NK cell-derived GZMB (granzyme B) suppresses glioblastoma radioresistance by blocking SDC1-mediated autophagosome

Jingze Yan1, Ruishen Feng1, Qin Qin1

  • 1Department of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.

Autophagy
|December 11, 2025
PubMed

Insights

Natural killer (NK) cells enhance glioblastoma radiotherapy by secreting granzyme B (GZMB), which blocks autophagosome-lysosome fusion. This NK cell-mediated radiosensitization offers a promising immunotherapy strategy for radioresistant glioblastomas.

Area of Science:

  • Oncology
  • Immunology
  • Cell Biology

Background:

  • Glioblastoma (GBM) radiotherapy efficacy is limited by radioresistance.
  • Natural killer (NK) cells show potential in cancer immunotherapy, especially combined with radiotherapy.
  • NK cell regulation is a potential strategy for GBM radiosensitization.

Purpose of the Study:

  • To investigate the role of NK cells in GBM radiosensitization.
  • To identify the effector molecule responsible for NK-mediated radiosensitization.
  • To elucidate the molecular mechanism by which NK cells enhance GBM response to radiotherapy.

Main Methods:

  • Co-culturing GBM cells with NK cells and exposing to ionizing radiation (IR).
  • Pharmacological depletion of NK cells in a mouse model.
  • Assessing the role of granzyme B (GZMB) in NK-mediated radiosensitization.
  • Investigating the interaction between GZMB and syndecan 1 (SDC1) in GBM cells.
  • Analyzing clinical data from GBM patients.

Main Results:

  • Ionizing radiation (IR) stimulates and accumulates cytotoxic NK cells in the GBM tumor microenvironment (TME).
  • NK cell co-culture enhances GBM cell response to IR; NK cell depletion reduces IR-induced tumor growth delay.
  • Granzyme B (GZMB) is the effector molecule mediating NK cell radiosensitization.
  • GZMB cleaves SDC1 at specific sites, blocking autophagosome-lysosome fusion and impairing GBM cell autophagy.
  • Clinical data show SDC1 mutations correlate with lower radiotherapy response in GBM patients.

Conclusions:

  • NK cells play a critical role in enhancing glioblastoma radiotherapy efficacy.
  • GZMB secreted by NK cells radiosensitizes GBM by inhibiting autophagosome maturation via SDC1 cleavage.
  • Combining radiotherapy with NK cell-based immunotherapy is a potential strategy against radioresistant GBM.