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Title: Anti-metastatic effects of AGS-30 on breast cancer through the inhibition of M2-like macrophage polarization
Authors: Li, J 
Liu, Z
Wu, X
Lee, SMY 
Seto, SW 
Zhang, J
Zhou, GC
Leung, GPH
Issue Date: Mar-2024
Source: Biomedicine and pharmacotherapy, Mar. 2024, v. 172, 116269
Abstract: AGS-30, a new andrographolide derivative, showed significant anticancer and anti-angiogenic characteristics. However, its role in controlling macrophage polarization and tumor immune response is unknown. Thus, the main goals of this study are to investigate how AGS-30 regulates macrophage polarization and how it suppresses breast cancer metastasis. AGS-30 inhibited IL-4 and IL-13-induced RAW 264.7 and THP-1 macrophages into M2-like phenotype. However, AGS-30 did not affect the LPS and IFN-γ-induced polarization of M1-like macrophages. AGS-30 reduced the mRNA expressions of CD206, Arg-1, Fizz-1, Ym-1, VEGF, IL-10, MMP2, and MMP9 in M2-like macrophages in a concentration-dependent manner. In contrast, andrographolide treatment at 5 μM did not affect M1-like and M2-like macrophage polarization. The conditioned medium from M2-like macrophages increased 4T1 breast cancer cell migration and invasion, whereas AGS-30 inhibited these effects. In the 4T1 breast tumor xenograft mice, the tumor volume and weight were reduced without affecting body weight after receiving AGS-30. AGS-30 treatment also reduced lung and liver metastasis, with reduced STAT6, CD31, VEGF, and Ki67 protein expressions. Moreover, the tumors had considerably fewer M2-like macrophages and Arg-1 expression, but the proportion of M1-like macrophages and iNOS expression increased after AGS-30 treatment. Same results were found in the tail vein metastasis model. In conclusion, this study shows that AGS-30 inhibits breast cancer growth and metastasis, probably through inhibiting M2-like macrophage polarization. Our findings suggest that AGS-30 may be a potential immunotherapeutic alternative for metastatic breast cancer.
Graphical abstract: [Figure not available: see fulltext.]
Keywords: Andrographolide derivative
Breast cancer
Cancer metastasis
Macrophage polarization
Publisher: Elsevier Masson
Journal: Biomedicine and pharmacotherapy 
EISSN: 0753-3322
DOI: 10.1016/j.biopha.2024.116269
Rights: © 2024 The Author(s). Published by Elsevier Masson SAS. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
The following publication Li, J., Liu, Z., Wu, X., Lee, S. M.-Y., Seto, S.-W., Zhang, J., Zhou, G.-C., & Leung, G. P.-H. (2024). Anti-metastatic effects of AGS-30 on breast cancer through the inhibition of M2-like macrophage polarization. Biomedicine & Pharmacotherapy, 172, 116269 is available at https://doi.org/10.1016/j.biopha.2024.116269.
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