Balancing CIK Cell Cancer Immunotherapy and PPAR Ligands: One Potential Therapeutic Application for CNS Malignancies

Cancer Med. 2024 Dec;13(24):e70497. doi: 10.1002/cam4.70497.

Abstract

Background: Cytokine-induced killer (CIK) cell therapy has proven successful in clinical trials regarding glioblastoma. Equally important are the hints suggesting peroxisome proliferator-activated receptors (PPARs) ligands being co-expressed in the central nervous system (CNS). This provides a rationale about investigating the possible synergistic effect of CIK cells and PPARs.

Methodology: We investigated neuroblastoma and glioblastoma cell lines with mature CIK cells and the PPARγ antagonist GW-9662 to assess the effects on cell viability, candidate gene expression (Wnt/β-catenin signalling, DNMT1) and global methylation levels (5-methylcytosine, LINE-1).

Results: Using a clinical applicable PPAR-γ inhibitor, we showed that (1) PPARγ-antagonist GW-9662 suppressed tumor cell growth in both neuroblastoma and glioblastoma cells, (2) PPARγ inhibition had restricted effect on the expression of Wnt/β-catenin associated genes, (3) inhibition of PPARγ led to downregulation of DNMT1 expression, supporting their hypothesized interaction in cancer, (4) a partial modulation of global LINE-1 methylation levels was observed, indicating their role in epigenetic processes, and (5) Combining PPARγ inhibition with CIK cell immunotherapy enhanced cell lysis significantly.

Conclusion: We provide evidence that PPAR ligands in combination with CIK cell immunotherapy could be a valuable option for malignant CNS tumors.

Keywords: WNT/β‐catenin; cytokine‐induced killer cells; glioblastoma; neuroblastoma; peroxisome proliferator‐activated receptors.

MeSH terms

  • Cell Line, Tumor
  • Cell Proliferation
  • Cell Survival / drug effects
  • Central Nervous System Neoplasms* / immunology
  • Central Nervous System Neoplasms* / metabolism
  • Central Nervous System Neoplasms* / therapy
  • Cytokine-Induced Killer Cells* / immunology
  • Cytokine-Induced Killer Cells* / metabolism
  • DNA (Cytosine-5-)-Methyltransferase 1 / antagonists & inhibitors
  • DNA (Cytosine-5-)-Methyltransferase 1 / genetics
  • DNA (Cytosine-5-)-Methyltransferase 1 / metabolism
  • DNA Methylation
  • Gene Expression Regulation, Neoplastic
  • Glioblastoma / immunology
  • Glioblastoma / metabolism
  • Glioblastoma / therapy
  • Humans
  • Immunotherapy / methods
  • Ligands
  • Neuroblastoma / immunology
  • Neuroblastoma / metabolism
  • Neuroblastoma / therapy
  • PPAR gamma / metabolism
  • Wnt Signaling Pathway / drug effects

Substances

  • Ligands
  • PPAR gamma
  • DNA (Cytosine-5-)-Methyltransferase 1
  • DNMT1 protein, human