Wang Tong, Zhou Jialei, Chen Gang, Xu Xiang, Shen Haitao
Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Neurol Res. 2025 Apr 24:1-11. doi: 10.1080/01616412.2025.2497471.
BACKGROUND: Glioma is a disease typically characterized by immunosuppression, which explains its poor prognosis. Therefore, it is urgent to elucidate new molecular mechanisms of immune-supervised escape to improve the efficacy of immunotherapy. Recent studies have identified secreted phosphoprotein 1(SPP1) as a pro-inflammatory and chemokine in macrophages that mediates crosstalk between the innate immune system and tumor cells. We aimed to detect the role of SPP1 in immunomodulation in glioma. METHODS: We enrolled 916 patients from different ethnic groups, including 603 patients from The Cancer Genome Atlas (TCGA) database and 313 patients from the Chinese Glioma Genome Atlas (CGGA) database. We performed enrichment analysis and used GSVA to calculate the immune pathway and immune cell infiltration scores of SPP1.In addition, we investigated the correlation between SPP1 and immune checkpoint genes as well as inflammation-related genes. RESULTS: The expression of SPP1 is significantly elevated in IDH wild-type gliomas and high-grade gliomas, particularly in the mesenchymal subtype, and it serves as an independent prognostic factor for overall survival (OS) in glioma patients. SPP1 influences macrophage activation, cytokine secretion, and polarization and exhibits a strong association with various lymphocytes, including T, B and NK cells. Furthermore, SPP1 is strongly correlated not only with immune checkpoint genes but also with various inflammation-related genes. CONCLUSION: In conclusion, SPP1 expression is tightly linked to the molecular pathology of gliomas and is highly correlated with immune checkpoints. It contributes to glioma immune evasion, positioning SPP1 as a promising new target for immunotherapy in glioma.
背景:胶质瘤是一种典型的以免疫抑制为特征的疾病,这解释了其预后不良的原因。因此,迫切需要阐明免疫监督逃逸的新分子机制,以提高免疫治疗的疗效。最近的研究已确定分泌磷蛋白1(SPP1)是巨噬细胞中的一种促炎因子和趋化因子,可介导先天免疫系统与肿瘤细胞之间的相互作用。我们旨在检测SPP1在胶质瘤免疫调节中的作用。 方法:我们招募了来自不同种族的916名患者,其中包括来自癌症基因组图谱(TCGA)数据库的603名患者和来自中国胶质瘤基因组图谱(CGGA)数据库的313名患者。我们进行了富集分析,并使用基因集变异分析(GSVA)来计算SPP1的免疫途径和免疫细胞浸润评分。此外,我们研究了SPP1与免疫检查点基因以及炎症相关基因之间的相关性。 结果:SPP1的表达在异柠檬酸脱氢酶(IDH)野生型胶质瘤和高级别胶质瘤中显著升高,尤其是在间充质亚型中,并且它是胶质瘤患者总生存期(OS)的独立预后因素。SPP1影响巨噬细胞的激活、细胞因子分泌和极化,并与包括T细胞、B细胞和自然杀伤(NK)细胞在内的各种淋巴细胞表现出强烈关联。此外,SPP1不仅与免疫检查点基因密切相关,还与各种炎症相关基因密切相关。 结论:总之,SPP1的表达与胶质瘤的分子病理学密切相关,并且与免疫检查点高度相关。它有助于胶质瘤的免疫逃逸,将SPP1定位为胶质瘤免疫治疗的一个有前景的新靶点。
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