analysis



            monocyte types after performing a single-cell RNA   From the bone marrow, the progenitors give rise to
            sequencing of ~2400 cells isolated from healthy blood   circulating monocytes and their progeny, such as F4/80
                                                                                                            low
            donors and enrichment for HLA DR  lineage cells .   macrophages and DCs. The generation of macrophages
                                         -
                                                        [29]
                                            +
            Among them, Mono1 and Mono2, as the two largest clusters,   from fetal liver is unclear; however, these macrophages
            contain the previously defined “classical” (CD14 CD16 )   may contribute to the evolution of Langerhans cells in
                                                         –
                                                   ++
            and “nonclassical” subtypes (CD14 CD16 ). Besides,   adults .
                                                                    [40]
                                                ++
                                           +
            these two subtypes also contain 88 of the 124 cells derived
            from the “intermediate” monocyte gate (CD14 CD16 ).   2.2.2. DCs
                                                  ++
                                                        +
            Mono3 and Mono4, as the two additional clusters, include   In mice, DCs and monocytes arise from a macrophage/
            40 of the 124 “intermediate” cells and express some of the   dendritic progenitor , which produces monocytes and a
                                                                               [42]
            Mono1  (classical  monocyte)  signature  genes  associated   common dendritic progenitor (CDP) that is restricted to
            with cell cycle, differentiation, and activation of NK and   the DC fate. The CDP produces plasmacytoid DCs (pDCs)
            T cells. The “intermediate” (CD14 CD16 ) monocytes   and conventional DCs (cDCs), the latter of which leaves the
                                               +
                                         ++
            are usually distributed across the four types of monocytes.   bone marrow and circulates in the blood before entering
                                                                                                       [43]
            However, it should be noted that more studies are needed   tissues and developing into different DC subsets . The
            to validate the existence and function of the two new   previously identified subset of Ly6C  monocytes expressed
                                                                                           +
            clusters. For this heterogenous intermediate state, scRNA-  DC-related genes that encode CD209a and MHC Class II
            seq helps uncover a part of potential mechanisms related   (MHCII), and granulocyte-macrophage CSF (GM-CSF)
                                                                                               +
            to the differentiation, that is, CCAAT-enhancer-binding   stimulates the differentiation of Ly6C  monocytes into
                                                                  [44]
            protein beta (C/EBPβ), that activates a survival factor of   DCs .
            monocyte and thus promotes the differentiation of Ly6C    2.2.3. Myeloid-derived suppressive cells (MDSCs)
                                                          +
                        −
            cells into Ly6C  cells .
                            [23]
                                                               The concept of MDSCs was first suggested by  Gabrilovichin
              Both classical and non-classical monocytes can exhibit   et al. in 2007 . This group of cells myeloid-lineage is
                                                                          [45]
            pro-tumoral or anti-tumoral functions in tumors. Of   characterized by CD14 CD33 HLA DR  expression
                                                                                         +
                                                                                    +
                                                                                              -
                                                                                                 –/lo
            note,  classical  monocytes  differentiate  into  pro-tumoral   (CD11b Gr-1 Ly6C Ly6G cells in mice) and their ability
                                                                     +
                                                                          +
                                                                               +
                                                                                    –
            TAMs [30,31] , inhibit function of T cells  and contribute   to suppress T cell function . In cancer patients, MDSCs
                                           [32]
                                                                                     [46]
            to angiogenesis , while monocytes can also be cytotoxic   are typically CD11b CD33 CD34 CD14 HLA DR  and
                        [22]
                                                                                +
                                                                                      +
                                                                                                 −
                                                                                           +
                                                                                                        −
                                                                                                     -
            to tumor cells  and facilitate antigen presentation . On   their expression of CD15 and other markers are different
                                                     [34]
                       [33]
            the other hand, non-classical monocytes mainly show   between subtypes [47-49] . Of note, a new subpopulation of
            anti-tumoral function, such as phagocytosis of tumor   MDSC, CD14 HLA DR −/low , identified in melanoma and
                                                                               -
                                                                          +
                                            [35]
            material, prevention of tumor metastasis,  and inhibition   hepatocarcinoma patients is emerging. This indicates that
            of Tregs . However, Tie-2 monocytes can also promote   different subtypes of MDSC in human tumors are similar
                  [36]
                                  +
            angiogenesis in several tumors [37,38] .           to those of tumors in mice [47,50] . MDSCs are immature
            2.2. Origins and fates of monocytes                and can be divided into monocytic (M-MDSC)  and
                                                               granulocytic (G-MDSC) cells . Monocytes may develop
                                                                                       [51]
            2.2.1. Macrophages                                 into M-MDSCs, but monocytes cannot be distinguished
            Macrophages develop from bone marrow stem cells,   from M-MDSCs through markers. Increased G-MDSCs
                                                                                                           [52]
            and then go through their cell cycle as granulocyte-  but not MMDSCs can be detected in many cancer types .
            monocyte progenitor cells, pro-monocytes, and mature   Inflammation promotes the accumulation of MDSCs
            monocytes . Ly6C monocytes that patrol in the      that down-regulates immune surveillance and antitumor
                             −
                     [39]
                                                                                                      [17]
            peripheral blood are responsible for detecting pathogens   immunity, thereby facilitating tumor growth . C-C
            and maintaining vascular integrity, while Ly6C  monocytes   chemokine receptor type  2 (CCR2) drives monocyte
                                                +
            are recruited to different tissues during infection or injury   polarization to MDSCs and M2-like macrophages,
            to mediate extravascular inflammatory responses. After   thereby facilitating tumor growth in patients with lung
                                                                            [53]
                                    +
            entering various tissues, Ly6C  inflammatory monocytes   adenocarcinoma .
            differentiate into macrophages [40,41] . Macrophages in adults   Understanding  the  origin  and  fate  of  monocytes  will
            derive from at least three origins, that is, yolk sac, fetal liver,   help in understanding the function of monocytes in
            and bone marrow. The progenitors in yolk sac populate   tumors. The monocytes circulating in peripheral blood are
            all tissues and form the F4/80 macrophage subtype in   developed from common monocyte progenitor (cMoP),
                                     hi
            diverse  tissues.  In  addition,  resident macrophages  are   a lineage-committed bone marrow progenitor . In both
                                                                                                    [54]
            mainly regulated by colony stimulating factor 1 (CSF-1).   mouse and human, cMoPs express stem cell marker
            Volume 1 Issue 1 (2022)                         4                         https://doi.org/10.36922/td.v1i1.4
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