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STING-induced blood-brain barrier opening combined with radiotherapy potentiates antitumor response in a high-grade glioma model - PubMed

6 days ago
  • #glioblastoma
  • #blood-brain barrier
  • #STING pathway
  • Radiation therapy (RT) is standard for glioblastoma but not curative.
  • Combining STING agonist 8803 with RT showed 80% long-term survival in CT-2A glioma model but not in QPP8v model.
  • Therapeutic effect was maintained in Sting-/- CT-2A cells, indicating immune system's role.
  • Single-cell RNA-Seq identified increased Nos2 in inflammatory tumor-associated macrophages, but effect persisted in Nos2-/- mice.
  • 8803 altered BBB by changing Pecam and Cd147 pathways in endothelial cells, inducing bihemispheric BBB opening for up to 24 hours.
  • STING activation peaked 72-96 hours post-8803 administration, visualized via [18F]-FLT PET.
  • Combination therapy triggers antiglioma immune reactivity and BBB opening, suggesting potential for clinical trials in glioblastoma.