CSF1R inhibition depletes tumor-associated macrophages and attenuates tumor progression in a mouse sonic hedgehog-medulloblastoma model Journal Article


Authors: Tan, I. L.; Arifa, R. D. N.; Rallapalli, H.; Kana, V.; Lao, Z.; Sanghrajka, R. M.; Bayin, N. S.; Tanne, A.; Wojcinski, A.; Korshunov, A.; Bhardwaj, N.; Merad, M.; Turnbull, D. H.; Lafaille, J. J.; Joyner, A. L.
Article Title: CSF1R inhibition depletes tumor-associated macrophages and attenuates tumor progression in a mouse sonic hedgehog-medulloblastoma model
Abstract: The immune microenvironment of tumors can play a critical role in promoting or inhibiting tumor progression depending on the context. We present evidence that tumor-associated macrophages/microglia (TAMs) can promote tumor progression in the sonic hedgehog subgroup of medulloblastoma (SHH-MB). By combining longitudinal manganese-enhanced magnetic resonance imaging (MEMRI) and immune profiling of a sporadic mouse model of SHH-MB, we found the density of TAMs is higher in the ~50% of tumors that progress to lethal disease. Furthermore, reducing regulatory T cells or eliminating B and T cells in Rag1 mutants does not alter SHH-MB tumor progression. As TAMs are a dominant immune component in tumors and are normally dependent on colony-stimulating factor 1 receptor (CSF1R), we treated mice with a CSF1R inhibitor, PLX5622. Significantly, PLX5622 reduces a subset of TAMs, prolongs mouse survival, and reduces the volume of most tumors within 4 weeks of treatment. Moreover, concomitant with a reduction in TAMs the percentage of infiltrating cytotoxic T cells is increased, indicating a change in the tumor environment. Our studies in an immunocompetent preclinical mouse model demonstrate TAMs can have a functional role in promoting SHH-MB progression. Thus, CSF1R inhibition could have therapeutic potential for a subset of SHH-MB patients. © 2020, The Author(s), under exclusive licence to Springer Nature Limited.
Keywords: adult; controlled study; unclassified drug; cancer growth; nonhuman; nuclear magnetic resonance imaging; cd8+ t lymphocyte; mouse; enzyme inhibition; tumor volume; animal experiment; animal model; b lymphocyte; regulatory t lymphocyte; infant; contrast enhancement; medulloblastoma; cd4+ t lymphocyte; cytotoxic t lymphocyte; lymphocytic infiltration; protein inhibitor; colony stimulating factor 1; tumor microenvironment; tumor-associated macrophage; colony stimulating factor 1 receptor; human; priority journal; article; plx 5622; manganese enhanced magnetic resonance imaging
Journal Title: Oncogene
Volume: 40
Issue: 2
ISSN: 0950-9232
Publisher: Nature Publishing Group  
Date Published: 2021-01-14
Start Page: 396
End Page: 407
Language: English
DOI: 10.1038/s41388-020-01536-0
PUBMED: 33159168
PROVIDER: scopus
PMCID: PMC7855734
DOI/URL:
Notes: Article -- Export Date: 1 February 2021 -- Source: Scopus
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MSK Authors
  1. Zhimin Lao
    11 Lao
  2. Alexandra L Joyner
    98 Joyner
  3. I-Li Tan
    6 Tan
  4. Nermin S Bayin
    12 Bayin