Programs, origins and immunomodulatory functions of myeloid cells in glioma

Gliomas are incurable malignancies notable for having an immunosuppressive microenvironment with abundant myeloid cells, the immunomodulatory phenotypes of which remain poorly defined<sup>1</sup>. Here we systematically investigate these phenotypes by integrating single-cell RNA sequencing, chromatin accessibility, spatial transcriptomics and glioma organoid explant systems. We discovered four immunomodulatory expression programs: microglial inflammatory and scavenger immunosuppressive programs, which are both unique to primary brain tumours, and systemic inflammatory and complement immunosuppressive programs, which are also expressed by non-brain tumours. The programs are not contingent on myeloid cell type, developmental origin or tumour mutational state, but instead are driven by microenvironmental cues, including tumour hypoxia, interleukin-1β, TGFβ and standard-of-care dexamethasone treatment. Their relative expression can predict immunotherapy response and overall survival. By associating the respective programs with mediating genomic elements, transcription factors and signalling pathways, we uncover strategies for manipulating myeloid-cell phenotypes. Our study provides a framework to understand immunomodulation by myeloid cells in glioma and a foundation for the development of more-effective immunotherapies.

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Publication Details

Journal
Nature
Published
2025-02-26
DOI
https://doi.org/10.1038/s41586-025-08633-8
Citations
72
Primary Topic
Immune cells in cancer
Type
article
Field-Weighted Citation Impact
57.42
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article

Programs, origins and immunomodulatory functions of myeloid cells in glioma

David S. Fischer, Martin Arreola Villanueva, L. Nicolas Gonzalez Castro, Tyler E. Miller et al.
72 citations
Nature
Immune cells in cancer
57.42
article

Programs, origins and immunomodulatory functions of myeloid cells in glioma

David S. Fischer, Martin Arreola Villanueva, L. Nicolas Gonzalez Castro, Tyler E. Miller, Mario L. Suvà, Kevin Petrecca, Joshua P. D’Antonio, B Bernstein, Chadi A. El Farran, Dieter Henrik Heiland, Tariq Al‐Saadi, Julia A. Verga, Yuzhou Evelyn Tong, Alex K. Shalek, Yuanyuan Zhang, Zeyu Chen, Charles Couturier, Jennifer L. Guerriero, A. Chiocca
article en
72 citations

Abstract

Gliomas are incurable malignancies notable for having an immunosuppressive microenvironment with abundant myeloid cells, the immunomodulatory phenotypes of which remain poorly defined<sup>1</sup>. Here we systematically investigate these phenotypes by integrating single-cell RNA sequencing, chromatin accessibility, spatial transcriptomics and glioma organoid explant systems. We discovered four immunomodulatory expression programs: microglial inflammatory and scavenger immunosuppressive programs, which are both unique to primary brain tumours, and systemic inflammatory and complement immunosuppressive programs, which are also expressed by non-brain tumours. The programs are not contingent on myeloid cell type, developmental origin or tumour mutational state, but instead are driven by microenvironmental cues, including tumour hypoxia, interleukin-1β, TGFβ and standard-of-care dexamethasone treatment. Their relative expression can predict immunotherapy response and overall survival. By associating the respective programs with mediating genomic elements, transcription factors and signalling pathways, we uncover strategies for manipulating myeloid-cell phenotypes. Our study provides a framework to understand immunomodulation by myeloid cells in glioma and a foundation for the development of more-effective immunotherapies.

NatureVol. 640(8060)
Broad Institute (US), Northwestern University (US), Brigham and Women's Hospital (US), Montreal Neurological Institute and Hospital (CA), Harvard University (US), University of Freiburg (DE), University Medical Center Freiburg (DE), Ragon Institute of MGH, MIT and Harvard (US), Massachusetts General Hospital (US), Dana-Farber Cancer Institute (US), Dana-Farber/Harvard Cancer Center (US), Center for Cancer Research (US), Neurological Surgery (US), Dana-Farber Brigham Cancer Center (US), McGill University (CA), Case Western Reserve University (US), Massachusetts Institute of Technology (US)
Zero hunger
Openalex Percentile: Top 0%
Immune cells in cancer
57.42
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