Department of Neurosurgery, Huazhong University of Science and Technology, Tongji Hospital, Tongji Medical College, Wuhan, Hubei, China.
Department of Neurosurgery, The First People's Hospital of Yichang, China Three Gorges University People's Hospital, Yichang, Hubei, China.
J Immunother Cancer. 2022 Sep;10(9). doi: 10.1136/jitc-2021-004452.
BACKGROUND: Glioblastoma (GBM) is the most common malignant brain tumor with poor clinical outcomes. Immunotherapy has recently been an attractive and promising treatment of extracranial malignancies, however, most of clinical trials for GBM immunotherapy failed due to predominant accumulation of tumor-associated microglia/macrophages (TAMs). RESULTS: High level of LRIG2/soluble LRIG2 (sLRIG2) expression activates immune-related signaling pathways, which are associated with poor prognosis in GBM patients. LRIG2/sLRIGs promotes CD47 expression and facilitates TAM recruitment. Blockade of CD47-SIRPα interactions and inhibition of sLRIG2 secretion synergistically suppress GBM progression in an orthotropic murine GBM model. CONCLUSIONS: GBM cells with high level LRIG2 escape the phagocytosis by TAM via the CD47-SIRPα axis, highlighting a necessity for an early stage of clinical trial targeting LRIG2 and CD47-SIRPα as a novel treatment for patients with GBM.
背景:胶质母细胞瘤(GBM)是最常见的恶性脑肿瘤,临床预后较差。免疫疗法最近成为治疗颅外恶性肿瘤的一种有吸引力和有前途的治疗方法,然而,由于肿瘤相关的小胶质细胞/巨噬细胞(TAMs)的主要积累,大多数 GBM 免疫疗法的临床试验都失败了。
结果:LRIG2/可溶性 LRIG2(sLRIG2)的高表达激活了与 GBM 患者预后不良相关的免疫相关信号通路。LRIG2/sLRIG2 促进 CD47 的表达并促进 TAM 的募集。阻断 CD47-SIRPα 相互作用和抑制 sLRIG2 分泌协同抑制原位小鼠 GBM 模型中的 GBM 进展。
结论:高水平 LRIG2 的 GBM 细胞通过 CD47-SIRPα 轴逃避 TAM 的吞噬作用,凸显了针对 LRIG2 和 CD47-SIRPα 的临床试验早期的必要性,这为 GBM 患者提供了一种新的治疗方法。
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