Arginine deprivation alters microglia polarity and synergises with radiation to eradicate non arginine auxotrophic glioblastoma tumors
File(s)
Author(s)
Type
Journal Article
Abstract
New approaches for the management of glioblastoma (GBM) are an urgent and unmet clinical need. Here, we illustrate that the efficacy of radiotherapy for GBM is strikingly potentiated by concomitant therapy with the arginine depleting agent ADI-PEG20 in a non-arginine auxotrophic cellular background (Arginine Succinate Synthetase 1 positive). Moreover, this combination led to durable and complete radiological and pathological response with extended disease-free survival in an orthotopic immune competent model of GBM with no significant toxicity. ADI-PEG20 not only enhances the cellular sensitivity of Arginine succinate synthetase 1 positive GBM to ionising radiation by elevated production of nitric oxide (NO) and hence generation of cytotoxic peroxynitrites, but also promotes glioma-associated macrophages/microglia infiltration into tumors and turns their classical anti-inflammatory (pro-tumor) phenotype into a pro-inflammatory (anti-tumor) phenotype. Our results provide an effective, well-tolerated and simple strategy to improve GBM treatment which merits consideration for early evaluation in clinical trials.
Date Issued
2022-02-03
Date Acceptance
2022-01-28
Citation
Journal of Clinical Investigation, 2022, 132 (6), pp.1-19
ISSN
0021-9738
Publisher
American Society for Clinical Investigation
Start Page
1
End Page
19
Journal / Book Title
Journal of Clinical Investigation
Volume
132
Issue
6
Copyright Statement
© 2022, Hajji et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
License URL
ttp://creativecommons.org/licenses/by/4.0/
Sponsor
Brain Tumour Research Campaign
Brain Tumour Research
CRUK
Identifier
https://www.jci.org/articles/view/142137
Grant Number
N/A
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, Research & Experimental
Research & Experimental Medicine
NITRIC-OXIDE SYNTHASE
ADJUVANT TEMOZOLOMIDE
PEROXYNITRITE
CELLS
SURVIVAL
CANCER
MICROENVIRONMENT
RADIOTHERAPY
CONCOMITANT
METABOLISM
Amino acid metabolism
Brain cancer
Nitric oxide
Oncology
Therapeutics
Immunology
11 Medical and Health Sciences
Publication Status
Submitted
Date Publish Online
2022-02-03