Department of Translational Molecular Pathology, Neurosurgery at the University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Department of Translational Molecular Pathology, The University of Texas, MD Anderson Cancer Center, UTHealth Houston Graduate School of Biomedical Sciences, Houston, Texas, USA.
Neuro Oncol. 2024 May 3;26(5):826-839. doi: 10.1093/neuonc/noad257.
BACKGROUND: Glioblastomas (GBMs) are central nervous system tumors that resist standard-of-care interventions and even immune checkpoint blockade. Myeloid cells in the tumor microenvironment can contribute to GBM progression; therefore, emerging immunotherapeutic approaches include reprogramming these cells to achieve desirable antitumor activity. Triggering receptor expressed on myeloid cells 2 (TREM2) is a myeloid signaling regulator that has been implicated in a variety of cancers and neurological diseases with contrasting functions, but its role in GBM immunopathology and progression is still under investigation. METHODS: Our reverse translational investigations leveraged single-cell RNA sequencing and cytometry of human gliomas to characterize TREM2 expression across myeloid subpopulations. Using 2 distinct murine glioma models, we examined the role of Trem2 on tumor progression and immune modulation of myeloid cells. Furthermore, we designed a method of tracking phagocytosis of glioma cells in vivo and employed in vitro assays to mechanistically understand the influence of TREM2 signaling on tumor uptake. RESULTS: We discovered that TREM2 expression does not correlate with immunosuppressive pathways, but rather showed strong a positive association with the canonical phagocytosis markers lysozyme (LYZ) and macrophage scavenger receptor (CD163) in gliomas. While Trem2 deficiency was found to be dispensable for gliomagenesis, Trem2+ myeloid cells display enhanced tumor uptake compared to Trem2- cells. Mechanistically, we demonstrate that TREM2 mediates phagocytosis via Syk signaling. CONCLUSIONS: These results indicate that TREM2 is not associated with immunosuppression in gliomas. Instead, TREM2 is an important regulator of phagocytosis that may be exploited as a potential therapeutic strategy for brain tumors.
背景:胶质母细胞瘤(GBM)是中枢神经系统肿瘤,对标准治疗干预甚至免疫检查点阻断均有抵抗。肿瘤微环境中的髓样细胞可促进 GBM 的进展;因此,新兴的免疫治疗方法包括重编程这些细胞以实现理想的抗肿瘤活性。髓样细胞表达的触发受体 2(TREM2)是一种髓样信号调节因子,它在多种癌症和神经疾病中具有不同的作用,但它在 GBM 免疫病理学和进展中的作用仍在研究中。
方法:我们的反向转化研究利用单细胞 RNA 测序和人类脑肿瘤的细胞术,对髓样细胞亚群中的 TREM2 表达进行了特征描述。使用 2 种不同的小鼠 GBM 模型,我们研究了 Trem2 在肿瘤进展和髓样细胞免疫调节中的作用。此外,我们设计了一种在体内追踪胶质瘤细胞吞噬作用的方法,并进行了体外实验来从机制上理解 TREM2 信号对肿瘤摄取的影响。
结果:我们发现 TREM2 的表达与免疫抑制途径无关,而是与胶质瘤中经典的吞噬作用标志物溶菌酶(LYZ)和巨噬细胞清道夫受体(CD163)呈强烈正相关。虽然 Trem2 缺失对胶质瘤发生不是必需的,但 Trem2+髓样细胞比 Trem2-细胞显示出更强的肿瘤摄取能力。从机制上讲,我们证明 TREM2 通过 Syk 信号介导吞噬作用。
结论:这些结果表明,TREM2 与胶质瘤中的免疫抑制无关。相反,TREM2 是吞噬作用的重要调节因子,可能被用作脑肿瘤的潜在治疗策略。
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