“…In addition, the hypoxic tumor microenvironment can also triggers M2-polarized TAMs. 149 – 151 Once polarized, M2 TAMs secrete various growth factors and cytokines, including TGF-β, 152 , 153 interleukin-IL-10, IL-6, TNF-α, 40 , 154 , 155 IL-1β, 156 , 157 migration inhibitory factor (MIF) 158 , and chemokines such as CCL20, 159 which are all capable of promoting EMT as previously described. In addition, gemcitabine treatment results in robust infiltration of M2-polarized TAMs which secrete TNFα, TGF-β, and IL-6, leading to EMT of PDAC cells.…”