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Myeloid cell-derived creatine in the hypoxic niche promotes glioblastoma growth
Ist Teil von
Cell metabolism, 2024-01, Vol.36 (1), p.62-77.e8
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
2024
Quelle
MEDLINE
Beschreibungen/Notizen
Glioblastoma (GBM) is a malignancy dominated by the infiltration of tumor-associated myeloid cells (TAMCs). Examination of TAMC metabolic phenotypes in mouse models and patients with GBM identified the de novo creatine metabolic pathway as a hallmark of TAMCs. Multi-omics analyses revealed that TAMCs surround the hypoxic peri-necrotic regions of GBM and express the creatine metabolic enzyme glycine amidinotransferase (GATM). Conversely, GBM cells located within these same regions are uniquely specific in expressing the creatine transporter (SLC6A8). We hypothesized that TAMCs provide creatine to tumors, promoting GBM progression. Isotopic tracing demonstrated that TAMC-secreted creatine is taken up by tumor cells. Creatine supplementation protected tumors from hypoxia-induced stress, which was abrogated with genetic ablation or pharmacologic inhibition of SLC6A8. Lastly, inhibition of creatine transport using the clinically relevant compound, RGX-202-01, blunted tumor growth and enhanced radiation therapy in vivo. This work highlights that myeloid-to-tumor transfer of creatine promotes tumor growth in the hypoxic niche.
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•Myeloid cells in the hypoxic niche of GBM upregulate de novo creatine biosynthesis•TAMC-generated creatine is taken up by GBM cells under hypoxic stress•Creatine uptake by GBM tissue supports its growth, survival, and stem cell phenotypes•Inhibition of creatine uptake presents a potential therapeutic strategy for GBM
Glioblastoma (GBM), a deadly CNS malignancy, features profoundly hypoxic niches. Rashidi and Billingham et al. report that within these niches, myeloid cells upregulate creatine biosynthesis and “feed” it to tumor cells, which upregulate creatine import under metabolic stress. Therapeutic targeting of this axis provides a potential avenue for GBM treatment.