Microglia and macrophages in human glioblastomas: A morphological and immunohistochemical study

Magnus Kvisten1, Vilde E Mikkelsen1, Anne Line Stensjøen2

  • 1Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, NO-7491 Trondheim, Norway.

Insights

Tumor-associated macrophages (TAMs) in glioblastoma (GBM) show varied morphologies and distributions. Slow-growing GBMs exhibit distinct TAM populations compared to fast-growing ones, impacting tumor biology.

Area of Science:

  • Neuro-oncology
  • Immunology
  • Pathology

Background:

  • Glioblastomas (GBMs) are aggressive brain tumors characterized by tumor-associated macrophages (TAMs).
  • The roles of TAMs in GBM biology and their histopathological features related to tumor growth are not well understood.
  • Magnetic resonance imaging (MRI) is used to assess tumor volume and growth rates.

Purpose of the Study:

  • To investigate the histopathological characteristics of TAMs in GBM.
  • To correlate TAM morphology, distribution, and density with GBM growth rates assessed by MRI.
  • To explore potential differences in TAM populations between slow-growing and fast-growing GBMs.

Main Methods:

  • Analysis of GBM tissue from 16 patients with sufficient histological material.
  • Classification of tumors into slow-growing (n=7) and fast-growing (n=9) based on MRI-derived segmented tumor volumes.
  • Immunohistochemical staining using CD68 and Iba1 antibodies to study TAMs.
  • Assessment of TAM number, morphology, localization, and distribution within tumor tissues.

Main Results:

  • TAMs showed significantly higher immunoreactivity for Iba1 than CD68 (P<0.001).
  • Slow-growing GBMs had more CD68+ TAMs in central areas and perivascular regions of the infiltration zone compared to fast-growing GBMs.
  • TAM density was higher in central tumor areas than in the infiltration zone for both CD68+ and Iba1+ TAMs.
  • TAM morphology varied by location: ramified in the infiltration zone and amoeboid in central areas.
  • TAMs were abundant throughout most tumor regions but scarce in necrotic areas.

Conclusions:

  • GBMs contain a diverse population of TAMs with morphologies suggesting various activation states.
  • Distinct TAM populations are associated with different GBM growth rates, with slow-growing tumors showing specific characteristics.
  • Understanding TAM heterogeneity is crucial for elucidating GBM pathogenesis and developing targeted therapies.

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