4.2 Article

Combination of p38 MAPK inhibitor with PD-L1 antibody effectively prolongs survivals of temozolomide-resistant glioma-bearing mice via reduction of infiltrating glioma-associated macrophages and PD-L1 expression on resident glioma-associated microglia

期刊

BRAIN TUMOR PATHOLOGY
卷 38, 期 3, 页码 189-200

出版社

SPRINGER JAPAN KK
DOI: 10.1007/s10014-021-00404-3

关键词

Glioma-associated macrophages; Glioma-associated microglia; p38 MAPK; PD-L1; Temozolomide-resistant

资金

  1. National Natural Science Foundation of China [81372273, 81773145]

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The study demonstrates that a p38MAPK inhibitor can reduce macrophages/microglia accumulation in glioma and prolong the survivals of glioma-bearing mice, potentially through inhibiting PD-L1 expression. The combination therapy of p38MAPK inhibitor with PD-L1 antibody effectively prolongs the survivals of TMZ-resistant GBM-bearing hosts and modulates the immune microenvironment within the tumor. Further clinical studies are needed to confirm the safety and efficacy of this combination therapy.
Current conventional treatment strategies for glioblastoma (GBM) have limited efficacy due to the rapid development of resistance to temozolomide (TMZ). It is particularly urgent to develop novel therapeutic strategies that can overcome TMZ resistance and provide patients with better prognoses. Here, a TMZ-resistant GBM cell strain and a mouse model of TMZ resistance are established as valuable tools to explore novel therapeutic strategies against TMZ resistance. Experimentally, p38MAPK inhibitor reduces the accumulation of F4/80(+)/CD11b(+) macrophages/microglia in glioma and prolongs the survivals of glioma-bearing mice. Glioma-associated macrophages/microglia have a significanct expression of PD-L1. p38MAPK inhibitor in combination with PD-L1 antibody can effectively prolongs the survivals of TMZ-resistant GBM-bearing hosts, and differentially reduces the accumulation of circulating monocytes-derived tumor-associated macrophages and PD-L1 abundances of resident glioma-associated microglia. This combination therapy could be a treatment option for patients at the recurrence or chronic TMZ maintenance stages. A clinical study to confirm the safety and effectiveness of this combination therapy is warranted.

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