Mechanism and therapeutic potential of tumor-immune symbiosis in glioblastoma

Lizhi Pang, Fatima Khan, Amy B. Heimberger, Peiwen Chen*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

41 Scopus citations

Abstract

Glioblastoma (GBM) is the most aggressive and lethal form of brain tumor in human adults. Myeloid-lineage cells, including macrophages, microglia, myeloid-derived suppressor cells (MDSCs), and neutrophils, are the most frequent types of cell in the GBM tumor microenvironment (TME) that contribute to tumor progression. Emerging experimental evidence indicates that symbiotic interactions between cancer cells and myeloid cells are critical for tumor growth and immunotherapy resistance in GBM. In this review, we discuss the molecular mechanisms whereby cancer cells shape a myeloid cell-mediated immunosuppressive TME and, reciprocally, how such myeloid cells affect tumor progression and immunotherapy efficiency in GBM. Moreover, we highlight tumor-T cell symbiosis and summarize immunotherapeutic strategies intercepting this co-dependency in GBM.

Original languageEnglish (US)
Pages (from-to)839-854
Number of pages16
JournalTrends in Cancer
Volume8
Issue number10
DOIs
StatePublished - Oct 2022

Funding

This work was supported by National Institutes of Health ( NIH ) R00 CA240896 (P.C.), DoD Career Development Award W81XWH-21-1-0380 (P.C.), Cancer Research Foundation Young Investigator Award (P.C.), Lynn Sage Scholar Award (P.C.), American Cancer Society Institutional Research Grant IRG-21-144-27 (P.C.), philanthropic donation from Mindy Jacobson and the Bill Bass Foundation (P.C.), Northwestern University start-up funds (P.C.), and the Robert H. Lurie Comprehensive Cancer Center (P.C.).

Keywords

  • MDSCs
  • glioblastoma
  • immunotherapy
  • macrophages
  • microglia
  • symbiosis

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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