TY - JOUR A1 - Strack, Elisabeth A1 - Rolfe, P. Alexander A1 - Fink, Annika A1 - Bankov, Katrin A1 - Schmid, Tobias A1 - Solbach, Christine A1 - Savai, Rajkumar A1 - Sha, Weixiao A1 - Pradel, Leon A1 - Hartmann, Sylvia A1 - Brüne, Bernhard A1 - Weigert, Andreas T1 - Identification of tumor-associated macrophage subsets that are associated with breast cancer prognosis T2 - Clinical and translational medicine N2 - Background: Breast cancer is the leading cause of cancer-related deaths in women, demanding new treatment options. With the advent of immune checkpoint blockade, immunotherapy emerged as a treatment option. In addition to lymphocytes, tumor-associated macrophages exert a significant, albeit controversial, impact on tumor development. Pro-inflammatory macrophages are thought to hinder, whereas anti-inflammatory macrophages promote tumor growth. However, molecular markers to identify prognostic macrophage populations remain elusive. Methods: We isolated two macrophage subsets, from 48 primary human breast tumors, distinguished by the expression of CD206. Their transcriptomes were analyzed via RNA-Seq, and potential prognostic macrophage markers were validated by PhenOptics in tissue microarrays of patients with invasive breast cancer. Results: Normal human breast tissue contained mainly CD206+ macrophages, while increased relative amounts of CD206− macrophages were observed in tumors. The presence of CD206+ macrophages correlated with a pronounced lymphocyte infiltrate and subsets of CD206+ macrophages, expressing SERPINH1 and collagen 1, or MORC4, were unexpectedly associated with improved survival of breast cancer patients. In contrast, MHCIIhi CD206− macrophages were linked with a poor survival prognosis. Conclusion: Our data highlight the heterogeneity of tumor-infiltrating macrophages and suggest the use of multiple phenotypic markers to predict the impact of macrophage subpopulations on cancer prognosis. We identified novel macrophage markers that correlate with the survival of patients with invasive mammary carcinoma. KW - breast cancer KW - flow cytometry KW - macrophage KW - transcriptome KW - tumor microenvironment Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63948 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-639488 SN - 2001-1326 N1 - This work was supported by Deutsche Krebshilfe (70114051), Deutsche Forschungsgemeinschaft (FOR 2438, TP8; SFB 1039, TP B04 and B06, GRK 2336, TP1 and 6), Wilhelm-Sander Foundation (2019.082.01), the LOEWE Center Frankfurt Cancer Institute (FCI) funded by the Hessen State Ministry for Higher Education, Research and the Arts (III L 5 - 519/03/03.001 - [0015]), and the German Cancer Consortium (DKTK). VL - 10 IS - 8, art. e239 SP - 1 EP - 17 PB - Wiley CY - Hoboken, NJ ER -