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  • T cell-independent eradicat...
    Turco, Verena; Pfleiderer, Kira; Hunger, Jessica; Horvat, Natalie K; Karimian-Jazi, Kianush; Schregel, Katharina; Fischer, Manuel; Brugnara, Gianluca; Jähne, Kristine; Sturm, Volker; Streibel, Yannik; Nguyen, Duy; Altamura, Sandro; Agardy, Dennis A; Soni, Shreya S; Alsasa, Abdulrahman; Bunse, Theresa; Schlesner, Matthias; Muckenthaler, Martina U; Weissleder, Ralph; Wick, Wolfgang; Heiland, Sabine; Vollmuth, Philipp; Bendszus, Martin; Rodell, Christopher B; Breckwoldt, Michael O; Platten, Michael

    Nature communications, 02/2023, Letnik: 14, Številka: 1
    Journal Article

    Glioblastoma, the most common and aggressive primary brain tumor type, is considered an immunologically "cold" tumor with sparse infiltration by adaptive immune cells. Immunosuppressive tumor-associated myeloid cells are drivers of tumor progression. Therefore, targeting and reprogramming intratumoral myeloid cells is an appealing therapeutic strategy. Here, we investigate a β-cyclodextrin nanoparticle (CDNP) formulation encapsulating the Toll-like receptor 7 and 8 (TLR7/8) agonist R848 (CDNP-R848) to reprogram myeloid cells in the glioma microenvironment. We show that intravenous monotherapy with CDNP-R848 induces regression of established syngeneic experimental glioma, resulting in increased survival rates compared with unloaded CDNP controls. Mechanistically, CDNP-R848 treatment reshapes the immunosuppressive tumor microenvironment and orchestrates tumor clearing by pro-inflammatory tumor-associated myeloid cells, independently of T cells and NK cells. Using serial magnetic resonance imaging, we identify a radiomic signature in response to CDNP-R848 treatment and ultrasmall superparamagnetic iron oxide (USPIO) imaging reveals that immunosuppressive macrophage recruitment is reduced by CDNP-R848. In conclusion, CDNP-R848 induces tumor regression in experimental glioma by targeting blood-borne macrophages without requiring adaptive immunity.