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Multi-omic approach identifies hypoxic tumor-associated myeloid cells that drive immunobiology of high-risk pediatric ependymoma.

Griesinger, Andrea M.; Riemondy, Kent; Eswaran, Nithyashri; Donson, Andrew M.; Willard, Nicholas; Prince, Eric W.; Paine, Simon M. L.; Bowes, Georgia; Rheaume, John; Chapman, Rebecca J.; Ramage, Judith; Jackson, Andrew; Grundy, Richard G.; Foreman, Nicholas K.; Ritzmann, Timothy A

Authors

Andrea M. Griesinger

Kent Riemondy

Nithyashri Eswaran

Andrew M. Donson

Nicholas Willard

Eric W. Prince

Simon M. L. Paine

Georgia Bowes

John Rheaume

Rebecca J. Chapman

RICHARD GRUNDY richard.grundy@nottingham.ac.uk
Professor of Paediatric Neuro-Oncology

Nicholas K. Foreman

Timothy A Ritzmann



Abstract

Ependymoma (EPN) is a devastating childhood brain tumor. Single-cell analyses have illustrated the cellular heterogeneity of EPN tumors, identifying multiple neoplastic cell states including a mesenchymal-differentiated subpopulation which characterizes the PFA1 subtype. Here, we characterize the EPN immune environment, in the context of both tumor subtypes and tumor cell subpopulations using single-cell sequencing (scRNAseq, n = 27), deconvolution of bulk tumor gene expression (n = 299), spatial proteomics (n = 54), and single-cell cytokine release assays (n = 12). We identify eight distinct myeloid-derived subpopulations from which a group of cells, termed hypoxia myeloid cells, demonstrate features of myeloid-derived suppressor cells, including IL6/STAT3 pathway activation and wound healing ontologies. In PFA tumors, hypoxia myeloid cells colocalize with mesenchymal-differentiated cells in necrotic and perivascular niches and secrete IL-8, which we hypothesize amplifies the EPN immunosuppressive microenvironment. This myeloid cell-driven immunosuppression will need to be targeted for immunotherapy to be effective in this difficult-to-cure childhood brain tumor.

Citation

Griesinger, A. M., Riemondy, K., Eswaran, N., Donson, A. M., Willard, N., Prince, E. W., …Ritzmann, T. A. (2023). Multi-omic approach identifies hypoxic tumor-associated myeloid cells that drive immunobiology of high-risk pediatric ependymoma. iScience, 26(9), Article 107585. https://doi.org/10.1016/j.isci.2023.107585

Journal Article Type Article
Acceptance Date Aug 4, 2023
Online Publication Date Aug 9, 2023
Publication Date Sep 15, 2023
Deposit Date Oct 24, 2023
Publicly Available Date Oct 25, 2023
Journal iScience
Electronic ISSN 2589-0042
Publisher Elsevier BV
Peer Reviewed Peer Reviewed
Volume 26
Issue 9
Article Number 107585
DOI https://doi.org/10.1016/j.isci.2023.107585
Keywords Microenvironment, Transcriptomics, Components of the immune system, Biopsy sample, Proteomics
Public URL https://nottingham-repository.worktribe.com/output/25644485
Publisher URL https://www.cell.com/iscience/fulltext/S2589-0042(23)01662-0?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2589004223016620%3Fshowall%3Dtrue
Additional Information This article is maintained by: Elsevier; Article Title: Multi-omic approach identifies hypoxic tumor-associated myeloid cells that drive immunobiology of high-risk pediatric ependymoma; Journal Title: iScience; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.isci.2023.107585; Content Type: article; Copyright: © 2023 The Author(s).

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