PMID- 38470096 OWN - NLM STAT- MEDLINE DCOM- 20240313 LR - 20240418 IS - 1755-5949 (Electronic) IS - 1755-5930 (Print) IS - 1755-5930 (Linking) VI - 30 IP - 3 DP - 2024 Mar TI - Exosome-transmitted podoplanin promotes tumor-associated macrophage-mediated immune tolerance in glioblastoma. PG - e14643 LID - 10.1111/cns.14643 [doi] LID - e14643 AB - AIMS: Glioblastoma is the most frequent and aggressive primary brain tumor, characterized by rapid disease course and poor treatment responsiveness. The abundance of immunosuppressive macrophages in glioblastoma challenges the efficacy of novel immunotherapy. METHODS: Bulk RNA-seq and single-cell RNA-seq of glioma patients from public databases were comprehensively analyzed to illustrate macrophage infiltration patterns and molecular characteristics of podoplanin (PDPN). Multiplexed fluorescence immunohistochemistry staining of PDPN, GFAP, CD68, and CD163 were performed in glioma tissue microarray. The impact of PDPN on macrophage immunosuppressive polarization was investigated using a co-culture system. Bone marrow-derived macrophages (BMDMs) and OT-II T cells isolated from BALB/c and OT-II mice respectively were co-cultured to determine T-cell adherence. Pathway alterations were probed through RNA sequencing and western blot analyses. RESULTS: Our findings demonstrated that PDPN is notably correlated with the expression of CD68 and CD163 in glioma tissues. Additionally, macrophages phagocytosing PDPN-containing EVs (EVs(PDPN) ) from GBM cells presented increased CD163 expression and augmented secretion of immunoregulatory cytokine (IL-6, IL-10, TNF-alpha, and TGF-beta1). PDPN within EVs was also associated with enhanced phagocytic activity and reduced MHC II expression in macrophages, compromising CD4(+) T-cell activation. CONCLUSIONS: This investigation underscores that EVs(PDPN) derived from glioblastoma cells contributes to M2 macrophage-mediated immunosuppression and is a potential prognostic marker and therapeutic target in glioblastoma. CI - (c) 2024 The Authors. CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd. FAU - Wu, Mengwan AU - Wu M AD - Department of Oncology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. AD - Yu-Yue Pathology Scientific Research Center, Chongqing, China. AD - Jinfeng Laboratory, Chongqing, China. FAU - Shi, Ying AU - Shi Y AD - Department of Oncology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. FAU - Liu, Yuyang AU - Liu Y AD - Department of Neurosurgery, 920th Hospital of Joint Logistics Support Force, Kunming, China. FAU - Huang, Hongxiang AU - Huang H AD - Department of Oncology, The First Affiliated Hospital, Nanchang University, Nanchang, China. FAU - Che, Jiajia AU - Che J AD - Department of Oncology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. FAU - Shi, Jing AU - Shi J AD - Department of Neurosurgery, 920th Hospital of Joint Logistics Support Force, Kunming, China. FAU - Xu, Chuan AU - Xu C AUID- ORCID: 0000-0002-5320-2277 AD - Department of Oncology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. AD - Yu-Yue Pathology Scientific Research Center, Chongqing, China. AD - Jinfeng Laboratory, Chongqing, China. LA - eng GR - 2023YFC3402100/National Key Research and Development Program of China/ GR - 82203539/The National Natural Science Foundation of China/ GR - 92259102/The National Natural Science Foundation of China/ GR - ZYGX2021YGCX004/Medico-Engineering Cooperation Funds from University of Electronic Science and Technology of China/ GR - ZYGX2021YGCX018/Medico-Engineering Cooperation Funds from University of Electronic Science and Technology of China/ GR - 2022X045/Funds from Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - CNS Neurosci Ther JT - CNS neuroscience & therapeutics JID - 101473265 RN - 0 (Transcription Factors) RN - 0 (PDPN protein, human) RN - 0 (Gp38 protein, mouse) SB - IM MH - Animals MH - Humans MH - Mice MH - *Exosomes/metabolism MH - *Glioblastoma/pathology MH - *Glioma/metabolism MH - Immune Tolerance MH - Transcription Factors MH - Tumor-Associated Macrophages/metabolism/pathology PMC - PMC10929222 OTO - NOTNLM OT - GBM OT - PDPN OT - exosome OT - glioma OT - immunosuppressive TME OT - macrophage COIS- The authors declare no conflicts of interest. EDAT- 2024/03/12 12:44 MHDA- 2024/03/13 06:46 PMCR- 2024/03/12 CRDT- 2024/03/12 08:43 PHST- 2024/01/11 00:00 [revised] PHST- 2023/11/17 00:00 [received] PHST- 2024/01/29 00:00 [accepted] PHST- 2024/03/13 06:46 [medline] PHST- 2024/03/12 12:44 [pubmed] PHST- 2024/03/12 08:43 [entrez] PHST- 2024/03/12 00:00 [pmc-release] AID - CNS14643 [pii] AID - 10.1111/cns.14643 [doi] PST - ppublish SO - CNS Neurosci Ther. 2024 Mar;30(3):e14643. doi: 10.1111/cns.14643.