Introduction: M2-polarized tumor-associated macrophages (TAMs) and TIE2-expressing monocytes (TEMs) are associated with angiogenesis and have been identified as a potential prognostic marker in several solid tumors, including hepatobiliary malignancies. However, little is known regarding their influence on tumor progression and patient survival in pancreatic ductal adenocarcinoma (PDAC).

Results: Patients with tumors characterized by the presence of CD163 TAMs or TEMs in TCA or TIF, respectively, showed a significantly decreased 1-, 3- and 5-year overall and recurrence-free survival compared to patients without CD163 TAMs or TEMs (all < 0.05). Patients with TEMs in TCA showed a higher incidence of tumor recurrence ( < 0.05). Furthermore, the presence of CD163 TAMs was associated with a higher tumor MVD ( < 0.05).

Conclusions: Presence of M2-polarized TAMs and TEMs is associated with a decreased overall and recurrence-free survival of patients with PDAC.

Materials And Methods: The localization and density of CD163 M2-polarized TAMs and TEMs were quantified in the tumor central area (TCA) and tumor-infiltrating front (TIF) in human PDAC tissue ( = 106) and correlated to clinicopathological characteristics, tumor recurrence rates and patient survival. In parallel, tumor microvascular density (MVD) and the density of angiopoietin-positive tumor cells were quantified. Statistical analysis was performed using SPSS software.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049857PMC
http://dx.doi.org/10.18632/oncotarget.25690DOI Listing

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