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Cellular and Molecular Life Sciences
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Targeting HIF-2α in glioblastoma reshapes the immune infiltrate and enhances response to immune checkpoint blockade

Authors: Espinoza Rojas, Felipe Ignacio; Tankov, Stoyan; Chliate, Sylvie; Pereira Couto, Joana; Marinari, Eliana; Vermeil, Thibaud Alban Arnaud; Lecoultre, Marc; +4 Authors

Targeting HIF-2α in glioblastoma reshapes the immune infiltrate and enhances response to immune checkpoint blockade

Abstract

Abstract Glioblastoma (GBM) is an aggressive primary brain tumor with dismal clinical prognosis and resistance to current therapies. GBM progression is facilitated by the tumor microenvironment (TME), with an immune infiltrate dominated by tumor-associated microglia/macrophages (TAMs) and regulatory T cells (Tregs). The TME is also characterized by hypoxia and the expression of hypoxia-inducible factors (HIFs), with HIF-2α emerging as a potential regulator of tumor progression. However, its role in GBM immunosuppression remains unknown. Here, we investigate HIF-2α and the use of the HIF-2α inhibitor PT2385 to modulate the TME in the immunocompetent GL261 mouse GBM model. PT2385 administration in vivo decreased tumor volume and prolonged survival of tumor-bearing mice, without affecting GL261 viability in vitro. Notably, HIF-2α inhibition alleviated the immunosuppressive TME and synergized with immune checkpoint blockade (ICB) using αPD-1 and αTIM-3 antibodies to promote long-term survival. Comprehensive analysis of the immune infiltrate through single-cell RNA sequencing and flow cytometry revealed that combining PT2385 with ICB reduced numbers of pro-tumoral macrophages and Tregs while increasing numbers of microglia, with a corresponding transcriptional modulation towards an anti-tumoral profile of these TAMs. In vitro, deletion of HIF-2α in microglia impeded their polarization towards a pro-tumoral M2-like profile, and its inhibition impaired Treg migration. Our results show that targeting HIF-2α can switch an immunosuppressive TME towards one that favors a robust and sustained response to ICB based immunotherapy. These findings establish that clinically relevant HIF-2α inhibitors should be explored not only in malignancies with defects in the HIF-2α axis, but also in those exhibiting an immunosuppressive TME that limits immunotherapy responsiveness.

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Keywords

Tumor Microenvironment / drug effects, Basic Helix-Loop-Helix Transcription Factors / genetics, Brain Neoplasms / metabolism, T-Lymphocytes, Regulatory / immunology, Glioblastoma / drug therapy, T-Lymphocytes, Regulatory, Macrophages / immunology, Hypoxia inducible factor, Mice, Tumor-associated macrophage, Basic Helix-Loop-Helix Transcription Factors / antagonists & inhibitors, Brain Neoplasms / pathology, Basic Helix-Loop-Helix Transcription Factors, Tumor Microenvironment, Sulfones, Microglia / immunology, Immune Checkpoint Inhibitors, Glioblastoma / metabolism, Immune Checkpoint Inhibitors / pharmacology, Brain Neoplasms, Glioma, Immune Checkpoint Inhibitors / therapeutic use, Tumor Microenvironment / immunology, Treg, Tumor microenvironment, Brain Neoplasms / drug therapy, Microglia / metabolism, Indans, Original Article, Immunotherapy, Microglia, Macrophages / drug effects, Brain Neoplasms / immunology, Brain tumors, Glioblastoma / pathology, Immune checkpoint inhibitors, Macrophages / metabolism, Cell Line, Tumor, 616, Animals, Humans, Basic Helix-Loop-Helix Transcription Factors / immunology, Glioblastoma / immunology, Macrophages, HIF-2, T-Lymphocytes, Regulatory / metabolism, Microglia / drug effects, Mice, Inbred C57BL, Glioblastoma, Basic Helix-Loop-Helix Transcription Factors / metabolism

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
Green
hybrid
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