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SPP1 (osteopontin) inhibitors are therapeutic agents aimed at neutralizing the activity of Secreted Phosphoprotein 1 (SPP1), a multifunctional glycoprotein implicated in tumor progression and immune evasion. In gastric cancer, particularly peritoneal carcinomatosis, SPP1 is highly expressed and correlates with increased macrophage infiltration. Research presented at AACR 2026 indicates that the SPP1-IL10 axis serves as a critical crosstalk mechanism between cancer cells and macrophages. Targeted SPP1 blockade has demonstrated the ability to reprogram the tumor microenvironment by inhibiting macrophage trafficking and IL-10 secretion, leading to significant reductions in tumor weight and peritoneal nodule formation in preclinical syngeneic murine models.
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