Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling

Glioblastoma is the most aggressive type of brain cancer, but treatment improvements for glioblastoma patients remain stagnated for over 20 years. This is despite the large number of clinical trials that have attempted to replicate the success of therapeutics developed for other cancer types. This d...

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Main Authors: Thomas M.B. Ware, Adilson Fonseca Teixeira, Josephine Iaria, Rodney B. Luwor, Hong-Jian Zhu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Neoplasia: An International Journal for Oncology Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S1476558624001519
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author Thomas M.B. Ware
Adilson Fonseca Teixeira
Josephine Iaria
Rodney B. Luwor
Hong-Jian Zhu
author_facet Thomas M.B. Ware
Adilson Fonseca Teixeira
Josephine Iaria
Rodney B. Luwor
Hong-Jian Zhu
author_sort Thomas M.B. Ware
collection DOAJ
description Glioblastoma is the most aggressive type of brain cancer, but treatment improvements for glioblastoma patients remain stagnated for over 20 years. This is despite the large number of clinical trials that have attempted to replicate the success of therapeutics developed for other cancer types. This discrepancy highlights the urgent need to decipher the unique biology of glioblastomas. Here, we show that glioblastoma tumour cells are highly plastic, integrating into blood vessel walls to disseminate throughout the brain. This relies on the transdifferentiation of glioblastoma tumor cells into endothelial-like cells in a process we termed endothelialisation. Mechanistically, in addition to TGF-β-ALK5-Smad2/3 signaling, glioblastoma tumour cells also activate TGF-β-ALK1-Smad1/5 signaling – a mechanism previously thought to be limited to endothelial cells. Consequently, therapeutic targeting of TGF-β-ALK1-Smad1/5 activity impaired endothelialisation-driven glioblastoma progression. This study identifies a previously unknown component of glioblastoma biology and establishes a therapeutic approach to reduce the progression of this disease.
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institution Kabale University
issn 1476-5586
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publishDate 2025-02-01
publisher Elsevier
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series Neoplasia: An International Journal for Oncology Research
spelling doaj-art-05db3cf8e9a94b0c9ea3a598c98896302025-02-03T04:16:34ZengElsevierNeoplasia: An International Journal for Oncology Research1476-55862025-02-0160101110Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signalingThomas M.B. Ware0Adilson Fonseca Teixeira1Josephine Iaria2Rodney B. Luwor3Hong-Jian Zhu4Department of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville 3050 Victoria, Australia; Huagene Institute, Kecheng Science and Technology Park, Pukou District, Nanjing 211806, Jiangsu, PR ChinaDepartment of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville 3050 Victoria, Australia; Huagene Institute, Kecheng Science and Technology Park, Pukou District, Nanjing 211806, Jiangsu, PR ChinaDepartment of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville 3050 Victoria, Australia; Huagene Institute, Kecheng Science and Technology Park, Pukou District, Nanjing 211806, Jiangsu, PR ChinaDepartment of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville 3050 Victoria, Australia; Huagene Institute, Kecheng Science and Technology Park, Pukou District, Nanjing 211806, Jiangsu, PR China; Fiona Elsey Cancer Research Institute, Ballarat, Victoria 3350, Australia; Federation University, Ballarat, Victoria 3350, AustraliaDepartment of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Parkville 3050 Victoria, Australia; Huagene Institute, Kecheng Science and Technology Park, Pukou District, Nanjing 211806, Jiangsu, PR China; Lead contact; Correspondence author at Department of Surgery, The University of Melbourne, Level 5, Clinical Sciences Building, Royal Parade, Parkville 3050, Victoria, AustraliaGlioblastoma is the most aggressive type of brain cancer, but treatment improvements for glioblastoma patients remain stagnated for over 20 years. This is despite the large number of clinical trials that have attempted to replicate the success of therapeutics developed for other cancer types. This discrepancy highlights the urgent need to decipher the unique biology of glioblastomas. Here, we show that glioblastoma tumour cells are highly plastic, integrating into blood vessel walls to disseminate throughout the brain. This relies on the transdifferentiation of glioblastoma tumor cells into endothelial-like cells in a process we termed endothelialisation. Mechanistically, in addition to TGF-β-ALK5-Smad2/3 signaling, glioblastoma tumour cells also activate TGF-β-ALK1-Smad1/5 signaling – a mechanism previously thought to be limited to endothelial cells. Consequently, therapeutic targeting of TGF-β-ALK1-Smad1/5 activity impaired endothelialisation-driven glioblastoma progression. This study identifies a previously unknown component of glioblastoma biology and establishes a therapeutic approach to reduce the progression of this disease.http://www.sciencedirect.com/science/article/pii/S1476558624001519GlioblastomaAngiogenesisPhenotypic plasticityTGF-β signalingTargeted therapy
spellingShingle Thomas M.B. Ware
Adilson Fonseca Teixeira
Josephine Iaria
Rodney B. Luwor
Hong-Jian Zhu
Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling
Neoplasia: An International Journal for Oncology Research
Glioblastoma
Angiogenesis
Phenotypic plasticity
TGF-β signaling
Targeted therapy
title Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling
title_full Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling
title_fullStr Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling
title_full_unstemmed Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling
title_short Systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial-like cells via TGF-β-ALK1-Smad1/5 signaling
title_sort systemic brain dissemination of glioblastoma requires transdifferentiation into endothelial like cells via tgf β alk1 smad1 5 signaling
topic Glioblastoma
Angiogenesis
Phenotypic plasticity
TGF-β signaling
Targeted therapy
url http://www.sciencedirect.com/science/article/pii/S1476558624001519
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