Abstract

Abstract INTRODUCTION Patients with glioblastoma have a very poor prognosis. Tumor-associated microglia and macrophages (TAMs) constitute up to 30 % of the cells in glioblastoma, and they secrete cytokines, chemokines and growth factors that influence the microenvironment. The existence of different TAM subtypes appears to be more complex than the established M1 and M2 phenotypes, but their role in glioblastoma is not fully understood and rarely considered therapeutically. This could explain why many clinical trials fail despite of promising preclinical results. This project aims to interrogate the existence and characteristics of different TAM subtypes in human glioblastoma in order to identify novel subpopulations and therapeutic targets. MATERIALS AND METHODS Live CD11b+ TAMs were isolated from patient glioblastoma tissue, and single-cell RNA sequencing (scRNA-seq) was performed using the 10X Genomics Chromium platform. The data was processed and analyzed with the R-package Seurat. RESULTS We have sequenced 74,000 TAMs/microglia from three glioblastomas and two control brain biopsies. In the controls, we detected mostly microglia, while the primary glioblastomas showed a predominance of monocyte-derived TAMs. We identified 11 TAM subtypes, such as hypoxic, proliferating, interferon-induced, chemokine-producing and TNF-producing TAMs, as well as a novel subtype potentially involved in tumor progression. CONCLUSION AND PERSPECTIVES We have detected a spectrum of TAM subtypes, which is more complex than the established M1 and M2 phenotypes. Our findings confirm a recent TAM scRNA-seq study, and in addition, we identify a novel subpopulation, which express known tumor-promoting genes, normally expressed by cancer cells. We are currently validating our findings. This study contributes to the elucidation of the glioblastoma microenvironment. It will potentially lead to identification of novel clinically relevant targets affecting the TAM-glioblastoma interactions.

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