1. CTLA-4 blockade induces a microglia-Th1 cell partnership that stimulates microglia phagocytosis and anti-tumor function in glioblastoma.
- Author
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Chen, Dan, Varanasi, Siva Karthik, Hara, Toshiro, Traina, Kacie, Sun, Ming, McDonald, Bryan, Farsakoglu, Yagmur, Clanton, Josh, Xu, Shihao, Garcia-Rivera, Lizmarie, Mann, Thomas H., Du, Victor, Chung, H. Kay, Xu, Ziyan, Tripple, Victoria, Casillas, Eduardo, Ma, Shixin, O'Connor, Carolyn, Yang, Qiyuan, and Zheng, Ye
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PHAGOCYTOSIS , *MICROGLIA , *GLIOBLASTOMA multiforme , *CYTOTOXIC T lymphocyte-associated molecule-4 , *T cells , *BRAIN tumors - Abstract
The limited efficacy of immunotherapies against glioblastoma underscores the urgency of better understanding immunity in the central nervous system. We found that treatment with αCTLA-4, but not αPD-1, prolonged survival in a mouse model of mesenchymal-like glioblastoma. This effect was lost upon the depletion of CD4+ T cells but not CD8+ T cells. αCTLA-4 treatment increased frequencies of intratumoral IFNγ-producing CD4+ T cells, and IFNγ blockade negated the therapeutic impact of αCTLA-4. The anti-tumor activity of CD4+ T cells did not require tumor-intrinsic MHC-II expression but rather required conventional dendritic cells as well as MHC-II expression on microglia. CD4+ T cells interacted directly with microglia, promoting IFNγ-dependent microglia activation and phagocytosis via the AXL/MER tyrosine kinase receptors, which were necessary for tumor suppression. Thus, αCTLA-4 blockade in mesenchymal-like glioblastoma promotes a CD4+ T cell-microglia circuit wherein IFNγ triggers microglia activation and phagocytosis and microglia in turn act as antigen-presenting cells fueling the CD4+ T cell response. [Display omitted] • αCTLA-4 therapy induces protective CD4+ Th1 cells against mesenchymal glioblastomas • Th1-derived IFNγ induces MHC-II+ microglia that sustains Th1 anti-glioma immunity • Th1 cells promote microglia phagocytosis of gliomas via AXL-MER receptor signaling • Microglia and MHC-II expression are protective correlates in human glioblastoma Immunotherapies against glioblastoma exhibit limited efficacy. Chen et al. examine the impact of immunotherapy in mesenchymal glioblastomas and find that αCTLA-4 treatment promotes tumor suppression in a manner dependent on CD4+ T cells. Mechanistically, microglia serve as essential MHC-II antigen-presenting cells that sustain anti-tumor IFNγ+ CD4+ T cells, which in turn stimulate microglial phagocytic function via AXL-MER signaling. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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