How Cancers Corrupt Macrophages
Tumor-associated macrophages (TAMs) are recruited by chemokines like CSF-1 and transformed into the M2 phenotype. Rather than consuming malignant cells, M2 macrophages produce TGF-β and VEGF, building physical collagen matrices, sprouting new blood supply, and actively suppressing cytotoxic T cells.
Traditional chemotherapy and immune checkpoint inhibitors (anti-PD-1) often fail in cold tumors because this M2 cellular armor prevents lymphocytes from penetrating the stroma.