Targeting human M2 macrophages with antibodies in optimized 3D tumor spheroids

Tumor microenvironment (TME) constituents, including tumor-associated macrophages (TAMs), are now well known to have a significant impact on tumor development. TAMs can be predominant cells in the TME, able to promote cancer cell proliferation, resistance to treatments and immunosuppression. Inactivating these TAMs in tumors by their depletion or their repolarization into a specific anti-tumor, inflammatory phenotype constitutes a significant challenge in immuno-oncology. Several tools and methods to target TAMs have been proposed but they often show low specificity for pro-tumoral macrophages and target myeloid cells too broadly. This research area is therefore in full expansion and warrants the development of appropriate study models. Given the current global effort to reduce the use of in vivo approaches, developing in vitro models that mimic the behavior of TAMs in the TME has become a priority. In this study, we focused on targeting pro-tumoral TAMs in a simple in vitro model recapitulating cancer cell proliferation and TAMs specific phenotype. We developed a 3D model consisting of cancer cells and pro-tumoral macrophages, in which these macrophages promote tumor cell proliferation, maintaining an immunosuppressive phenotype. We showed that, in this model, macrophages can be easily targeted and killed with specific antibodies even in the central regions of the spheroid. This model could be a first in vitro approach to screen new TAM depletion or depolarization tools before application in in vivo models.