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Publication : Hypoxia-driven protease legumain promotes immunosuppression in glioblastoma.

First Author  Pang L Year  2023
Journal  Cell Rep Med Volume  4
Issue  11 Pages  101238
PubMed ID  37858339 Mgi Jnum  J:358286
Mgi Id  MGI:7778523 Doi  10.1016/j.xcrm.2023.101238
Citation  Pang L, et al. (2023) Hypoxia-driven protease legumain promotes immunosuppression in glioblastoma. Cell Rep Med 4(11):101238
abstractText  Glioblastoma (GBM) is a hypoxic and "immune-cold" tumor containing rich stromal signaling molecules and cell populations, such as proteases and immunosuppressive tumor-associated macrophages (TAMs). Here, we seek to profile and characterize the potential proteases that may contribute to GBM immunosuppression. Legumain (LGMN) emerges as the key protease that is highly enriched in TAMs and transcriptionally upregulated by hypoxia-inducible factor 1-alpha (HIF1alpha). Functionally, the increased LGMN promotes TAM immunosuppressive polarization via activating the GSK-3beta-STAT3 signaling pathway. Inhibition of macrophage HIF1alpha and LGMN reduces TAM immunosuppressive polarization, impairs tumor progression, enhances CD8(+) T cell-mediated anti-tumor immunity, and synergizes with anti-PD1 therapy in GBM mouse models. Thus, LGMN is a key molecular switch connecting two GBM hallmarks of hypoxia and immunosuppression, providing an actionable therapeutic intervention for this deadly disease.
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