Semapimod sensitizes glioblastoma tumors to ionizing radiation by targeting microglia

Ian S Miller1, Sebastien Didier1, David W Murray1

  • 1Center for Oncology and Cell Biology, The Feinstein Institute for Medical Research at North Shore-LIJ, Manhasset, New York, United States of America.

Plos One
|May 13, 2014
PubMed

Insights

Semapimod targets microglia to enhance glioblastoma treatment. This drug, combined with radiation, significantly improves survival in preclinical models by sensitizing tumors.

Area of Science:

  • Neuro-oncology
  • Immunology
  • Pharmacology

Background:

  • Glioblastoma is a lethal brain cancer with poor prognosis.
  • Microglia, brain-resident macrophages, significantly influence glioblastoma progression.
  • Novel therapeutics targeting the tumor microenvironment are crucial.

Purpose of the Study:

  • To investigate the role of microglia in glioblastoma growth and radiation resistance.
  • To evaluate the efficacy of semapimod, a macrophage/microglia inhibitor, in glioblastoma models.
  • To determine if semapimod sensitizes glioblastoma to ionizing radiation.

Main Methods:

  • In vitro studies assessing microglia-stimulated glioblastoma cell invasion, proliferation, and radiation resistance.
  • Treatment of GL261 glioblastoma cells with semapimod and/or ionizing radiation.
  • In vivo studies evaluating the effect of semapimod and radiation on tumor-bearing animal survival.

Main Results:

  • Microglia promote glioblastoma cell invasion, proliferation, and radiation resistance in vitro.
  • Semapimod inhibited microglia-stimulated invasion and radiation resistance, but not proliferation.
  • Intracranial semapimod combined with radiation significantly increased survival in GL261 tumor-bearing mice.

Conclusions:

  • Semapimod targets microglia and/or infiltrating macrophages to sensitize glioblastoma to ionizing radiation.
  • Targeting the microglia-mediated tumor microenvironment represents a promising therapeutic strategy for glioblastoma.
  • Combination therapy of semapimod and radiation shows significant survival benefit in preclinical glioblastoma models.

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