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Publication : CTLA-4 blockade induces a microglia-Th1 cell partnership that stimulates microglia phagocytosis and anti-tumor function in glioblastoma.

First Author  Chen D Year  2023
Journal  Immunity Volume  56
Issue  9 Pages  2086-2104.e8
PubMed ID  37572655 Mgi Jnum  J:341108
Mgi Id  MGI:7528594 Doi  10.1016/j.immuni.2023.07.015
Citation  Chen D, et al. (2023) CTLA-4 blockade induces a microglia-Th1 cell partnership that stimulates microglia phagocytosis and anti-tumor function in glioblastoma. Immunity 56(9):2086-2104.e8
abstractText  The limited efficacy of immunotherapies against glioblastoma underscores the urgency of better understanding immunity in the central nervous system. We found that treatment with alphaCTLA-4, but not alphaPD-1, prolonged survival in a mouse model of mesenchymal-like glioblastoma. This effect was lost upon the depletion of CD4(+) T cells but not CD8(+) T cells. alphaCTLA-4 treatment increased frequencies of intratumoral IFNgamma-producing CD4(+) T cells, and IFNgamma blockade negated the therapeutic impact of alphaCTLA-4. The anti-tumor activity of CD4(+) T cells did not require tumor-intrinsic MHC-II expression but rather required conventional dendritic cells as well as MHC-II expression on microglia. CD4(+) T cells interacted directly with microglia, promoting IFNgamma-dependent microglia activation and phagocytosis via the AXL/MER tyrosine kinase receptors, which were necessary for tumor suppression. Thus, alphaCTLA-4 blockade in mesenchymal-like glioblastoma promotes a CD4(+) T cell-microglia circuit wherein IFNgamma triggers microglia activation and phagocytosis and microglia in turn act as antigen-presenting cells fueling the CD4(+) T cell response.
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