PMID- 34503167 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210913 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 17 DP - 2021 Aug 28 TI - Paliperidone Inhibits Glioblastoma Growth in Mouse Brain Tumor Model and Reduces PD-L1 Expression. LID - 10.3390/cancers13174357 [doi] LID - 4357 AB - A previous study from our group reported that monocyte adhesion to glioblastoma (GBM) promoted tumor growth and invasion activity and increased tumor-associated macrophages (TAMs) proliferation and inflammatory mediator secretion as well. The present study showed that prescribed psychotropic medicine paliperidone reduced GBM growth and immune checkpoint protein programmed death ligand (PD-L)1 expression and increased survival in an intracranial xenograft mouse model. An analysis of the database of patients with glioma showed that the levels of PD-L1 and dopamine receptor D (DRD)2 were higher in the GBM group than in the low grade astrocytoma and non-tumor groups. In addition, GFP expressing GBM (GBM-GFP) cells co-cultured with monocytes-differentiated macrophage enhanced PD-L1 expression in GBM cells. The enhancement of PD-L1 in GBM was antagonized by paliperidone and risperidone as well as DRD2 selective inhibitor L741426. The expression of CD206 (M2 phenotype marker) was observed to be markedly increased in bone marrow-derived macrophages (BMDMs) co-cultured with GBM. Importantly, treatment with paliperidone effectively decreased CD206 and also dramatically increased CD80 (M1 phenotype marker) in BMDMs. We have previously established a PD-L1 GBM-GFP cell line that stably expresses PD-L1. Experiments showed that the expressions of CD206 was increased and CD80 was mildly decreased in the BMDMs co-cultured with PD-L1 GBM-GFP cells. On the other hands, knockdown of DRD2 expression in GBM cells dramatically decreased the expression of CD206 but markedly increased CD80 expressions in BMDMs. The present study suggests that DRD2 may be involved in regulating the PD-L1 expression in GBM and the microenvironment of GBM. Our results provide a valuable therapeutic strategy and indicate that treatments combining DRD2 antagonist paliperidone with standard immunotherapy may be beneficial for GBM treatment. FAU - Liu, Yu-Shu AU - Liu YS AD - Department of Pharmacology, School of Medicine, China Medical University, Taichung 404, Taiwan. FAU - Huang, Bor-Ren AU - Huang BR AD - Department of Neurosurgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 404, Taiwan. AD - School of Medicine, Tzu Chi University, Taichung 404, Taiwan. FAU - Lin, Ching-Ju AU - Lin CJ AD - Department of Physiology, School of Medicine, China Medical University, Taichung 404, Taiwan. FAU - Shen, Ching-Kai AU - Shen CK AD - Graduate Institute of Biomedical Sciences, China Medical University, Taichung 404, Taiwan. FAU - Lai, Sheng-Wei AU - Lai SW AD - Department of Pharmacology, School of Medicine, China Medical University, Taichung 404, Taiwan. FAU - Chen, Chao-Wei AU - Chen CW AUID- ORCID: 0000-0002-9084-6741 AD - Institute of New Drug Development, China Medical University, Taichung 404, Taiwan. FAU - Lin, Hui-Jung AU - Lin HJ AD - Department of Pharmacology, School of Medicine, China Medical University, Taichung 404, Taiwan. FAU - Lin, Chia-Huei AU - Lin CH AD - Department of Pharmacy, China Medical University, Taichung 404, Taiwan. FAU - Hsieh, Yun-Chen AU - Hsieh YC AD - Department of Pharmacy, China Medical University, Taichung 404, Taiwan. FAU - Lu, Dah-Yuu AU - Lu DY AUID- ORCID: 0000-0002-4463-5919 AD - Department of Pharmacology, School of Medicine, China Medical University, Taichung 404, Taiwan. AD - Department of Photonics and Communication Engineering, Asia University, Taichung 404, Taiwan. LA - eng GR - CMU107-S-48/China Medical University, Taiwan/ PT - Journal Article DEP - 20210828 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8430966 OTO - NOTNLM OT - DRD2 OT - PD-L1 OT - glioblastoma OT - paliperidone OT - tumor-associated macrophage COIS- The authors declare no conflict of interest. EDAT- 2021/09/11 06:00 MHDA- 2021/09/11 06:01 PMCR- 2021/08/28 CRDT- 2021/09/10 01:11 PHST- 2021/08/06 00:00 [received] PHST- 2021/08/24 00:00 [accepted] PHST- 2021/09/10 01:11 [entrez] PHST- 2021/09/11 06:00 [pubmed] PHST- 2021/09/11 06:01 [medline] PHST- 2021/08/28 00:00 [pmc-release] AID - cancers13174357 [pii] AID - cancers-13-04357 [pii] AID - 10.3390/cancers13174357 [doi] PST - epublish SO - Cancers (Basel). 2021 Aug 28;13(17):4357. doi: 10.3390/cancers13174357.