Macrophages in breast cancer: do involution macrophages account for the poor prognosis of pregnancy-associated breast cancer?

J Mammary Gland Biol Neoplasia. 2009 Jun;14(2):145-57. doi: 10.1007/s10911-009-9118-8. Epub 2009 Apr 8.

Abstract

Macrophage influx is associated with negative outcomes for women with breast cancer and has been demonstrated to be required for metastasis of mammary tumors in mouse models. Pregnancy-associated breast cancer is characterized by particularly poor outcomes, however the reasons remain obscure. Recently, post-pregnancy mammary involution has been characterized as having a wound healing signature. We have proposed the involution-hypothesis, which states that the wound healing microenvironment of the involuting gland is tumor promotional. Macrophage influx is one of the prominent features of the involuting gland, identifying the macrophage a potential instigator of tumor progression and a novel target for breast cancer treatment and prevention.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Adult
  • Animals
  • Breast Neoplasms / genetics
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology*
  • Extracellular Matrix Proteins / physiology
  • Female
  • Gene Expression Profiling
  • Humans
  • Lactation / genetics
  • Lactation / physiology*
  • Macrophages / classification
  • Macrophages / physiology*
  • Mammary Neoplasms, Experimental / genetics
  • Mammary Neoplasms, Experimental / pathology
  • Matrix Metalloproteinases / physiology
  • Mice
  • Mice, Inbred C57BL
  • Neoplasm Metastasis
  • Neoplasm Proteins / physiology
  • Neovascularization, Pathologic / physiopathology
  • Pregnancy
  • Pregnancy Complications, Neoplastic / genetics
  • Pregnancy Complications, Neoplastic / mortality
  • Pregnancy Complications, Neoplastic / pathology*
  • Prognosis
  • Puerperal Disorders / genetics
  • Puerperal Disorders / mortality
  • Puerperal Disorders / pathology*
  • Sexual Maturation
  • Wound Healing / genetics

Substances

  • Extracellular Matrix Proteins
  • Neoplasm Proteins
  • Matrix Metalloproteinases