PDIA3 Expression in Glioblastoma Modulates Macrophage/Microglia Pro-Tumor Activation

Marta Chiavari1, Gabriella Maria Pia Ciotti1, Francesco Canonico2

  • 1Dipartimento di Bioetica e Sicurezza, Sezione di Farmacologia-Catholic University Medical School, 00168 Rome, Italy.

Insights

Endoplasmic reticulum protein ERp57/PDIA3 (protein disulfide-isomerase A3) is expressed in glioblastoma (GB) and glioma-associated microglia/macrophages (GAMs). Reduced PDIA3 in GB cells limits GAM pro-tumor polarization and inflammation.

Area of Science:

  • Neuro-oncology
  • Cancer Immunology
  • Molecular Biology

Background:

  • The glioblastoma (GB) microenvironment contains poorly characterized glioma-associated microglia/macrophages (GAMs).
  • Endoplasmic reticulum protein ERp57/PDIA3 (protein disulfide-isomerase A3) is implicated in various cancers and its overexpression correlates with reduced glioma patient survival.
  • ERp57/PDIA3's role in GAM regulation within the GB microenvironment is largely unknown.

Purpose of the Study:

  • To investigate the expression and function of ERp57/PDIA3 in glioblastoma.
  • To determine the role of ERp57/PDIA3 in the interaction between glioblastoma cells and microglia/macrophages.
  • To assess the impact of PDIA3 modulation on microglia polarization and pro-tumor factor production.

Main Methods:

  • Analysis of ERp57/PDIA3 expression in surgical specimens from 18 glioblastoma patients using immunohistochemistry.
  • Comparison of ERp57/PDIA3 levels in GAMs versus surrounding parenchymal microglia.
  • Assessment of microglia activation and polarization using conditioned media from glioblastoma cells with modulated PDIA3 expression.

Main Results:

  • ERp57/PDIA3 was expressed in both glioblastoma cells and GAMs.
  • ERp57/PDIA3 levels were significantly higher in GAMs compared to normal microglia.
  • Reduced PDIA3 expression/activity in glioblastoma cells decreased M2 polarization of microglia and pro-inflammatory factor production.

Conclusions:

  • ERp57/PDIA3 is present in glioblastoma cells and GAMs, with higher levels in GAMs.
  • PDIA3 plays a role in glioblastoma-mediated pro-tumor activation of microglia.
  • Targeting PDIA3 may represent a therapeutic strategy for glioblastoma by modulating the tumor immune microenvironment.