Evidence map›Paper›PMID 32047908›Full record

ArticleNeuro-oncology2020

TSPO imaging-guided characterization of the immunosuppressive myeloid tumor microenvironment in patients with malignant glioma.

Bastian Zinnhardt, Michael Müther, Wolfgang Roll, Philipp Backhaus, Astrid Jeibmann, Claudia Foray, Cristina Barca, Christian Döring, Bertrand Tavitian, Frédéric Dollé and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 66 citations in OpenAlex.

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  18. Potential of [Pharmaceutics · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 2 countries.

Bastian ZinnhardtEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Michael MütherDepartment of Neurosurgery, University Hospital Münster, Münster, Germany.
Wolfgang RollDepartment of Nuclear Medicine, University Hospital Münster, Münster, Germany.
Philipp BackhausEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Astrid JeibmannInstitute of Neuroanatomy, University Hospital Münster, Münster, Germany.
Claudia ForayEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Cristina BarcaEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Christian DöringEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Bertrand TavitianInserm Unit 970, Paris Cardiovascular Research Center, Paris, France.
Frédéric DolléInserm Unit 1023, In Vivo Molecular Imaging Laboratory, Service Hospitalier Frédéric Joliot, Orsay, France.
Matthias WeckesserDepartment of Nuclear Medicine, University Hospital Münster, Münster, Germany.
Alexandra WinkelerInserm Unit 1023, In Vivo Molecular Imaging Laboratory, Service Hospitalier Frédéric Joliot, Orsay, France.
Sven HermannEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Stefan WagnerDepartment of Nuclear Medicine, University Hospital Münster, Münster, Germany.
Heinz WiendlEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Walter StummerDepartment of Neurosurgery, University Hospital Münster, Münster, Germany.
Andreas H JacobsEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Michael SchäfersEuropean Institute for Molecular Imaging, University of Münster, Münster, Germany.
Oliver M GrauerImmune Image-IMI Consortium, University Hospital Münster, Münster, Germany.
University of Münster · DEUniversity Hospital Münster · DEInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTumor-associated microglia and macrophages (TAMs) and myeloid-derived suppressor cells (MDSCs) are potent immunosuppressors in the glioma tumor microenvironment (TME). Their infiltration is associated with tumor grade, progression, and therapy resistance. Specific tools for image-guided analysis of spatiotemporal changes in the immunosuppressive myeloid tumor compartments are missing. We aimed (i) to evaluate the role of fluorodeoxyglucose (18F)DPA-714* (translocator protein [TSPO]) PET-MRI in the assessment of the immunosuppressive TME in glioma patients, and (ii) to cross-correlate imaging findings with in-depth immunophenotyping.

methodsTo characterize the glioma TME, a mixed collective of 9 glioma patients underwent [18F]DPA-714-PET-MRI in addition to [18F]fluoro-ethyl-tyrosine (FET)-PET-MRI. Image-guided biopsy samples were immunophenotyped by multiparametric flow cytometry and immunohistochemistry. In vitro autoradiography was performed for image validation and assessment of tracer binding specificity.

resultsWe found a strong relationship (r = 0.84, P = 0.009) between the [18F]DPA-714 uptake and the number and activation level of glioma-associated myeloid cells (GAMs). TSPO expression was mainly restricted to human leukocyte antigen D related-positive (HLA-DR+) activated GAMs, particularly to tumor-infiltrating HLA-DR+ MDSCs and TAMs. [18F]DPA-714-positive tissue volumes exceeded [18F]FET-positive volumes and showed a differential spatial distribution.

conclusion[18F]DPA-714-PET may be used to non-invasively image the glioma-associated immunosuppressive TME in vivo. This imaging paradigm may also help to characterize the heterogeneity of the glioma TME with respect to the degree of myeloid cell infiltration at various disease stages. [18F]DPA-714 may also facilitate the development of new image-guided therapies targeting the myeloid-derived TME.

Indexed as

Brain NeoplasmsGliomaTumor MicroenvironmentAdultFemaleFluorine RadioisotopesHumansMaleMiddle AgedPositron-Emission TomographyReceptors, GABARetrospective StudiesFluorine RadioisotopesReceptors, GABATSPO protein, humanDPA-714GAMsgliomaimaging biomarkerMDSCsPETTAMsTSPOtumor microenvironment

Identifiers

PMID32047908
PMCPMC7339888
OpenAlexW3005843792

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.