Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors

New approaches for the management of glioblastoma (GBM) are an urgent and unmet clinical need. Here, we illustrate that the efficacy of radiotherapy for GBM is strikingly potentiated by concomitant therapy with the arginine-depleting agent ADI-PEG20 in a non-arginine-auxotrophic cellular background...

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Main Authors: Nabil Hajji, Juan Garcia-Revilla, Manuel Sarmiento Soto, Richard Perryman, Jake Symington, Chad C. Quarles, Deborah R. Healey, Yijie Guo, Manuel Luis Orta-Vázquez, Santiago Mateos-Cordero, Khalid Shah, John Bomalaski, Giulio Anichini, Andreas G. Tzakos, Timothy Crook, Kevin O’Neill, Adrienne C. Scheck, Jose Luis Venero, Nelofer Syed
Format: Article
Language:English
Published: American Society for Clinical Investigation 2022-03-01
Series:The Journal of Clinical Investigation
Subjects:
Online Access:https://doi.org/10.1172/JCI142137
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author Nabil Hajji
Juan Garcia-Revilla
Manuel Sarmiento Soto
Richard Perryman
Jake Symington
Chad C. Quarles
Deborah R. Healey
Yijie Guo
Manuel Luis Orta-Vázquez
Santiago Mateos-Cordero
Khalid Shah
John Bomalaski
Giulio Anichini
Andreas G. Tzakos
Timothy Crook
Kevin O’Neill
Adrienne C. Scheck
Jose Luis Venero
Nelofer Syed
author_facet Nabil Hajji
Juan Garcia-Revilla
Manuel Sarmiento Soto
Richard Perryman
Jake Symington
Chad C. Quarles
Deborah R. Healey
Yijie Guo
Manuel Luis Orta-Vázquez
Santiago Mateos-Cordero
Khalid Shah
John Bomalaski
Giulio Anichini
Andreas G. Tzakos
Timothy Crook
Kevin O’Neill
Adrienne C. Scheck
Jose Luis Venero
Nelofer Syed
author_sort Nabil Hajji
collection DOAJ
description New approaches for the management of glioblastoma (GBM) are an urgent and unmet clinical need. Here, we illustrate that the efficacy of radiotherapy for GBM is strikingly potentiated by concomitant therapy with the arginine-depleting agent ADI-PEG20 in a non-arginine-auxotrophic cellular background (argininosuccinate synthetase 1 positive). Moreover, this combination led to durable and complete radiological and pathological response, with extended disease-free survival in an orthotopic immune-competent model of GBM, with no significant toxicity. ADI-PEG20 not only enhanced the cellular sensitivity of argininosuccinate synthetase 1–positive GBM to ionizing radiation by elevated production of nitric oxide (˙NO) and hence generation of cytotoxic peroxynitrites, but also promoted glioma-associated macrophage/microglial infiltration into tumors and turned their classical antiinflammatory (protumor) phenotype into a proinflammatory (antitumor) phenotype. Our results provide an effective, well-tolerated, and simple strategy to improve GBM treatment that merits consideration for early evaluation in clinical trials.
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spelling doaj.art-7a43ba7a6e2c46269a07eda280cc60bf2022-12-22T00:56:52ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382022-03-011326Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumorsNabil HajjiJuan Garcia-RevillaManuel Sarmiento SotoRichard PerrymanJake SymingtonChad C. QuarlesDeborah R. HealeyYijie GuoManuel Luis Orta-VázquezSantiago Mateos-CorderoKhalid ShahJohn BomalaskiGiulio AnichiniAndreas G. TzakosTimothy CrookKevin O’NeillAdrienne C. ScheckJose Luis VeneroNelofer SyedNew approaches for the management of glioblastoma (GBM) are an urgent and unmet clinical need. Here, we illustrate that the efficacy of radiotherapy for GBM is strikingly potentiated by concomitant therapy with the arginine-depleting agent ADI-PEG20 in a non-arginine-auxotrophic cellular background (argininosuccinate synthetase 1 positive). Moreover, this combination led to durable and complete radiological and pathological response, with extended disease-free survival in an orthotopic immune-competent model of GBM, with no significant toxicity. ADI-PEG20 not only enhanced the cellular sensitivity of argininosuccinate synthetase 1–positive GBM to ionizing radiation by elevated production of nitric oxide (˙NO) and hence generation of cytotoxic peroxynitrites, but also promoted glioma-associated macrophage/microglial infiltration into tumors and turned their classical antiinflammatory (protumor) phenotype into a proinflammatory (antitumor) phenotype. Our results provide an effective, well-tolerated, and simple strategy to improve GBM treatment that merits consideration for early evaluation in clinical trials.https://doi.org/10.1172/JCI142137OncologyTherapeutics
spellingShingle Nabil Hajji
Juan Garcia-Revilla
Manuel Sarmiento Soto
Richard Perryman
Jake Symington
Chad C. Quarles
Deborah R. Healey
Yijie Guo
Manuel Luis Orta-Vázquez
Santiago Mateos-Cordero
Khalid Shah
John Bomalaski
Giulio Anichini
Andreas G. Tzakos
Timothy Crook
Kevin O’Neill
Adrienne C. Scheck
Jose Luis Venero
Nelofer Syed
Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors
The Journal of Clinical Investigation
Oncology
Therapeutics
title Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors
title_full Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors
title_fullStr Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors
title_full_unstemmed Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors
title_short Arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non-arginine-auxotrophic glioblastoma tumors
title_sort arginine deprivation alters microglial polarity and synergizes with radiation to eradicate non arginine auxotrophic glioblastoma tumors
topic Oncology
Therapeutics
url https://doi.org/10.1172/JCI142137
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