Review Article

Neutrophils in Cancer: Two Sides of the Same Coin

Figure 1

Mechanisms of neutrophil recruitment to tumors. Tumor cells produce many chemokines, such as CXCL1 (KC), CXCL2 (MIP-2), CXCL5 (ENA-78), CXCL6 (GCP-2), CXCL8 (IL-8), and MIF, which are chemoattractants for neutrophils. These cells then migrate out of the blood circulation into the tumor. Tumor-associated neutrophils can also produce CCL17, an important chemoattractant for regulatory T cells (Treg). These inhibitory Treg in turn produce more IL-8, the most potent chemoattractant for neutrophils, creating a positive loop for more neutrophil infiltration into the growing tumor. Blue arrows denote molecules secreted by cells. Green arrows denote the action of molecules on cells. Dotted lines denote cell movement.