TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy

Abstract One of the most prominent features of glioblastoma (GBM) is hyper-vascularization. Bone marrow-derived macrophages are actively recruited to the tumor and referred to as glioma-associated macrophages (GAMs) which are thought to provide a critical role in tumor neo-vascularization. However,...

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Main Authors: Qingxia Wei, Olivia Singh, Can Ekinci, Jaspreet Gill, Mira Li, Yasin Mamatjan, Shirin Karimi, Severa Bunda, Sheila Mansouri, Kenneth Aldape, Gelareh Zadeh
Format: Article
Language:English
Published: BMC 2021-04-01
Series:Acta Neuropathologica Communications
Subjects:
Online Access:https://doi.org/10.1186/s40478-021-01163-0
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author Qingxia Wei
Olivia Singh
Can Ekinci
Jaspreet Gill
Mira Li
Yasin Mamatjan
Shirin Karimi
Severa Bunda
Sheila Mansouri
Kenneth Aldape
Gelareh Zadeh
author_facet Qingxia Wei
Olivia Singh
Can Ekinci
Jaspreet Gill
Mira Li
Yasin Mamatjan
Shirin Karimi
Severa Bunda
Sheila Mansouri
Kenneth Aldape
Gelareh Zadeh
author_sort Qingxia Wei
collection DOAJ
description Abstract One of the most prominent features of glioblastoma (GBM) is hyper-vascularization. Bone marrow-derived macrophages are actively recruited to the tumor and referred to as glioma-associated macrophages (GAMs) which are thought to provide a critical role in tumor neo-vascularization. However, the mechanisms by which GAMs regulate endothelial cells (ECs) in the process of tumor vascularization and response to anti-angiogenic therapy (AATx) is not well-understood. Here we show that GBM cells secrete IL-8 and CCL2 which stimulate GAMs to produce TNFα. Subsequently, TNFα induces a distinct gene expression signature of activated ECs including VCAM-1, ICAM-1, CXCL5, and CXCL10. Inhibition of TNFα blocks GAM-induced EC activation both in vitro and in vivo and improve survival in mouse glioma models. Importantly we show that high TNFα expression predicts worse response to Bevacizumab in GBM patients. We further demonstrated in mouse model that treatment with B20.4.1.1, the mouse analog of Bevacizumab, increased macrophage recruitment to the tumor area and correlated with upregulated TNFα expression in GAMs and increased EC activation, which may be responsible for the failure of AATx in GBMs. These results suggest TNFα is a novel therapeutic that may reverse resistance to AATx. Future clinical studies should be aimed at inhibiting TNFα as a concurrent therapy in GBMs.
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spelling doaj.art-7ecc3b986a5a46198c9763c1e06101bd2022-12-21T19:39:30ZengBMCActa Neuropathologica Communications2051-59602021-04-019111910.1186/s40478-021-01163-0TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapyQingxia Wei0Olivia Singh1Can Ekinci2Jaspreet Gill3Mira Li4Yasin Mamatjan5Shirin Karimi6Severa Bunda7Sheila Mansouri8Kenneth Aldape9Gelareh Zadeh10MacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkMacFeeters Hamilton Centre for Neuro-Oncology Research, Princess Margaret Cancer Centre, University Health NetworkAbstract One of the most prominent features of glioblastoma (GBM) is hyper-vascularization. Bone marrow-derived macrophages are actively recruited to the tumor and referred to as glioma-associated macrophages (GAMs) which are thought to provide a critical role in tumor neo-vascularization. However, the mechanisms by which GAMs regulate endothelial cells (ECs) in the process of tumor vascularization and response to anti-angiogenic therapy (AATx) is not well-understood. Here we show that GBM cells secrete IL-8 and CCL2 which stimulate GAMs to produce TNFα. Subsequently, TNFα induces a distinct gene expression signature of activated ECs including VCAM-1, ICAM-1, CXCL5, and CXCL10. Inhibition of TNFα blocks GAM-induced EC activation both in vitro and in vivo and improve survival in mouse glioma models. Importantly we show that high TNFα expression predicts worse response to Bevacizumab in GBM patients. We further demonstrated in mouse model that treatment with B20.4.1.1, the mouse analog of Bevacizumab, increased macrophage recruitment to the tumor area and correlated with upregulated TNFα expression in GAMs and increased EC activation, which may be responsible for the failure of AATx in GBMs. These results suggest TNFα is a novel therapeutic that may reverse resistance to AATx. Future clinical studies should be aimed at inhibiting TNFα as a concurrent therapy in GBMs.https://doi.org/10.1186/s40478-021-01163-0GlioblastomaGlioma-associated macrophagesEndothelial cells activationTNFαAnti-angiogenic therapy
spellingShingle Qingxia Wei
Olivia Singh
Can Ekinci
Jaspreet Gill
Mira Li
Yasin Mamatjan
Shirin Karimi
Severa Bunda
Sheila Mansouri
Kenneth Aldape
Gelareh Zadeh
TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy
Acta Neuropathologica Communications
Glioblastoma
Glioma-associated macrophages
Endothelial cells activation
TNFα
Anti-angiogenic therapy
title TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy
title_full TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy
title_fullStr TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy
title_full_unstemmed TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy
title_short TNFα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti-angiogenic therapy
title_sort tnfα secreted by glioma associated macrophages promotes endothelial activation and resistance against anti angiogenic therapy
topic Glioblastoma
Glioma-associated macrophages
Endothelial cells activation
TNFα
Anti-angiogenic therapy
url https://doi.org/10.1186/s40478-021-01163-0
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