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Publication : Midkine activation of CD8<sup>+</sup> T cells establishes a neuron-immune-cancer axis responsible for low-grade glioma growth.

First Author  Guo X Year  2020
Journal  Nat Commun Volume  11
Issue  1 Pages  2177
PubMed ID  32358581 Mgi Jnum  J:291790
Mgi Id  MGI:6446996 Doi  10.1038/s41467-020-15770-3
Citation  Guo X, et al. (2020) Midkine activation of CD8(+) T cells establishes a neuron-immune-cancer axis responsible for low-grade glioma growth. Nat Commun 11(1):2177
abstractText  Brain tumors (gliomas) are heterogeneous cellular ecosystems, where non-neoplastic monocytic cells have emerged as key regulators of tumor maintenance and progression. However, relative to macrophages/microglia, comparatively less is known about the roles of neurons and T cells in glioma pathobiology. Herein, we leverage genetically engineered mouse models and human biospecimens to define the axis in which neurons, T cells, and microglia interact to govern Neurofibromatosis-1 (NF1) low-grade glioma (LGG) growth. NF1-mutant human and mouse brain neurons elaborate midkine to activate naive CD8(+ )T cells to produce Ccl4, which induces microglia to produce a key LGG growth factor (Ccl5) critical for LGG stem cell survival. Importantly, increased CCL5 expression is associated with reduced survival in patients with LGG. The elucidation of the critical intercellular dependencies that constitute the LGG neuroimmune axis provides insights into the role of neurons and immune cells in controlling glioma growth, relevant to future therapeutic targeting.
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