Neurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Nat Commun. 2021 Feb 12;12(1):1014. doi: 10.1038/s41467-021-21117-3.
Both the perivascular niche (PVN) and the integration into multicellular networks by tumor microtubes (TMs) have been associated with progression and resistance to therapies in glioblastoma, but their specific contribution remained unknown. By long-term tracking of tumor cell fate and dynamics in the live mouse brain, differential therapeutic responses in both niches are determined. Both the PVN, a preferential location of long-term quiescent glioma cells, and network integration facilitate resistance against cytotoxic effects of radiotherapy and chemotherapy-independently of each other, but with additive effects. Perivascular glioblastoma cells are particularly able to actively repair damage to tumor regions. Population of the PVN and resistance in it depend on proficient NOTCH1 expression. In turn, NOTCH1 downregulation induces resistant multicellular networks by TM extension. Our findings identify NOTCH1 as a central switch between the PVN and network niche in glioma, and demonstrate robust cross-compensation when only one niche is targeted.
血管周腔隙(PVN)和肿瘤微管(TMs)的多细胞网络整合都与胶质母细胞瘤的进展和对治疗的耐药性有关,但它们的具体贡献尚不清楚。通过在活体小鼠大脑中对肿瘤细胞命运和动力学进行长期追踪,确定了这两个龛位的不同治疗反应。PVN 是长期静止性神经胶质瘤细胞的首选位置,网络整合促进了对放疗和化疗的细胞毒性作用的抵抗,彼此独立,但具有附加作用。血管周围胶质母细胞瘤细胞特别能够主动修复肿瘤区域的损伤。PVN 的细胞群体及其耐药性依赖于 NOTCH1 的表达。反过来,TM 的延伸通过下调 NOTCH1 诱导耐药性的多细胞网络。我们的研究结果确定了 NOTCH1 作为胶质母细胞瘤中 PVN 和网络龛之间的中央开关,并证明了当仅靶向一个龛位时,存在强大的交叉补偿。