Deciphering sources of PET signals in the tumor microenvironment of glioblastoma at cellular resolution

Author:

Bartos Laura M.1ORCID,Kirchleitner Sabrina V.2ORCID,Kolabas Zeynep Ilgin345ORCID,Quach Stefanie2ORCID,Beck Alexander6ORCID,Lorenz Julia7ORCID,Blobner Jens2,Mueller Stephan A.89ORCID,Ulukaya Selin310ORCID,Hoeher Luciano3,Horvath Izabela311ORCID,Wind-Mark Karin1ORCID,Holzgreve Adrien1ORCID,Ruf Viktoria C.6ORCID,Gold Lukas1ORCID,Kunze Lea H.1ORCID,Kunte Sebastian T.1,Beumers Philipp1,Park Ha Eun1ORCID,Antons Melissa1ORCID,Zatcepin Artem19ORCID,Briel Nils69ORCID,Hoermann Leonie1,Schaefer Rebecca1ORCID,Messerer Denise12,Bartenstein Peter113,Riemenschneider Markus J.7,Lindner Simon113ORCID,Ziegler Sibylle1,Herms Jochen6913,Lichtenthaler Stefan F.8913ORCID,Ertürk Ali34513,Tonn Joerg C.214ORCID,von Baumgarten Louisa214,Albert Nathalie L.11415ORCID,Brendel Matthias1913ORCID

Affiliation:

1. Department of Nuclear Medicine, University Hospital of Munich, LMU Munich, Munich, Germany.

2. Department of Neurosurgery, University Hospital of Munich, LMU Munich, Munich, Germany.

3. Institute for Tissue Engineering and Regenerative Medicine (iTERM), Helmholtz Center, Neuherberg, Munich, Germany.

4. Institute for Stroke and Dementia Research (ISD), University Hospital of Munich, LMU Munich, Munich, Germany.

5. Graduate School of Systemic Neurosciences (GSN), Munich, Germany.

6. Center for Neuropathology and Prion Research, Faculty of Medicine, LMU Munich, Munich, Germany.

7. Department of Neuropathology, Regensburg University Hospital, Regensburg, Germany.

8. Neuroproteomics, School of Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.

9. DZNE–German Center for Neurodegenerative Diseases, Munich, Germany.

10. Faculty of Biology, Master of Science Program in Molecular and Cellular Biology, Ludwig-Maximilians-Universität München, Planegg, Germany.

11. School of Computation, Information and Technology (CIT), TUM, Boltzmannstr. 3, 85748 Garching, Germany.

12. Department of Cardiology, University Hospital of Munich, LMU Munich, Munich, Germany.

13. Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.

14. German Cancer Consortium (DKTK), Partner Site Munich, German Cancer Research Center (DKFZ), Heidelberg, Germany.

15. Bavarian Cancer Research Center (BZKF), Erlangen, Germany.

Abstract

Various cellular sources hamper interpretation of positron emission tomography (PET) biomarkers in the tumor microenvironment (TME). We developed an approach of immunomagnetic cell sorting after in vivo radiotracer injection (scRadiotracing) with three-dimensional (3D) histology to dissect the cellular allocation of PET signals in the TME. In mice with implanted glioblastoma, translocator protein (TSPO) radiotracer uptake per tumor cell was higher compared to tumor-associated microglia/macrophages (TAMs), validated by protein levels. Translation of in vitro scRadiotracing to patients with glioma immediately after tumor resection confirmed higher single-cell TSPO tracer uptake of tumor cells compared to immune cells. Across species, cellular radiotracer uptake explained the heterogeneity of individual TSPO-PET signals. In consideration of cellular tracer uptake and cell type abundance, tumor cells were the main contributor to TSPO enrichment in glioblastoma; however, proteomics identified potential PET targets highly specific for TAMs. Combining cellular tracer uptake measures with 3D histology facilitates precise allocation of PET signals and serves to validate emerging novel TAM-specific radioligands.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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