B7-H4(B7x)-mediated cross-talk between glioma-initiating cells and macrophages via the IL6/JAK/STAT3 pathway lead to poor prognosis in glioma patients

Yu Yao, Hongxing Ye, Zengxin Qi, Lianjie Mo, Qi Yue, Aparajita Baral, Dave S B Hoon, Juan Carlos Vera, John D. Heiss, Clark C. Chen, Wei Hua, Jianmin Zhang, Kunlin Jin, Yin Wang, Ying Mao, Xingxing Zang, Liangfu Zhou

Research output: Contribution to journalArticlepeer-review

146 Scopus citations

Abstract

Purpose: The objective of this study was to evaluate clinical significance and immunosuppressive mechanisms of B7-H4 (B7x/B7S1), a B7 family member, in glioma. Experimental Design: B7-H4 levels in glioma tissue/cerebral spinal fluid (CSF) were compared between different grades of glioma patients. Survival data were analyzed with Kaplan-Meier to determine the prognostic value of B7-H4. Cytokines from CD133 cells to stimulate the expression of B7-H4 on human macrophages (Mjs) were investigated by FACS, neutralizing antibodies, and Transwell chemotaxis assay. shRNA, reporter vector, and chromatin immunoprecipitation were used to determine the binding of STAT3 to the B7-H4 promoter. The function of B7-H4 Mjs in vitro was evaluated through phagocytosis, T-cell proliferation/ apoptosis, and cytokine production as well as in the xenografted model for in vivo analysis. Results: We found that B7-H4 expression in tumors was associated with prognosis of human glioblastoma and correlated directly with malignant grades. Mechanistically, glioma initiating CD133 cells and Mjs/microglia cointeraction activated expression of B7-H4 via IL6 and IL10 in both tumor cells and microenvironment supporting cells. IL6-activated STAT3 bound to the promoter of B7-H4 gene and enhanced B7-H4 expression. Furthermore, CD133 cells mediated immunosuppression through B7-H4 expression onMjs/microglia by silencing of B7-H4 expression on these cells, which led to increased microenvironment Tcell function and tumor regression in the xenograft glioma mouse model. Conclusions: We have identified B7-H4 activation on Mjs/ microglia in the microenvironment of gliomas as an important immunosuppressive event blocking effective T-cell immune responses.

Original languageEnglish (US)
Pages (from-to)2778-2790
Number of pages13
JournalClinical Cancer Research
Volume22
Issue number11
DOIs
StatePublished - Jun 1 2016

Bibliographical note

Publisher Copyright:
© 2016 American Association for Cancer Research.

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