Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients

Glioblastoma is the most common and lethal primary brain malignancy that almost inevitably recurs as therapy-refractory cancer. While the success of immune checkpoint blockade (ICB) revealed the immense potential of immune-targeted therapies in several types of cancers outside the central nervous sy...

Full description

Bibliographic Details
Main Authors: Sascha Marx, Fabian Wilken, Lea Miebach, Mikael Ispirjan, Frederik Kinnen, Sebastian Paul, Sandra Bien-Möller, Eric Freund, Jörg Baldauf, Steffen Fleck, Nikolai Siebert, Holger Lode, Andreas Stahl, Bernhard H. Rauch, Stephan Singer, Christoph Ritter, Henry W. S. Schroeder, Sander Bekeschus
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/23/5751
_version_ 1797463574296133632
author Sascha Marx
Fabian Wilken
Lea Miebach
Mikael Ispirjan
Frederik Kinnen
Sebastian Paul
Sandra Bien-Möller
Eric Freund
Jörg Baldauf
Steffen Fleck
Nikolai Siebert
Holger Lode
Andreas Stahl
Bernhard H. Rauch
Stephan Singer
Christoph Ritter
Henry W. S. Schroeder
Sander Bekeschus
author_facet Sascha Marx
Fabian Wilken
Lea Miebach
Mikael Ispirjan
Frederik Kinnen
Sebastian Paul
Sandra Bien-Möller
Eric Freund
Jörg Baldauf
Steffen Fleck
Nikolai Siebert
Holger Lode
Andreas Stahl
Bernhard H. Rauch
Stephan Singer
Christoph Ritter
Henry W. S. Schroeder
Sander Bekeschus
author_sort Sascha Marx
collection DOAJ
description Glioblastoma is the most common and lethal primary brain malignancy that almost inevitably recurs as therapy-refractory cancer. While the success of immune checkpoint blockade (ICB) revealed the immense potential of immune-targeted therapies in several types of cancers outside the central nervous system, it failed to show objective responses in glioblastoma patients as of now. The ability of glioblastoma cells to drive multiple modes of T cell dysfunction while exhibiting low-quality neoepitopes, low-mutational load, and poor antigen priming limits anti-tumor immunity and efficacy of antigen-unspecific immunotherapies such as ICB. An in-depth understanding of the GBM immune landscape is essential to delineate and reprogram such immunosuppressive circuits during disease progression. In this view, the present study aimed to characterize the peripheral and intratumoral immune compartments of 35 glioblastoma patients compared to age- and sex-matched healthy control probands, particularly focusing on exhaustion signatures on myeloid and T cell subsets. Compared to healthy control participants, different immune signatures were already found in the peripheral circulation, partially related to the steroid medication the patients received. Intratumoral CD4+ and CD8+ TEM cells (CD62L<sup>low</sup>/CD45RO<sup>high</sup>) revealed a high expression of PD1, which was also increased on intratumoral, pro-tumorigenic macrophages/microglia. Histopathological analysis further identified high PSGL-1 expression levels of the latter, which has recently been linked to increased metastasis in melanoma and colon cancer via P-selectin-mediated platelet activation. Overall, the present study comprises immunophenotyping of a patient cohort to give implications for eligible immunotherapeutic targets in neurooncology in the future.
first_indexed 2024-03-09T17:52:41Z
format Article
id doaj.art-c4585cf8061142b0a2311d247e33ea3c
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-09T17:52:41Z
publishDate 2022-11-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-c4585cf8061142b0a2311d247e33ea3c2023-11-24T10:38:03ZengMDPI AGCancers2072-66942022-11-011423575110.3390/cancers14235751Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma PatientsSascha Marx0Fabian Wilken1Lea Miebach2Mikael Ispirjan3Frederik Kinnen4Sebastian Paul5Sandra Bien-Möller6Eric Freund7Jörg Baldauf8Steffen Fleck9Nikolai Siebert10Holger Lode11Andreas Stahl12Bernhard H. Rauch13Stephan Singer14Christoph Ritter15Henry W. S. Schroeder16Sander Bekeschus17Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USADepartment of Neurosurgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyZIK <i>plasmatis</i>, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, GermanyDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USADepartment of Neurosurgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyDepartment of Ophthalmology, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyDepartment of Neurosurgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyZIK <i>plasmatis</i>, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, GermanyDepartment of Neurosurgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyDepartment of Neurosurgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyDepartment of Pediatric Oncology, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyDepartment of Pediatric Oncology, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyDepartment of Ophthalmology, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyPharmacology and Toxicology, Department of Human Medicine, University of Oldenburg, Carl-von-Ossietzky-Str. 9-11, 26129 Oldenburg, GermanyDepartment of Pathology, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyInstitute of Clinical Pharmacy, Greifswald University, Felix-Hausdorff-Str. 3, 17489 Greifswald, GermanyDepartment of Neurosurgery, Greifswald University Medical Center, Ferdinand-Sauerbruch-Str., 17475 Greifswald, GermanyZIK <i>plasmatis</i>, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, GermanyGlioblastoma is the most common and lethal primary brain malignancy that almost inevitably recurs as therapy-refractory cancer. While the success of immune checkpoint blockade (ICB) revealed the immense potential of immune-targeted therapies in several types of cancers outside the central nervous system, it failed to show objective responses in glioblastoma patients as of now. The ability of glioblastoma cells to drive multiple modes of T cell dysfunction while exhibiting low-quality neoepitopes, low-mutational load, and poor antigen priming limits anti-tumor immunity and efficacy of antigen-unspecific immunotherapies such as ICB. An in-depth understanding of the GBM immune landscape is essential to delineate and reprogram such immunosuppressive circuits during disease progression. In this view, the present study aimed to characterize the peripheral and intratumoral immune compartments of 35 glioblastoma patients compared to age- and sex-matched healthy control probands, particularly focusing on exhaustion signatures on myeloid and T cell subsets. Compared to healthy control participants, different immune signatures were already found in the peripheral circulation, partially related to the steroid medication the patients received. Intratumoral CD4+ and CD8+ TEM cells (CD62L<sup>low</sup>/CD45RO<sup>high</sup>) revealed a high expression of PD1, which was also increased on intratumoral, pro-tumorigenic macrophages/microglia. Histopathological analysis further identified high PSGL-1 expression levels of the latter, which has recently been linked to increased metastasis in melanoma and colon cancer via P-selectin-mediated platelet activation. Overall, the present study comprises immunophenotyping of a patient cohort to give implications for eligible immunotherapeutic targets in neurooncology in the future.https://www.mdpi.com/2072-6694/14/23/5751CD163GBMgliomamacrophagesPD1PSGL-1
spellingShingle Sascha Marx
Fabian Wilken
Lea Miebach
Mikael Ispirjan
Frederik Kinnen
Sebastian Paul
Sandra Bien-Möller
Eric Freund
Jörg Baldauf
Steffen Fleck
Nikolai Siebert
Holger Lode
Andreas Stahl
Bernhard H. Rauch
Stephan Singer
Christoph Ritter
Henry W. S. Schroeder
Sander Bekeschus
Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients
Cancers
CD163
GBM
glioma
macrophages
PD1
PSGL-1
title Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients
title_full Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients
title_fullStr Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients
title_full_unstemmed Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients
title_short Immunophenotyping of Circulating and Intratumoral Myeloid and T Cells in Glioblastoma Patients
title_sort immunophenotyping of circulating and intratumoral myeloid and t cells in glioblastoma patients
topic CD163
GBM
glioma
macrophages
PD1
PSGL-1
url https://www.mdpi.com/2072-6694/14/23/5751
work_keys_str_mv AT saschamarx immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT fabianwilken immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT leamiebach immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT mikaelispirjan immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT frederikkinnen immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT sebastianpaul immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT sandrabienmoller immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT ericfreund immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT jorgbaldauf immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT steffenfleck immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT nikolaisiebert immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT holgerlode immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT andreasstahl immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT bernhardhrauch immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT stephansinger immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT christophritter immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT henrywsschroeder immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients
AT sanderbekeschus immunophenotypingofcirculatingandintratumoralmyeloidandtcellsinglioblastomapatients