School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel.
Neurobiology Department, Tel Aviv University, Tel Aviv, Israel.
PLoS Biol. 2019 Mar 28;17(3):e2006859. doi: 10.1371/journal.pbio.2006859. eCollection 2019 Mar.
Brain metastases are prevalent in various types of cancer and are often terminal, given the low efficacy of available therapies. Therefore, preventing them is of utmost clinical relevance, and prophylactic treatments are perhaps the most efficient strategy. Here, we show that systemic prophylactic administration of a toll-like receptor (TLR) 9 agonist, CpG-C, is effective against brain metastases. Acute and chronic systemic administration of CpG-C reduced tumor cell seeding and growth in the brain in three tumor models in mice, including metastasis of human and mouse lung cancer, and spontaneous melanoma-derived brain metastasis. Studying mechanisms underlying the therapeutic effects of CpG-C, we found that in the brain, unlike in the periphery, natural killer (NK) cells and monocytes are not involved in controlling metastasis. Next, we demonstrated that the systemically administered CpG-C is taken up by endothelial cells, astrocytes, and microglia, without affecting blood-brain barrier (BBB) integrity and tumor brain extravasation. In vitro assays pointed to microglia, but not astrocytes, as mediators of CpG- C effects through increased tumor killing and phagocytosis, mediated by direct microglia-tumor contact. In vivo, CpG-C-activated microglia displayed elevated mRNA expression levels of apoptosis-inducing and phagocytosis-related genes. Intravital imaging showed that CpG-C-activated microglia cells contact, kill, and phagocytize tumor cells in the early stages of tumor brain invasion more than nonactivated microglia. Blocking in vivo activation of microglia with minocycline, and depletion of microglia with a colony-stimulating factor 1 inhibitor, indicated that microglia mediate the antitumor effects of CpG-C. Overall, the results suggest prophylactic CpG-C treatment as a new intervention against brain metastasis, through an essential activation of microglia.
脑转移瘤在多种癌症中普遍存在,且由于现有疗法效果有限,往往是致命的。因此,预防脑转移瘤至关重要,预防性治疗可能是最有效的策略。在这里,我们表明,全身预防性给予 Toll 样受体(TLR)9 激动剂 CpG-C 可有效预防脑转移瘤。在三种小鼠肿瘤模型中,包括人肺癌和小鼠肺癌转移、自发性黑色素瘤脑转移,急性和慢性全身给予 CpG-C 可减少肿瘤细胞在脑内的定植和生长。研究 CpG-C 治疗效果的机制,我们发现,与外周组织不同,在脑内,自然杀伤(NK)细胞和单核细胞不参与控制转移。接下来,我们证明,全身给予的 CpG-C 被内皮细胞、星形胶质细胞和小胶质细胞摄取,而不影响血脑屏障(BBB)的完整性和肿瘤向脑内的转移。体外实验表明,小胶质细胞而非星形胶质细胞是 CpG-C 作用的介导者,通过直接的小胶质细胞-肿瘤接触,增加肿瘤杀伤和吞噬作用。在体内,CpG-C 激活的小胶质细胞显示出更高的凋亡诱导和吞噬作用相关基因的 mRNA 表达水平。活体成像显示,与非激活的小胶质细胞相比,CpG-C 激活的小胶质细胞在肿瘤向脑内侵袭的早期阶段更多地接触、杀伤和吞噬肿瘤细胞。用米诺环素阻断小胶质细胞的体内激活,以及用集落刺激因子 1 抑制剂耗尽小胶质细胞,表明小胶质细胞介导了 CpG-C 的抗肿瘤作用。总的来说,这些结果表明预防性 CpG-C 治疗可能是一种新的干预脑转移瘤的方法,通过小胶质细胞的基本激活。
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