Radiotherapy induces persistent innate immune reprogramming of microglia into a primed state

Daniëlle C Voshart1, Takuya Oshima2, Yuting Jiang1

  • 1Department of Biomedical Sciences, Section of Molecular Cell Biology, University Medical Center Groningen, University of Groningen, 9700 AD Groningen, the Netherlands; Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, the Netherlands.

Cell Reports
|February 15, 2024
PubMed

Insights

Radiotherapy for brain tumors can cause cognitive decline by altering brain microglia. Radiation primes microglia, making them over-respond to inflammation, a finding likely relevant to human glioblastoma patients.

Area of Science:

  • Neuroscience
  • Immunology
  • Oncology

Background:

  • Radiotherapy for brain tumors frequently leads to cognitive impairment.
  • Microglia, the brain's immune cells, are implicated in this neurotoxicity.
  • Microglia possess innate immune memory (IIM), influencing their response to stimuli.

Purpose of the Study:

  • To determine if radiotherapy alters the innate immune memory of microglia.
  • To investigate the molecular mechanisms underlying radiation-induced microglial changes.

Main Methods:

  • Rat brains were irradiated, followed by exposure to a secondary inflammatory stimulus.
  • Comparative transcriptomic profiling and protein validation were performed on isolated microglia.
  • Transcriptomic analysis of human glioblastoma patient brain tissue was conducted.

Main Results:

  • Irradiated rat microglia exhibited a heightened immune response to secondary inflammatory stimuli.
  • Radiation induced long-lasting molecular reprogramming in microglia.
  • Evidence suggests radiation-induced microglial priming is conserved in human glioblastoma patients.

Conclusions:

  • Radiotherapy can induce a persistent state of microglial priming, contributing to cognitive decline.
  • Targeting microglial priming or mitigating secondary inflammation may reduce radiotherapy-induced neurotoxicity.