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Activation of the Receptor Tyrosine Kinase AXL Regulates the Immune Microenvironment in Glioblastoma

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单位: [1]Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA [2]Yamaguchi Univ, Dept Neurosurg, Yamaguchi, Japan [3]Univ Alabama Birmingham, Dept Nutr Sci, Birmingham, AL 35294 USA [4]Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Neurosurg, Xian, Shaanxi, Peoples R China [5]Ohio State Univ, Dept Chem & Biomol Engn, Columbus, OH 43210 USA [6]Cincinnati Childrens Hosp Med Ctr, Div Oncol, Cincinnati, OH 45229 USA [7]Emory Univ, Sch Med, Dept Pediat,Childrens Healthcare Atlanta, Aflac Canc & Blood Disorders Ctr, Atlanta, GA USA [8]Univ Pittsburgh, Dept Biomed Informat, Pittsburgh, PA USA [9]Agcy Sci Technol & Res, Singapore Immunol Network, Singapore, Singapore [10]Nanyang Technol Univ, Sch Biol Sci, Singapore, Singapore [11]Kurume Univ, Sch Med, Dept Pathol, Kurume, Fukuoka, Japan [12]Kanazawa Univ, Grad Sch Med Sci, Dept Neurosurg, Div Neurosci, Kanazawa, Ishikawa, Japan [13]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Dept Neurosurg,Wuhan,Hubei,Peoples R China [14]Chonnam Natl Univ, Coll Agr & Life Sci, Dept Anim Sci, Gwangju, South Korea [15]Univ Alabama Birmingham, UAB Comprehens Canc Ctr, Birmingham, AL USA
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Glioblastoma (GBM) is a lethal disease with no effective therapies available. We previously observed upregulation of the TAM (Tyro-3, Axl, and Mer) receptor tyrosine kinase family member AXL in mesenchymal GBM and showed that knockdown of AXL induced apoptosis of mesenchymal, but not proneural, glioma sphere cultures (GSC). In this study, we report that BGB324, a novel small molecule inhibitor of AXL, prolongs the survival of immunocompromised mice bearing GSC-derived mesenchymal GBM-like tumors. We show that protein S (PROS1), a known ligand of other TAM receptors, was secreted by tumor-associated macrophages/microglia and subsequently physically associated with and activated AXL in mesenchymal GSC. PROS1-driven phosphorylation of AXL (pAXL) induced NFkB activation in mesenchymal GSC, which was inhibited by BGB324 treatment. We also found that treatment of GSC-derived mouse GBM tumors with nivolumab, a blocking antibody against the immune checkpoint protein PD-1, increased intratumoral macrophages/microglia and activation of AXL. Combinatorial therapy with nivolumab plus BGB324 effectively prolonged the survival of mice bearing GBM tumors. Clinically, expression of AXL or PROS1 was associated with poor prognosis for patients with GBM. Our results suggest that the PROS1-AXL pathway regulates intrinsic mesenchymal signaling and the extrinsic immune microenvironment, contributing to the growth of aggressive GBM tumors. Significance: These findings suggest that development of combination treatments of AXL and immune checkpoint inhibitors may provide benefit to patients with GBM. (C) 2018 AACR.

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出版当年[2017]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学
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Q1 ONCOLOGY
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Q1 ONCOLOGY

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第一作者单位: [1]Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA [2]Yamaguchi Univ, Dept Neurosurg, Yamaguchi, Japan
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通讯机构: [1]Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA [15]Univ Alabama Birmingham, UAB Comprehens Canc Ctr, Birmingham, AL USA [*1]Univ Alabama Birmingham, WTI UAB Comprehens Canc Ctr 410F, Birmingham, AL 35243 USA
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