[HTML][HTML] Fatty acid oxidation fuels glioblastoma radioresistance with CD47-mediated immune evasion

N Jiang, B Xie, W Xiao, M Fan, S Xu, Y Duan… - Nature …, 2022 - nature.com
N Jiang, B Xie, W Xiao, M Fan, S Xu, Y Duan, Y Hamsafar, AC Evans, J Huang, W Zhou…
Nature communications, 2022nature.com
Glioblastoma multiforme (GBM) remains the top challenge to radiotherapy with only 25%
one-year survival after diagnosis. Here, we reveal that co-enhancement of mitochondrial
fatty acid oxidation (FAO) enzymes (CPT1A, CPT2 and ACAD9) and immune checkpoint
CD47 is dominant in recurrent GBM patients with poor prognosis. A glycolysis-to-FAO
metabolic rewiring is associated with CD47 anti-phagocytosis in radioresistant GBM cells
and regrown GBM after radiation in syngeneic mice. Inhibition of FAO by CPT1 inhibitor …
Abstract
Glioblastoma multiforme (GBM) remains the top challenge to radiotherapy with only 25% one-year survival after diagnosis. Here, we reveal that co-enhancement of mitochondrial fatty acid oxidation (FAO) enzymes (CPT1A, CPT2 and ACAD9) and immune checkpoint CD47 is dominant in recurrent GBM patients with poor prognosis. A glycolysis-to-FAO metabolic rewiring is associated with CD47 anti-phagocytosis in radioresistant GBM cells and regrown GBM after radiation in syngeneic mice. Inhibition of FAO by CPT1 inhibitor etomoxir or CRISPR-generated CPT1A−/−, CPT2−/−, ACAD9−/− cells demonstrate that FAO-derived acetyl-CoA upregulates CD47 transcription via NF-κB/RelA acetylation. Blocking FAO impairs tumor growth and reduces CD47 anti-phagocytosis. Etomoxir combined with anti-CD47 antibody synergizes radiation control of regrown tumors with boosted macrophage phagocytosis. These results demonstrate that enhanced fat acid metabolism promotes aggressive growth of GBM with CD47-mediated immune evasion. The FAO-CD47 axis may be targeted to improve GBM control by eliminating the radioresistant phagocytosis-proofing tumor cells in GBM radioimmunotherapy.
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