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Intracellular Iron Chelation Modulates the Macrophage Iron Phenotype with Consequences on Tumor Progression

PLoS One. 2016 Nov 2;11(11):e0166164. doi: 10.1371/journal.pone.0166164. eCollection 2016.

Abstract

A growing body of evidence suggests that macrophage polarization dictates the expression of iron-regulated genes. Polarization towards iron sequestration depletes the microenvironment, whereby extracellular pathogen growth is limited and inflammation is fostered. In contrast, iron release contributes to cell proliferation, which is important for tissue regeneration. Moreover, macrophages constitute a major component of the infiltrates in most solid tumors. Considering the pivotal role of macrophages for iron homeostasis and their presence in association with poor clinical prognosis in tumors, we approached the possibility to target macrophages with intracellular iron chelators. Analyzing the expression of iron-regulated genes at mRNA and protein level in primary human macrophages, we found that the iron-release phenotype is a characteristic of polarized macrophages that, in turn, stimulate tumor cell growth and progression. The application of the intracellular iron chelator (TC3-S)2 shifted the macrophage phenotype from iron release towards sequestration, as determined by the iron-gene profile and atomic absorption spectroscopy (AAS). Moreover, whereas the addition of macrophage supernatants to tumor cells induced tumor growth and metastatic behavior, the supernatant of chelator-treated macrophages reversed this effect. Iron chelators demonstrated potent anti-neoplastic properties in a number of cancers, both in cell culture and in clinical trials. Our results suggest that iron chelation could affect not only cancer cells but also the tumor microenvironment by altering the iron-release phenotype of tumor-associated macrophages (TAMs). The study of iron chelators in conjunction with the effect of TAMs on tumor growth could lead to an improved understanding of the role of iron in cancer biology and to novel therapeutic avenues for iron chelation approaches.

MeSH terms

  • Cell Movement / drug effects
  • Cell Proliferation / drug effects
  • Cells, Cultured
  • Culture Media, Conditioned / pharmacology*
  • Gene Expression Regulation / drug effects
  • Homeostasis
  • Humans
  • Iron / metabolism*
  • Iron Chelating Agents / pharmacology*
  • MCF-7 Cells
  • Macrophages / cytology*
  • Macrophages / drug effects
  • Macrophages / metabolism
  • Phenotype
  • Spectrophotometry, Atomic
  • Tumor Microenvironment / drug effects

Substances

  • Culture Media, Conditioned
  • Iron Chelating Agents
  • Iron

Grants and funding

The study was supported by the Fritz Thyssen Stiftung (Az.10.12.2.156 to MJ), Goethe-University Frankfurt (Focus Line B to MJ), and the Doktor Robert Pfleger Stiftung (awarded to MJ). We thank the University of Arizona Office of Research and Development for financial support (New Faculty Start-Up Funds to ET) and University of Arizona Global Initiatives for travel funds to initiate collaborative research work. Additional funding came from Deutsche Krebshilfe (111578 to BB). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.