Microglia/macrophages express alternative proangiogenic factors depending on granulocyte content in human

Anne Blank1, Irina Kremenetskaia1, Ruth M Urbantat1

  • 1Department of Experimental Neurosurgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

The Journal of Pathology
|October 12, 2020
PubMed

Insights

Myeloid cells in glioblastoma (GBM) can resist anti-angiogenic treatments by producing alternative proangiogenic factors. These myeloid cells, including microglia/macrophages and granulocytes, contribute to tumor growth and vascular remodeling, limiting treatment efficacy.

Area of Science:

  • Oncology
  • Immunology
  • Pathology

Background:

  • Myeloid cells are key components of the glioblastoma microenvironment.
  • They are implicated in tumor escape and resistance to anti-VEGF/VEGFR therapies.

Purpose of the Study:

  • To investigate the role of myeloid cells in expressing proangiogenic molecules in human glioblastoma multiforme (GBM).

Main Methods:

  • Analysis of human GBM, anaplastic astrocytoma, and epilepsy patient samples.
  • Flow cytometry to identify myeloid cell populations (microglia/macrophages, granulocytes).
  • Subdivision of GBM samples into low (GBM-lPMNL) and high (GBM-hPMNL) granulocyte groups.

Main Results:

  • Two distinct myeloid populations, microglia/macrophages and granulocytes, were identified in GBM.
  • GBM-hPMNL samples showed altered microglia/macrophages expressing CD163, TIE2, HIF1α, VEGF, CXCL2, and CD13.
  • Both cell types produced proangiogenic factors (IL8, CD13), with microglia/macrophages also expressing VEGF.
  • Microglia/macrophages in GBM-hPMNL were associated with tumor vasculature and remodeling.

Conclusions:

  • Tumor-infiltrating myeloid cells contribute to GBM's proangiogenic state.
  • These cells may drive resistance to anti-angiogenic therapies by bypassing VEGF pathways.
  • Targeting myeloid cell-derived proangiogenic factors could enhance GBM treatment efficacy.