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Publication : Quinolinate promotes macrophage-induced immune tolerance in glioblastoma through the NMDAR/PPARγ signaling axis.

First Author  Kesarwani P Year  2023
Journal  Nat Commun Volume  14
Issue  1 Pages  1459
PubMed ID  36927729 Mgi Jnum  J:338910
Mgi Id  MGI:7445881 Doi  10.1038/s41467-023-37170-z
Citation  Kesarwani P, et al. (2023) Quinolinate promotes macrophage-induced immune tolerance in glioblastoma through the NMDAR/PPARgamma signaling axis. Nat Commun 14(1):1459
abstractText  There has been considerable scientific effort dedicated to understanding the biologic consequence and therapeutic implications of aberrant tryptophan metabolism in brain tumors and neurodegenerative diseases. A majority of this work has focused on the upstream metabolism of tryptophan; however, this has resulted in limited clinical application. Using global metabolomic profiling of patient-derived brain tumors, we identify the downstream metabolism of tryptophan and accumulation of quinolinate (QA) as a metabolic node in glioblastoma and demonstrate its critical role in promoting immune tolerance. QA acts as a metabolic checkpoint in glioblastoma by inducing NMDA receptor activation and Foxo1/PPARgamma signaling in macrophages, resulting in a tumor supportive phenotype. Using a genetically-engineered mouse model designed to inhibit production of QA, we identify kynureninase as a promising therapeutic target to revert the potent immune suppressive microenvironment in glioblastoma. These findings offer an opportunity to revisit the biologic consequence of this pathway as it relates to oncogenesis and neurodegenerative disease and a framework for developing immune modulatory agents to further clinical gains in these otherwise incurable diseases.
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