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MR susceptibility imaging for detection of tumor-associated macrophages in glioblastoma.

作者信息

Nazem Amir, Guiry Samantha C, Pourfathi Mehrdad, Ware Jeffrey B, Anderson Hannah, Iyer Srikant Kamesh, Moon Brianna F, Fan Yi, Witschey Walter R, Rizi Rahim, Bagley Stephen J, Desai Arati, O'Rourke Donald M, Brem Steven, Nasrallah MacLean, Nabavizadeh Ali

机构信息

Department of Radiology, Hospital of University of Pennsylvania, Perelman School of Medicine of the University of Pennsylvania, 1 Silverstein Building, 3400 Spruce St., Philadelphia, PA, 19104, USA.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55901, USA.

出版信息

J Neurooncol. 2022 Feb;156(3):645-653. doi: 10.1007/s11060-022-03947-3. Epub 2022 Jan 19.


DOI:10.1007/s11060-022-03947-3
PMID:35043276
Abstract

PURPOSE: Tumor-associated macrophages (TAMs) are a key component of glioblastoma (GBM) microenvironment. Considering the differential role of different TAM phenotypes in iron metabolism with the M1 phenotype storing intracellular iron, and M2 phenotype releasing iron in the tumor microenvironment, we investigated MRI to quantify iron as an imaging biomarker for TAMs in GBM patients. METHODS: 21 adult patients with GBM underwent a 3D single echo gradient echo MRI sequence and quantitative susceptibility maps were generated. In 3 subjects, ex vivo imaging of surgical specimens was performed on a 9.4 Tesla MRI using 3D multi-echo GRE scans, and R2* (1/T2*) maps were generated. Each specimen was stained with hematoxylin and eosin, as well as CD68, CD86, CD206, and L-Ferritin. RESULTS: Significant positive correlation was observed between mean susceptibility for the tumor enhancing zone and the L-ferritin positivity percent (r = 0.56, p = 0.018) and the combination of tumor's enhancing zone and necrotic core and the L-Ferritin positivity percent (r = 0.72; p = 0.001). The mean susceptibility significantly correlated with positivity percent for CD68 (ρ = 0.52, p = 0.034) and CD86 (r = 0.7 p = 0.001), but not for CD206 (ρ = 0.09; p = 0.7). There was a positive correlation between mean R2* values and CD68 positive cell counts (r = 0.6, p = 0.016). Similarly, mean R2* values significantly correlated with CD86 (r = 0.54, p = 0.03) but not with CD206 (r = 0.15, p = 0.5). CONCLUSIONS: This study demonstrated the potential of MR quantitative susceptibility mapping as a non-invasive method for in vivo TAM quantification and phenotyping. Validation of these findings with large multicenter studies is needed.

摘要

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Front Immunol. 2025-1-22

[2]
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[3]
Magnetic resonance imaging-based radiomics for predicting infiltration levels of CD68+ tumor-associated macrophages in glioblastomas.

Strahlenther Onkol. 2024-9-13

[4]
Correlation of tumor-associated macrophage infiltration in glioblastoma with magnetic resonance imaging characteristics: a retrospective cross-sectional study.

Quant Imaging Med Surg. 2023-9-1

[5]
Cancer ego-system in glioma: an iron-replenishing niche network systemically self-organized by cancer stem cells.

Inflamm Regen. 2022-11-30

本文引用的文献

[1]
Targeting tumor-associated macrophages in the tumor microenvironment.

Oncol Lett. 2020-11

[2]
Dynamic changes in glioma macrophage populations after radiotherapy reveal CSF-1R inhibition as a strategy to overcome resistance.

Sci Transl Med. 2020-7-15

[3]
Interrogation of the Microenvironmental Landscape in Brain Tumors Reveals Disease-Specific Alterations of Immune Cells.

Cell. 2020-6-25

[4]
Understanding the glioblastoma immune microenvironment as basis for the development of new immunotherapeutic strategies.

Elife. 2020-2-4

[5]
The yin and yang of imaging tumor associated macrophages with PET and MRI.

Theranostics. 2019-10-15

[6]
The Role of TLRs in Anti-cancer Immunity and Tumor Rejection.

Front Immunol. 2019-10-22

[7]
Imaging endogenous macrophage iron deposits reveals a metabolic biomarker of polarized tumor macrophage infiltration and response to CSF1R breast cancer immunotherapy.

Sci Rep. 2019-1-29

[8]
Iron in the Tumor Microenvironment-Connecting the Dots.

Front Oncol. 2018-11-26

[9]
Quantification of Macrophages in High-Grade Gliomas by Using Ferumoxytol-enhanced MRI: A Pilot Study.

Radiology. 2018-11-6

[10]
Interactions between tumor-associated macrophages and tumor cells in glioblastoma: unraveling promising targeted therapies.

Expert Rev Neurother. 2018-8-22

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