An orthotopically allografted mouse GL26 glioma model (Ccr2RFP/wt–Cx3cr1GFP/wt) was used to evaluate the effect of transient, focal opening of the blood–brain barrier
(BBB) on the composition of tumor-associated macrophages and microglia (TAMs). BBB
opening was induced by magnetic resonance imaging (MRI)–guided focused ultrasound
(MRgFUS) combined with microbubbles. CX3CR1-GFP cells and CCR2-RFP cells in brain
tumors were quantified in microscopic images. Tumors in animals treated with a single
session of MRgFUS did not exhibit significant changes in cell numbers when compared
with tumors in animals not receiving FUS. However, tumors that received two or three
sessions of MRgFUS had significantly increased amounts of both CX3CR1-GFP and CCR2-RFP
cells. The effect of MRgFUS on immune cell composition was also characterized and
quantified using flow cytometry. Glioma implantation resulted in increased amounts
of lymphocytes, monocytes and neutrophils in the brain parenchyma. Tumors administered
MRgFUS exhibited increased numbers of monocytes and monocyte-derived TAMs. In addition,
MRgFUS-treated tumors exhibited more CD80+ cells in monocytes and microglia. In summary,
transient, focal opening of the BBB using MRgFUS combined with microbubbles can activate
the homing and differentiation of monocytes and induce a shift toward a more pro-inflammatory
status of the immune environment in glioblastoma.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Ultrasound in Medicine and BiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- CBTRUS Statistical Report: primary brain and other central nervous system tumors diagnosed in the United States in 2013–2017.Neuro Oncol. 2020; 22: iv1-i96
- Epidemiologic and molecular prognostic review of glioblastoma.Cancer Epidemiol Biomarkers Prev. 2014; 23: 1985-1996
- The 2021 WHO Classification of Tumors of the Central Nervous System: a summary.Neuro Oncol. 2021; 23: 1231-1251
- Clinical trials investigating immune checkpoint blockade in glioblastoma.Curr Treat Options Oncol. 2017; 18: 51
- Is the blood–brain barrier really disrupted in all glioblastomas? A critical assessment of existing clinical data.Neuro Oncol. 2018; 20: 184-191
- Targeting glioma stem cell-derived pericytes disrupts the blood–tumor barrier and improves chemotherapeutic efficacy.Cell Stem Cell. 2017; 21 (e4): 591-603
- Osmotic blood–brain barrier disruption and chemotherapy in the treatment of high grade malignant glioma: patient series and literature review.J Neurooncol. 1992; 12: 33-46
- Neurosurgical techniques for disruption of the blood–brain barrier for glioblastoma treatment.Pharmaceutics. 2015; 7: 175-187
- Current strategies for the delivery of therapeutic proteins and enzymes to treat brain disorders.Int Rev Neurobiol. 2017; 137: 1-28
- Targeting receptor-mediated transport for delivery of biologics across the blood–brain barrier.Annu Rev Pharmacol Toxicol. 2015; 55: 613-631
- Magnetic resonance-guided focused ultrasound: a new technology for clinical neurosciences.Neurol Clin. 2014; 32: 253-269
- Production of reversible changes in the central nervous system by ultrasound.Science. 1958; 127: 83-84
- Intense ultrasound in investigations of the central nervous system.Adv Biol Med Phys. 1958; 6: 281-348
- Non-invasive opening of BBB by focused ultrasound.Acta Neurochir Suppl. 2003; 86: 555-558
- Improved anti-tumor effect of liposomal doxorubicin after targeted blood–brain barrier disruption by MRI-guided focused ultrasound in rat glioma.Ultrasound Med Biol. 2012; 38: 1716-1725
- Blood–brain barrier opening in primary brain tumors with non-invasive MR-guided focused ultrasound: a clinical safety and feasibility study.Sci Rep. 2019; 9: 321
- Targeted delivery of antibodies through the blood–brain barrier by MRI-guided focused ultrasound.Biochem Biophys Res Commun. 2006; 340: 1085-1090
- Antibodies targeted to the brain with image-guided focused ultrasound reduces amyloid-beta plaque load in the TgCRND8 mouse model of Alzheimer's disease.PLoS One. 2010; 5: e10549
- Targeted delivery of neural stem cells to the brain using MRI-guided focused ultrasound to disrupt the blood-brain barrier.PLoS One. 2011; 6: e27877
- MRI-guided focused ultrasound for targeted delivery of rAAV to the brain.Methods Mol Biol. 2019; 1950: 177-197
- Ultrasound-mediated blood–brain barrier disruption for targeted drug delivery in the central nervous system.Adv Drug Deliv Rev. 2014; 72: 94-109
- Mechanisms of enhanced drug delivery in brain metastases with focused ultrasound-induced blood-tumor barrier disruption.Proc Natl Acad Sci USA. 2018; 115: E8717-E8726
- Disrupting the blood–brain barrier by focused ultrasound induces sterile inflammation.Proc Natl Acad Sci USA. 2017; 114: E75-E84
- Acute effects of focused ultrasound-induced increases in blood–brain barrier permeability on rat microvascular transcriptome.Sci Rep. 2017; 7: 45657
- Harmonic motion imaging for abdominal tumor detection and high-intensity focused ultrasound ablation monitoring: an in vivo feasibility study in a transgenic mouse model of pancreatic cancer.IEEE Trans Ultrason Ferroelectr Freq Control. 2015; 62: 1662-1673
- Focused ultrasound-induced blood–brain barrier opening to enhance interleukin-12 delivery for brain tumor immunotherapy: a preclinical feasibility study.J Transl Med. 2015; 13: 93
- Selective chemokine receptor usage by central nervous system myeloid cells in CCR2-red fluorescent protein knock-in mice.PLoS One. 2010; 5: e13693
- Analysis of fractalkine receptor CX(3)CR1 function by targeted deletion and green fluorescent protein reporter gene insertion.Mol Cell Biol. 2000; 20: 4106-4114
- Cellular and molecular identity of tumor-associated macrophages in glioblastoma.Cancer Res. 2017; 77: 2266-2278
- Defining the optimal age for focal lesioning in a rat model of transcranial HIFU.Ultrasound Med Biol. 2015; 41: 449-455
- Non-invasive, focal disconnection of brain circuitry using magnetic resonance-guided low-intensity focused ultrasound to deliver a neurotoxin.Ultrasound Med Biol. 2016; 42: 2261-2269
- Effects of non-invasive, targeted, neuronal lesions on seizures in a mouse model of temporal lobe epilepsy.Ultrasound Med Biol. 2020; 46: 1224-1234
- Brain gliomas: multicenter standardized assessment of dynamic contrast-enhanced and dynamic susceptibility contrast MR images.Radiology. 2018; 287: 933-943
- Blind deconvolution estimation of an arterial input function for small animal DCE-MRI.Magn Reson Imaging. 2019; 62: 46-56
- Fiji: an open-source platform for biological-image analysis.Nat Methods. 2012; 9: 676-682
- [Image processing technics—focus on software. 1. Perspectives in biomedical image processing].Iyodenshi To Seitai Kogaku. 1983; 21 ([in Japanese]): 266-273
- Biomedical image processing.Computer. 1983; 16: 22-34
- review on Otsu image segmentation algorithm.Int J Adv Res Comput Eng Technol. 2013; 2: 387-389
- A robust approach to image segmentation with optimal thresholding and watershed transform.Int J Comput Appl. 2013; 65: 1-7
- The brain tumor microenvironment.Glia. 2012; 60: 502-514
- Loss of CX3CR1 increases accumulation of inflammatory monocytes and promotes gliomagenesis.Oncotarget. 2015; 6: 15077-15094
- Glioma-derived versican promotes tumor expansion via glioma-associated microglial/macrophages Toll-like receptor 2 signaling.Neuro-Oncology. 2015; 17: 200-210
- Polymeric nanoparticles promote macrophage reversal from M2 to M1 phenotypes in the tumor microenvironment.Biomaterials. 2017; 112: 153-163
- Immune microenvironment in glioblastoma subtypes.Front Immunol. 2018; 9: 1004
- Noninvasive MR imaging-guided focal opening of the blood-brain barrier in rabbits.Radiology. 2001; 220: 640-646
- In vivo transcranial cavitation threshold detection during ultrasound-induced blood–brain barrier opening in mice.Phys Med Biol. 2010; 55: 6141-6155
- Alzheimer disease in a mouse model: MR imaging-guided focused ultrasound targeted to the hippocampus opens the blood–brain barrier and improves pathologic abnormalities and behavior.Radiology. 2014; 273: 736-745
- Drug delivery across the blood–brain barrier using focused ultrasound.Expert Opin Drug Deliv. 2014; 11: 711-721
- Prolonged survival upon ultrasound-enhanced doxorubicin delivery in two syngenic glioblastoma mouse models.J Control Release. 2014; 187: 74-82
- Ultrasound treatment of neurological diseases—current and emerging applications.Nat Rev Neurol. 2016; 12: 161-174
- Safety and feasibility of repeated and transient blood–brain barrier disruption by pulsed ultrasound in patients with recurrent glioblastoma.Clin Cancer Res. 2019; 25: 3793-3801
- Blood–brain barrier opening in Alzheimer's disease using MR-guided focused ultrasound.Nat Commun. 2018; 9: 2336
- Clearance of albumin following ultrasound-induced blood–brain barrier opening is mediated by glial but not neuronal cells.Brain Res. 2011; 1411: 9-16
- In vivo imaging of sterile microglial activation in rat brain after disrupting the blood–brain barrier with pulsed focused ultrasound: [18F]DPA-714 PET study.J Neuroinflammation. 2019; 16: 155
- Amyloid-beta plaque reduction, endogenous antibody delivery and glial activation by brain-targeted, transcranial focused ultrasound.Exp Neurol. 2013; 248: 16-29
Article info
Publication history
Published online: January 28, 2023
Accepted:
December 10,
2022
Received in revised form:
November 11,
2022
Received:
August 31,
2022
Identification
Copyright
© 2022 World Federation for Ultrasound in Medicine & Biology. All rights reserved.