Association of intratumoral CD68+CD163+ M2-like macrophages with survival in metastatic colorectal cancer treated with chemotherapy plus bevacizumab - Scorecard - MDSpire

Correlation of Intratumoral M2-like Macrophages (CD68+CD163+) with Survival Outcomes in Metastatic Colorectal Cancer Patients Undergoing Chemotherapy and Bevacizumab Treatment

  • By

  • Xiaobin Xin

  • Huixian Qiu

  • Yan Zang

  • Lei Zhou

  • Tao Qin

  • Qingnuan Kong

  • July 17, 2026

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Clinical Scorecard: Correlation of Intratumoral M2-like Macrophages (CD68+CD163+) with Survival Outcomes in Metastatic Colorectal Cancer Patients Undergoing Chemotherapy and Bevacizumab Treatment

At a Glance

CategoryDetail
ConditionMetastatic Colorectal Cancer (mCRC)
Key MechanismsInfiltration of M2-like tumor-associated macrophages (TAMs) and their PD-L1 expression are associated with treatment resistance and poor survival outcomes.
Target PopulationPatients with metastatic colorectal cancer undergoing chemotherapy and bevacizumab treatment.
Care SettingOncology clinical practice

Key Highlights

  • Increased density of CD68+CD163+ M2-like TAMs correlates with post-treatment resistance.
  • High levels of intratumoral M2-like TAMs are associated with shorter overall survival (OS).
  • Multivariate analysis indicates M2-like TAM density is an independent prognostic marker for OS and progression-free survival (PFS).

Guideline-Based Recommendations

Diagnosis

  • Evaluate the density of CD68+CD163+ M2-like TAMs in tumor tissues.

Management

  • Consider macrophage-targeted interventions to enhance efficacy of anti-tumor therapies.

Monitoring & Follow-up

  • Monitor intratumoral M2-like TAM levels as potential biomarkers for treatment resistance.

Risks

  • Increased M2-like TAM infiltration may indicate a higher risk of treatment resistance and poor prognosis.

Patient & Prescribing Data

Patients with metastatic colorectal cancer receiving first-line chemotherapy and bevacizumab.

Resistance to chemotherapy and bevacizumab is associated with high levels of intratumoral M2-like TAMs.

Clinical Best Practices

  • Incorporate assessment of TAM infiltration in treatment planning for mCRC.
  • Utilize TAM density as a prognostic marker in clinical evaluations.

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