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Table 1 Nanomaterials developed for termination of macrophage recruitment, TAMs depletion, and TAMs repolarization

From: Tumor-associated macrophages in cancer: recent advancements in cancer nanoimmunotherapies

Cancers/cell lines

Strategy

Active target

Nanomaterial type

Drug

Diameter (nm)

Zeta Potential (mV)

Combination partner(s)

Outcome

Ref.

Breast cancer cell line (4 T1)

Termination of macrophage recruitment

CCR2

Cationic nanoparticle (CNP)

CNP-siCCR2

120.9 ± 12.2–128.3 ± 18.1

2.7–25.2

–

Blocking CCL2-CCR2 axis inhibited tumor growth and metastasis

[127]

Melanoma cell line (B16F10)

KLAK-MCP-1 micelles

KLAKLAK peptides

11.9 ± 2.3

7.2 ± 1.1

–

Inhibited the tumor growth via inhibiting the infiltration of TAMs and increasing the number of cytotoxic T-lymphocyte

[128]

Pancreatic ductal adenocarcinoma (THP1)

Copper nanoparticles Cu@CuO

Gemcitabine

4.9 ± 0.3

−4.8 ± 2.4

–

Induced tumor necrosis, and ultimately suppressed the tumor growth and prolong the survival in PDAC tumors

[129]

Colon cancer (SL4)

CX3CL1

7C1 nanoparticles

DC101/ anti-Ly6G antibody

–

–

7C1-Axo-siCX3CL1

Reduced the expression of CX3CL1 and prevent the recruitment of macrophages in the tumor region

[130]

Breast cancer cell line (4 T1)/ Colon cancer (CT26)/Melanoma (B16)

TAM depletion

CSF-1R

Sensitive cluster nanoparticles (BLZ-945SCNs/Pt)

BLZ-945

–

–

Platinum (Pt)-

Depleted TAMs, inhibited tumor growth and metastasis by increasing the infiltration of CD8+ cytotoxic T-cells

[131]

Melanoma cell line (B16)

M2NPs

CSF-1R siRNA

–

–

M2 macrophage binding peptide

Depleted M2-like TAMs which restored the function of T-cells and inhibit the tumor growth

[132]

Breast cancer cell line (4 T1)

Dextran-grafted-copolymer (DH@ECm)

BLZ945

~ 190

− 20.3

–

Depleted TAMs which reverse the TME with increased infiltration of CD8+ cells and inhibit the tumor growth

[133]

Bone marrow derived macrophages (BMDMs)

–

CA4 nanoparticles (A15-BLZ-NP)

163.4

−20.3

 

Activated anti-tumor immune response which results in improved inhibition of tumor growth

[134]

Breast cancer cell lines (4 T1, CT26, 3 T3, and RAW264.7)

Hypoxia

Calcium bisphosphonate derived nanoparticles (CaBP-PEG-NP)

–

50

−0.5

–

Deplete TAMs, normalize vascular system, reduce angiogenesis, which leads to reduction in hypoxia and inhibition of tumor growth

[135]

Sarcoma cell line (S180)

–

Lipid-coated calcium zoledronate nanoparticles (CaZol@pMNP)

–

85

Neutral

–

TAMs depletion, reduce angiogenesis and inhibit immune suppression to inhibit tumor growth

[136]

Breast cancer cell line (4 T1)

–

Mannosylated mixed micelles (DAS-MMic)

Dasatinib

21.55 ± 0.85

–

TAMs depletion, decreased angiogenesis, remodel immunosuppressive TME and inhibit tumor growth

[137]

Melanoma cell line (B16F10)

MMP-2

Phosphatidylserine nanoparticles (PS-NP)

130–230

Negative

–

TAMs depletion

[138]

Murine breast cancer cell line 4 T1

PEG liposomes (PEG-FA-Lip)

Doxorubicin

138.5 ± 6.8

−9.3 ± 0.8

–

Decreased infiltration of Treg cells to tumor sites, deplete the M2-like TAMs

[139]

Melanoma cell line (B16F10)

Hyaluronic acid-gold

Nanorods (HA-AuNR/M2pep-NP)

–

42.93–64.6

–

Photothermal therapy

Eliminated M2-like TAMs, induce ICD to efficiently suppresses the tumor growth and prolongs the survival

[140]

Breast cancer cell line (4 T1)

IL-10/TGF-β/VEGF

Zoledronic acid nanorods (ZGd-NRs)

Zoledronic acid,

100–200

15.43

Radiotherapy

Improved dendritic cell maturation, promoted CD8+ T cell infiltration, and boosted the immune responses

[141]

Lung cancer (SCLC, KP1)

Repolarization of M2 to M1

–

Iron oxide nanoparticles (Ferumoxytol)

–

15–40

–

–

Prevented development of liver metastasis polarize M2-type to M1-type macrophages,

[27]

Melanoma cell lines(B16-F10)

 

Membrane-coated Fe3O4 nanoparticle (MNP@MDSC)

–

85–100

−18 − − 13

Photothermal therapy

Reprograming M2-like to M1-like macrophages, reduced tumor’s metabolic activity and induce immunologic cell death

[142]

Colorectal cancer cell line (CT26)/ Breast cancer cell line (4 T1)

 

Iron-chelated melanin-like nanoparticles Fe@PDA-PEG)

~ 150

–

–

Recruitment of M1 macrophages and attracting T-helper cells and effector cells to the tumor site to inhibit the tumor growth

[143]

Colorectal cancer cell line (MC38)

 

TLRs

Cyclodextrin nanoparticles (CDNP)

R848

30

0.90 ± 1.90

anti-PD-1

Shifted toward M1 phenotype and inhibit tumor growth and potentiate the efficacy of anti-tumor immune response of anti-PD-1

[144]

 

39 ± 1.8

6.61 ± 1.03

–

Reprogramming of TAMs towards anti-tumor M1 phenotype

[145]

Breast cancer cell line (4 T1)

 

CpG- oligodeoxynucleotides ferritin Nano-cages (CpG-ODNs)

–

20.24 ± 0.29

− 11.77 ± 0.40

–

Repolarized TAMs to the M1-like in vitro and in vivo, and reduced tumor development in 4 T1 tumor-bearing animal model

[146]

Murine Melanoma B16 OVA

 

PLGA nanoparticles (PNP@R@M-T-NP)

R848

188

−9.7

–

Repolarize M2 to M1-type, reduce tumor size and prolong animal survival

[28]

LLC Ova cell line

 

Nanobodies

Imidazoquinoline

–

–

anti-PD1

Reduced the tumor growth and increased anti-tumor T-cell response by repolarizing TAMs towards pro-inflammatory phenotype

[147]

Breast cancer cell line (4 T1)

 

IRF5 and NF-κB signaling

Polymer magnetic nanocarrier (PLGA-ION-R837@M)

R837

166.2 ± 1.8

−19.1 ± 0.1.

–

enhanced TAMs repolarization which relieve immunosuppressive TME to activate the anti-tumor immune response

[148]

lymphoma cell lines (Raji) epidermoid carcinoma cell line (A-431) and breast cancer cell line (SKBR3)

 

Phagocytosis

Liposome (R848-LPs)

R848

141.9 ± 57.7

−23.9 ± 6.0

Rituximab/ Trastuzumab/ anti-EGFR mouse monoclonal antibody

Reprogram TAMs to M1-type macrophages

[149]

Breast cancer cell line (4 T1)

 

CD47-SIRPα

Exosome nano bioconjugates

aCD47 & aSIRPα

20

–

–

Repolarize pro-tumor M2 to anti-tumor M1 macrophages, block SIRPα & CD47, improve phagocytosis

[150]

Breast cancer cell line (4 T1)

 

Cell membrane-coated magnetic nanoparticles (gCM-MNs)

–

100

−19

–

Repolarization of M2-type to M1-type macrophages

[151]

Melanoma cell line (B16F10)

 

Calcium carbonate nanoparticles (CaCO3)

CD47 antibody

100

–

–

Activation of M1-type macrophages, inhibit local tumor recurrence and metastasis post-surgery

[152]

Breast cancer cell line (4 T1)

 

NF-κβ signaling pathway

Hyaluronic acid- superparamagnetic iron oxide nanoparticles (HIONs)

–

–

–

–

Reprogram M2-TAMs to antitumor M1

[153]

Breast cancer cell line (MDA-MB-231)

 

PI3K signaling pathway

Porous hollow iron oxide nanoparticles (PHNPs@DPA-S-S-BSA-MA@3MA)

3-methyladenine

20

−14.8 − 19.7

–

Repolarization of M2-type to M1-type macrophages and activate the immune cell population of CD8+ and CD4+ T-cells, B-cell, NK cells and Treg cells

[154]

Cervical cancer cell line (Hela) Lung carcinoma (LLC)

 

Lactate oxidase and glycolysis pathway

Hollow MnO2

lactate oxidase and glycolysis inhibitor

3.4

−20

Anti-PD-L1

Reduced lactic acid production and reduced population of M2-type macrophages

[155]

Hepato cellular carcinoma (JHH-7/HCA-1)

 

Angiogenesis

Nanocarrier (NanoMnSor)

Sorafenib

136.2 ± 1.0

−30

Anti-PD-1 antibody

Macrophage towards immunostimulatory M1 macrophages and increases the CD8+ cytotoxic T-cells in tumors

[156]

Melanoma (B16F10)

 

NF-κβ signaling pathway

Copper sulfide nanoparticles (CuS-NP)

–

17

–

–

Direct BMDM polarization towards anti-tumor M1-phenotype, remodels TME, prolong median survival

[157]

Hepatocellular carcinoma cell line (Hepa1–6 cells)

Repolarization of M2 to M1

–

Lipid nanoparticles (M1/SLNPs)

Sorafenib

–

–

–

Increased ratio of M1-type macrophages as compared to M2-type and inhibit the tumor growth

[158]

Hepatocellular carcinoma cells (HepG2)

NKG2D activation

Selenium nanoparticles (SeNPs)

Cytokine-induced killer cell immunotherapy

102 ± 9.6

153.4

–

Promoting M2 to anti-tumor M1 macrophages and increase the infiltration of natural killer cells to tumors

[159]

Renal cell carcinoma cell line (OS-RC-2)

STAT3/hypoxia inducible factor-1 (HIF-1α)

Lipid nanoparticles formulations (LNPs)

siRNA STAT3/ HIF-1 α

90–100

0.21 ± 0.63

–

Increased infiltration of Mφ (CD11b + cells) into the TME and increased level of M1-type macrophages,

[160]

Breast cancer cell line (PyMT-Bo1, MFI 17)/ melanoma (MDA.MB.435, MFI 27) and endothelial (HUVEC, MFI 42) cell lines

MYC pathway

Perfluorocarbon nanoparticles

MI3-PD

262

−20

αvβ3 antagonist

Decreased M2 macrophages in the TME without sparing M1-type

[161]

Breast cancer cell line (4 T1)/Melanoma cell lines (B16/F10)

CSF-1R and Src homology-region 2 (SHP-2)

Supramolecular nanoparticles

BLZ-945

143 ± 34

7.9

SHP099/ DNT206

Reprogramming of M2-type macrophages to anti-tumor M1-type

[162]

Breast cancer cell line (4 T1)

CSF-1R and MAPK pathways

190.1 ± 27

−17.1 ± 7.3

Selumetinib

Repolarize M2 macrophages to an anti-tumorigenic M1 phenotype

[163]

Hepatocellular carcinoma (Hepa1–6)/Pancreatic cancer (KPC)

CCL2/5 signaling pathways

BisCCL2/5i mRNA

100–120

–

PD-L1

TAMs polarization towards the anti-tumoral M1 phenotype and long-term survival

[164]

Breast cancer cell line (4 T1)

Macrophage Inflammatory Protein 3 Beta (MIP-3β)

Nanoparticles (3-trimethylammonium-propane (DOTAP), Methoxy poly (ethylene glycol)-poly(lactide) (MPEG-PLA), and folic acid modified poly (ethylene glycol)-poly(ε-caprolactone)

–

90

−2.1

–

Polarization of macrophages towards M1 polarization, inhibit the tumor growth and metastasis

[165]

Melanoma cell lines(B16/F10)

Repolarization of M2 to M1

–

ZnO and gold nanoparticles (AuNP@mSiO2@Dox-ZnO)

Doxorubicin

27–72

–

Photothermal treatment

Toxicity to cancer cells and contribute in immunogenic cell death, prevent tumor growth and metastasis

[166]

- (RAW 264.7 cells)

–

Gold nanoparticles encapsulated CaCO3 (Au@CaCO3-NP)

–

32

–

–

Direct repolarization of M2 macrophages towards M1-type

[167]

Osteosarcoma (MG63)/Colorectal carcinoma (HCT116)/Breast cancer (MCF7) cell lines

–

Hyaluronic acid-dexamethasone micelles (HA-DEX-DOX)

Dexmethasone & Doxorubicin

~ 252

−23 − − 26

–

M2-macrophages towards pro-inflammatory M1-type phenotype, encourage Dox-mediated apoptosis

[168]

Melanoma cell line (B16)

–

PLGA nanoparticles

Baicalin

97.2–123.6

−43.1 ± 0.4/ -17.8 ± 0.3

Hgp

Transformation of M2-like TAMs to M1-like, suppress tumor angiogenesis, inhibited metastasis, stimulate NK cell infiltration

[169]

Colorectal cancer (CT26-FL3), Pancreatic (PDAC) and breast cancer (4 T1) cell lines

–

Lipid calcium phosphate nanoparticles (LCP)

–

189.5

−6.82

PD-L1

Inhibited the metastasis and shifted the immunosuppressive TME towards immunostimulatory stage with better cytotoxic T-cell infiltration, which results in prolong animal survival

[170]

Breast cancer cell line (4 T1)

–

Polymer nanoparticles (P-NPs)

–

45

−25

Photodynamic Therapy

Shifts macrophages towards anti-tumorous phenotype, reverse TME and inhibit the tumor growth

[171]

Breast cancer cell line (4 T1) or human pulmonary carcinoma cell line (A549)

NF-κB and IRF5 pathways

Gadofullerene nanoparticles (Gd@C82)

–

~ 55

−37.7 ± − 0.3

PD-L1

Reprogram M2 to M1, induce infiltration of cytotoxic T-lymphocytes and inhibit the tumor growth, promotes efficacy of PD-L1

[172]

Desmoplastic Melanoma (BPD6).

 

Liposomes

Hydralazine Doxorubicin

88 ± 4

−1.8

–

Repolarize the TAMs by normalizing tumor blood vessels, effectively inhibit melanoma growth

[173]

Melanoma cell line (A375)

Mitochondrial-mediated apoptosis pathway

Tellurium Nano stars (GTE-RGD)

–

170

19.9 to + 19.6

PD-1 & Radiotherapy

Increase M1 macrophages, potentiated radiotherapy, eradicate tumor, enhance cytotoxic T-lymphocytes

[174]

Breast cancer (MCF-7) Renal cell carcinoma (A498)/Lung adenocarcinoma cell line (A549)

NF-κB and STAT3 pathways

TCCP-loaded mPEG-PLGA polymeric nanoparticles

–

80 ± 1.5

−11.8 ± − 0.8

Photodynamic Therapy

Enhance polarization to M1 macrophages, induced immunogenic cell death, increase anti-tumor immunity of NK cells

[175]