Valtorta Silvia, Granata Silvia, de Pretis Stefano, Bertoli Gloria, Redaelli Serena, Berno Valeria, Spinelli Antonello E, Diprima Santo, Rainone Paolo, Coliva Angela, Todde Sergio, Marfia Giovanni, Navone Stefania, Caroli Manuela, Bentivegna Angela, Di Muzio Nadia, Moresco Rosa Maria
Institute of Bioimaging and Complex Biological Systems (IBSBC), National Research Council (CNR), 20054 Segrate (MI), Italy.
Nuclear Medicine Department, San Raffaele Scientific Institute (IRCCS), 20312 Milan, Italy.
Int J Biol Sci. 2025 May 27;21(8):3527-3554. doi: 10.7150/ijbs.103194. eCollection 2025.
Glioblastoma multiforme (GBM) is the most common primary brain tumor in adults with a short survival time after standard therapy administration including radiotherapy (RT) associated with temozolomide (TMZ). Here, we investigated the effects of radiochemotherapy in association with metformin (MET), a drug targeting cell metabolism on a syngeneic GBM mouse model using Positron Emission Tomography imaging with [F]FLT and [F]VC701 and single-cell RNA-sequencing analysis. The addition of drugs to RT significantly increased survival and [F]FLT showed an early predictive response of combined therapy. We identified the presence of heterogeneous tumor populations with different treatment sensitivity and a complex immune evasive microenvironment. Tumor cells surviving to treatments showed immune response, among the main differentially modulated biological functions and a potential role of long non-coding RNAs (lncRNAs) in treatment resistance. Association with TMZ or TMZ plus MET reduced the pro-tumor phenotype of immune reaction acting more on myeloid cells the first and on lymphocytes the latter. Off note, MET add-on counteracted the immune-evasive phenotype particularly of T cells suggesting a potential role of MET also in adopted immunity.
多形性胶质母细胞瘤(GBM)是成人中最常见的原发性脑肿瘤,在接受包括放疗(RT)联合替莫唑胺(TMZ)在内的标准治疗后生存期较短。在此,我们使用[F]FLT和[F]VC701正电子发射断层扫描成像以及单细胞RNA测序分析,研究了放化疗联合二甲双胍(MET)(一种靶向细胞代谢的药物)对同基因GBM小鼠模型的影响。在放疗中添加药物显著提高了生存率,[F]FLT显示出联合治疗的早期预测反应。我们确定了存在具有不同治疗敏感性的异质性肿瘤群体以及复杂的免疫逃逸微环境。在主要的差异调节生物学功能中,存活至治疗后的肿瘤细胞表现出免疫反应,并且长链非编码RNA(lncRNA)在治疗抗性中具有潜在作用。与TMZ或TMZ加MET联合使用可降低免疫反应的促肿瘤表型,前者对髓样细胞作用更大,后者对淋巴细胞作用更大。值得注意的是,添加MET可抵消尤其是T细胞的免疫逃逸表型,这表明MET在适应性免疫中也具有潜在作用。