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Tumor Discovery                                                         Monocytes from single-cell analysis



            and other monocytes-derived cells, thereby providing new   whether M-MDSCs represent a terminally differentiated
            clues for developing strategies for cancer immunotherapy.  cell type rather than a cell state induced by cancer and other
                                                               pathologies requires further exploration. Monocytes and
            3. Function of monocytes in tumors                 monocyte-derived cells interact with adaptive immunity

            3.1. Recruitment to tumors and direct tumoricidal   by regulating the recruitment and function of lymphocytes
            function                                           within the TME through paracrine signaling, as well as by
                                                               serving as antigen-presenting cells (APCs) .
                                                                                                [77]
            C-C motif chemokine ligand 2 (CCL2) has been reported
            to be a crucial mediator of monocyte recruitment during   3.2.2. Antigen-presenting function
            tumorigenesis and metastasis in some cancer models,   MPS-lineage cells, including monocytes, TAMs, and DCs,
            including colorectal cancer (CRC) , breast cancer , and   are thought to have the potential for antigen presentation
                                                    [30]
                                       [69]
            prostate cancer . CCL2 is also reportedly the main driver of   due to their phagocytic capacity. While monocytes cannot
                       [70]
            classical monocyte recruitment in the mouse model of bone   function as APCs they may at least act as precursors of
            metastasis of breast cancer. Instead of resident macrophages,   TAMs and DCs in normal and dysfunctional tissues. Past
            the recruited monocytes have been found to facilitate tumor   studies have revealed their antigen presentation function
            growth . Despite the  great competence  of migration   during homeostasis and infection, while the role of tumor-
                 [71]
            displayed by the bone marrow monocytes, the spleen has its   derived antigen presentation remains unclear .
                                                                                                   [77]
            own group of monocytes. The spleen has also been recently
            identified as a reservoir of monocytes. The removal of the   Besides direct tumoricidal function, monocyte-derived
            spleen, either before or after tumor initiation, significantly   DCs  (moDCs)  can  also  serve  as  APCs  in  the  tumor
            reduced TAM  responses and  delayed  tumor growth,   context. In a recent study, anthracyclin chemotherapy
                                                                                       hi
                                                                            +
                                                                                  +
            indicating that the spleen was able to maintain its reservoir   induced CD11c CD11b Ly6C  cells at the tumor site
                                                                                                           [78]
            capacity throughout the course of tumor progression .   by an ATP-  and CCR2/CCL2-dependent mechanism .
                                                        [72]
            Monocytes can kill tumor cells through cytokine-mediated   Monocytes transferred into mice depleted of CD11c  cells
                                                                                                         +
            cell death or phagocytosis. IFN-stimulated cells can produce   were sufficient to rescue CD8  T cell priming in the lymph
                                                                                      +
                                                                                        [79]
            TNF-related apoptosis-inducing ligand (TRAIL), which   node and delayed tumor growth . Similarly, a population
                                                                     hi
            results in the apoptosis of some sensitive tumor cells, while   of F4/80  monocyte-derived cells (with Mϕ phenotype but
            other tumor cells can secrete more CCL2 and IL-8, thereby   functional DC features) can efficiently cross-present tumor
                                                                                    [34]
                                                                             +
            promoting tumor development instead . Monocytes are also   antigens to CD8  T cells . The underlying association
                                         [53]
            capable of antibody-dependent cytolysis and phagocytosis.   between monocytes and T lymphocytes could be an
            For instance, such function of CD16  monocytes is induced   interesting research direction. Whether these interactions
                                        +
            by the TNF-α signaling pathway and direct contact with   exist in the vasculature of tumors or even in the peripheral
            tumor cells .                                      circulation requires further exploration.
                    [73]
            3.2. Interactions with lymphocytes                 3.3. Interactions with other components in TME
            3.2.1. Recruitment of lymphocyte                   3.3.1. Angiogenesis
            As forementioned, MDSCs can suppress the activation of   Since the blood vessel delivers oxygen and nutrition to
            CD4  and CD8  T cells. Here, we would like to summarize   the neoplasm, angiogenesis is a necessary step for tumor
                +
                        +
            several main mechanisms associated with its suppressive   progression.  Pro-angiogenic  monocytes  and  TAMs  are
            role. On the one hand, the uptake of arginine and high   reported to regulate  different processes of  angiogenesis
            intracellular levels of arginase lead to depletion of arginase,   in gliomas, which are characterized by extensive neo-
                                                                         [80]
            which  is  a  crucial  amino  acid  for  T  cell  activation [74,75] .   angiogenesis . The formation of new vasculature requires
            On the other hand, MDSCs also suppress the activation   hypoxia-inducible factor (HIF)-mediated release  of
            of CD4  and CD8  T cells by downregulating the T cell   chemokines and growth factors. In renal cell carcinoma
                           +
                  +
            receptor-associated ζ-chain; this phenomenon is observed   patients, peripheral blood CD14  monocytes produce
                                                                                           +
            in most cancer patients  and is caused by inflammation .   vascular endothelial growth factor (VEGF) and facilitate
                                                        [76]
                              [76]
            Both antigen recognition and signal transduction are   angiogenesis through the NF-κB and IL-1-IL-1R axis .
                                                                                                           [81]
                                                                    +
            crucial initial steps of antigen-specific immune responses.   CD16  monocytes (or their progeny) release VEGF, and
            Without the  ζ-chain, T cells are unable to transmit the   then generates a positive feedback loop that recruits more
            required signals for activation.                   pro-angiogenic monocyte-derived cells.
              However, the states of MDSC are not clearly identified   In mouse models, a circulating monocyte subset
            and many superficial markers and functions overlapped, thus   expressing angiopoietin  receptor  TIE2  shows  a pro-
            Volume 1 Issue 1 (2022)                         6                         https://doi.org/10.36922/td.v1i1.4
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