Tumor progression is promoted by Tumor-Associated Macrophages (TAMs) and
metastasis-induced bone destruction by osteoclasts. Both myeloid cell types depend on the CD115-CSF-1 pathway for their differentiation and function. We used 3 different mouse
cancer models to study the effects of targeting
cancer host myeloid cells with a
monoclonal antibody (mAb) capable of blocking
CSF-1 binding to murine CD115. In mice bearing sub-cutaneous EL4
tumors, which are CD115-negative, the anti-CD115 mAb depleted F4/80(+) CD163(+) M2-type TAMs and reduced
tumor growth, resulting in prolonged survival. In the MMTV-PyMT mouse model, the spontaneous appearance of palpable mammary
tumors was delayed when the anti-CD115 mAb was administered before malignant transition and
tumors became palpable only after termination of the
immunotherapy. When administered to mice already bearing established PyMT
tumors, anti-CD115 treatment prolonged their survival and potentiated the effect of
chemotherapy with
Paclitaxel. As shown by immunohistochemistry, this
therapeutic effect correlated with the depletion of F4/80(+)CD163(+) M2-polarized TAMs. In a
breast cancer model of bone
metastasis, the anti-CD115 mAb potently blocked the differentiation of osteoclasts and their bone destruction activity. This resulted in the inhibition of
cancer-induced
weight loss. CD115 thus represents a promising target for
cancer immunotherapy, since a specific blocking antibody may not only inhibit the growth of a primary
tumor through TAM depletion, but also
metastasis-induced bone destruction through osteoclast inhibition.