Platelet-derived growth factor beta is a potent inflammatory driver in paediatric high-grade glioma

James L Ross1,2, Zhihong Chen1,3, Cameron J Herting1,4

  • 1Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, USA.

Insights

Pediatric high-grade gliomas (HGGs) have distinct tumor-associated macrophages (TAMs). PDGFB drives inflammation and TAM infiltration, suggesting CCL3 as a therapeutic target to improve survival in pediatric HGG.

Area of Science:

  • Neuro-oncology
  • Immunology
  • Cancer Biology

Background:

  • Pediatric high-grade gliomas (HGGs) are aggressive brain tumors with poor prognosis.
  • Tumor-associated macrophages (TAMs) play complex roles in gliomagenesis, differing between adult and pediatric settings.
  • The unique genetic landscape of pediatric HGGs may influence TAM populations and function.

Purpose of the Study:

  • To investigate the characteristics and role of TAMs in pediatric HGG.
  • To explore the influence of genetic drivers (PDGF A/B) on the tumor microenvironment and TAM infiltration.
  • To identify potential therapeutic targets for pediatric HGG.

Main Methods:

  • Analysis of human pediatric HGG tissue samples.
  • Development of genetically engineered mouse models (RCAS/tv-a system) of pediatric HGG.
  • In vitro studies using bone marrow-derived monocytes and microglial cultures.
  • Gene expression analysis (NanoString, qPCR) and chemokine knockout studies.

Main Results:

  • Diffuse midline gliomas show a higher inflammatory gene expression profile than hemispheric pediatric HGGs.
  • PDGFB-driven tumors exhibit increased TAM infiltration, reduced survival, and a highly inflammatory microenvironment compared to PDGFA-driven tumors.
  • Bone marrow-derived monocytes are key producers of inflammatory signals in response to PDGFB.
  • CCL3 is identified as a critical chemokine involved in TAM infiltration and tumor progression.

Conclusions:

  • PDGFB significantly drives inflammation and TAM infiltration in pediatric HGG, contributing to reduced survival.
  • Targeting specific chemokines, such as CCL3, may represent a viable therapeutic strategy to reduce TAM infiltration and improve outcomes.
  • These findings highlight the importance of understanding the tumor microenvironment in developing novel pediatric HGG therapies.

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