Abstract

Glioblastoma multiforme (GBM) is a heterogeneous malignant brain tumor, the pathological incidence of which induces the accumulation of tumor-infiltrating lymphocytes (TILs). As a tumor suppressor gene, LRRC4 is absent in GBM cells. Here, we report that the recovery of LRRC4 in GBM cells inhibited the infiltration of tumor-infiltrating regulatory T cells (Ti-Treg), promoted the expansion of tumor-infiltrating effector T (Ti-Teff) cells and CD4+CCR4+ T cells, and enhanced the chemotaxis of CD4+CCR4+ T cells in the GBM immune microenvironment. LRRC4 was not transferred into TILs from GBM cells through exosomes but mainly exerted its inhibiting function on Ti-Treg cell expansion by directly promoting cytokine secretion. GBM cell-derived exosomes (cytokine-free and programmed cell death 1 containing) also contributed to the modulation of LRRC4 on Ti-Treg, Ti-Teff, and CD4+CCR4+ T cells. In GBM cells, LRRC4 directly bound to phosphoinositide-dependent protein kinase 1 (PDPK1), phosphorylated IKKβser181, facilitated NF-κB activation, and promoted the secretion of interleukin-6 (IL-6), CCL2, and interferon gamma. In addition, HSP90 was required to maintain the interaction between LRRC4 and PDPK1. However, the inhibition of Ti-Treg cell expansion and promotion of CD4+CCR4+ T cell chemotaxis by LRRC4 could be blocked by anti-IL-6 antibody or anti-CCL2 antibody, respectively. miR-101 is a suppressor gene in GBM. Our previous studies have shown that EZH2, EED, and DNMT3A are direct targets of miR-101. Here, we showed that miR-101 reversed the hypermethylation of the LRRC4 promoter and induced the re-expression of LRRC4 in GBM cells by directly targeting EZH2, EED, and DNMT3A. Our results reveal a novel mechanism underlying GBM microenvironment and provide a new therapeutic strategy using re-expression of LRRC4 in GBM cells to create a permissive intratumoral environment.

Highlights

  • Glioblastoma multiforme (GBM) is the most common malignant brain tumor and has a median survival of only 14.6 months even after treatment

  • The conditioned medium from primary cultured GBM and astrocytoma cells transfected with pcDNA3.1 LRRC4 induced much greater CD4+CCR4+ T cell chemotaxis and expansion than that from untransfected LRRC4 control cells (Figures 1C,D); the expansion of tumor-infiltrating CD4+CD25+Foxp3+ Treg cells (Ti-Treg) was inhibited (Figure 1E), especially the proportion of CD4+CD25+CD127−neuropilin− Ti-iTreg cells (Figure 1F, CD127 expression inversely correlates with Foxp3 expression, and the combined use of CD4+, CD25+, and CD127− can define the Treg cell population with suppressive functions), but drove CD4+ tumor-infliltrating effector T cells (Ti-Teff) expansion (Figure 1G)

  • We detected the effect of the conditional medium derived from IDH1wt U251 Tet-on-LRRC4 cells on CD4+CCR4+ T cells, tumor-infiltrating regulatory T cells (Ti-Treg) cells and tumor-infiltrating effector T (Ti-Teff) cells and obtained results that were consistent with those obtained for primary cultured GBM cells (Figures S1C–F in Supplementary Material)

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Summary

Introduction

Glioblastoma multiforme (GBM) is the most common malignant brain tumor and has a median survival of only 14.6 months even after treatment. The pathological incidence of a brain tumor induces the accumulation of tumorspecific immune cells, which constitute a part of the brain tumor mass. TILs include CD4+CD25+FoxP3+ regulatory T (Treg) cells, effector T (Teff) cells, and cytotoxic T cells, among others [2,3,4,5]. Each of these TIL subsets exerts different functions and secretes specific cytokines that can affect tumor growth. Tumor-infiltrating Treg cells expressing FoxP3 produce IL-10 and exert antitumor effects by inhibiting tumor-infiltrating effector T cells in the tumor microenvironment [6,7,8,9,10]. A detailed understanding of communication between GBM cells and tumor-specific TILs in the GBM microenvironment will help to unveil the key regulatory hub of immunosuppressive mechanisms and contribute to GBM immunotherapy

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