RAGE ablation attenuates glioma progression and enhances tumor immune responses by suppressing galectin-3 expression

Ian Y Zhang1, Shunan Liu2, Leying Zhang1

  • 1Division of Neurosurgery, City of Hope Beckman Research Institute, Duarte, California, USA.

Neuro-Oncology
|November 17, 2022
PubMed
Abstract

Insights

Genetic ablation of the receptor for advanced glycation end products (RAGE) suppressed glioma growth and invasion. RAGE inhibition also enhanced anti-tumor immune responses, supporting its development as a novel glioma treatment.

Area of Science:

  • Neuro-oncology
  • Cancer immunology
  • Molecular oncology

Background:

  • Malignant gliomas exhibit complex cellular heterogeneity and multiple immune escape mechanisms, challenging current therapies.
  • The receptor for advanced glycation end products (RAGE) is activated by tumor microenvironment ligands, promoting glioma growth and invasion.
  • Targeting RAGE-ligand interactions alone is insufficient due to the abundance and diversity of RAGE ligands in gliomas.

Purpose of the Study:

  • To investigate the efficacy of genetically ablating RAGE in suppressing glioma tumorigenicity.
  • To evaluate the impact of RAGE ablation on glioma growth, invasion, and inflammatory responses.
  • To assess the potential of RAGE inhibition in enhancing immunotherapy responses.

Main Methods:

  • Utilized shRNA and CRISPR/Cas9 techniques to genetically inhibit RAGE expression in syngeneic murine glioma models (GL261 and K-Luc).
  • Performed intracranial implantation of RAGE-ablated gliomas.
  • Assessed tumor growth, invasion, inflammatory responses, and survival using histology, Nanostring, and flow cytometry.

Main Results:

  • Intracellular RAGE ablation significantly abrogated glioma growth and invasion by suppressing AKT and ERK1/2 signaling pathways.
  • RAGE inhibition led to downregulation of matrix metalloproteinase 9 (MMP9) expression, a key factor in invasion.
  • RAGE ablation enhanced anti-tumor inflammatory responses by downregulating galectin-3 and potentiated responses to immune checkpoint blockade.

Conclusions:

  • Intracellular RAGE ablation effectively suppresses critical cellular pathways driving glioma progression, invasion, and immune evasion.
  • RAGE inhibition represents a promising therapeutic strategy for malignant gliomas by targeting multiple tumor-promoting mechanisms.
  • This approach holds potential for combination with immunotherapy to overcome treatment resistance in gliomas.

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