PMID- 22693253 OWN - NLM STAT- MEDLINE DCOM- 20121204 LR - 20220729 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 72 IP - 16 DP - 2012 Aug 15 TI - Resistance of glioblastoma-initiating cells to radiation mediated by the tumor microenvironment can be abolished by inhibiting transforming growth factor-beta. PG - 4119-29 LID - 10.1158/0008-5472.CAN-12-0546 [doi] AB - The poor prognosis of glioblastoma (GBM) routinely treated with ionizing radiation (IR) has been attributed to the relative radioresistance of glioma-initiating cells (GIC). Other studies indicate that although GIC are sensitive, the response is mediated by undefined factors in the microenvironment. GBM produce abundant transforming growth factor-beta (TGF-beta), a pleotropic cytokine that promotes effective DNA damage response. Consistent with this, radiation sensitivity, as measured by clonogenic assay of cultured murine (GL261) and human (U251, U87MG) glioma cell lines, increased by approximately 25% when treated with LY364947, a small-molecule inhibitor of TGF-beta type I receptor kinase, before irradiation. Mice bearing GL261 flank tumors treated with 1D11, a pan-isoform TGF-beta neutralizing antibody, exhibited significantly increased tumor growth delay following IR. GL261 neurosphere cultures were used to evaluate GIC. LY364947 had no effect on the primary or secondary neurosphere-forming capacity. IR decreased primary neurosphere formation by 28%, but did not reduce secondary neurosphere formation. In contrast, LY364947 treatment before IR decreased primary neurosphere formation by 75% and secondary neurosphere formation by 68%. Notably, GL261 neurospheres produced 3.7-fold more TGF-beta per cell compared with conventional culture, suggesting that TGF-beta production by GIC promotes effective DNA damage response and self-renewal, which creates microenvironment-mediated resistance. Consistent with this, LY364947 treatment in irradiated GL261 neurosphere-derived cells decreased DNA damage responses, H2AX and p53 phosphorylation, and induction of self-renewal signals, Notch1 and CXCR4. These data motivate the use of TGF-beta inhibitors with radiation to improve therapeutic response in patients with GBM. CI - (c)2012 AACR. FAU - Hardee, Matthew E AU - Hardee ME AD - Department of Radiation Oncology, New York University School of Medicine, New York, New York 10016, USA. FAU - Marciscano, Ariel E AU - Marciscano AE FAU - Medina-Ramirez, Christina M AU - Medina-Ramirez CM FAU - Zagzag, David AU - Zagzag D FAU - Narayana, Ashwatha AU - Narayana A FAU - Lonning, Scott M AU - Lonning SM FAU - Barcellos-Hoff, Mary Helen AU - Barcellos-Hoff MH LA - eng GR - T32 CA009161/CA/NCI NIH HHS/United States GR - U54 CA149233/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20120612 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antibodies, Neutralizing) RN - 0 (DNA, Neoplasm) RN - 0 (HTS 466284) RN - 0 (Pyrazoles) RN - 0 (Pyrroles) RN - 0 (Radiation-Sensitizing Agents) RN - 0 (Transforming Growth Factor beta) SB - IM MH - Animals MH - Antibodies, Neutralizing/pharmacology MH - Brain Neoplasms/drug therapy/metabolism/pathology/*radiotherapy MH - Cell Line, Tumor MH - Combined Modality Therapy MH - DNA Damage MH - DNA, Neoplasm/radiation effects MH - Female MH - Glioblastoma/drug therapy/metabolism/pathology/*radiotherapy MH - Humans MH - Mice MH - Mice, Inbred C57BL MH - Mink MH - Neoplastic Stem Cells/drug effects/metabolism/radiation effects MH - Neural Stem Cells/drug effects/metabolism/radiation effects MH - Pyrazoles/*pharmacology MH - Pyrroles/*pharmacology MH - Radiation Tolerance MH - Radiation-Sensitizing Agents/*pharmacology MH - Signal Transduction MH - Transforming Growth Factor beta/*antagonists & inhibitors/metabolism MH - Tumor Microenvironment PMC - PMC3538149 MID - NIHMS393834 EDAT- 2012/06/14 06:00 MHDA- 2012/12/10 06:00 PMCR- 2013/08/15 CRDT- 2012/06/14 06:00 PHST- 2012/06/14 06:00 [entrez] PHST- 2012/06/14 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] PHST- 2013/08/15 00:00 [pmc-release] AID - 0008-5472.CAN-12-0546 [pii] AID - 10.1158/0008-5472.CAN-12-0546 [doi] PST - ppublish SO - Cancer Res. 2012 Aug 15;72(16):4119-29. doi: 10.1158/0008-5472.CAN-12-0546. Epub 2012 Jun 12.