Key result
Losartan reversed Angiotensin II-induced PD-L1 expression and inhibited its stimulatory effects on local estrogen production and glioblastoma cell growth in vitro and in vivo.
Why the study?
New avenues for glioblastoma therapy are needed due to the limited mortality benefit of current treatments.
Hypothesis-generating for AGTR1-aromatase targeting in glioblastoma; prospective trials needed before any clinical consideration.
New avenues for glioblastoma therapy are required due to the limited mortality benefit of the current treatments. The renin-angiotensin system (RAS) exhibits local actions and works as a paracrine system in different tissues and tumors, including glioma. The glioblastoma cell lines U-87 MG and T98G overexpresses Angiotensin II (Ang II)/Angiotensin II type I receptor (AGTR1) signaling, which enhances in vitro and in vivo local estrogen production through a direct up-regulation of the aromatase gene promoters p I.f and p I.4. In addition, Ang II/AGTR1 signaling transactivates estrogen receptor-α in a ligand-independent manner through mitogen-activated protein kinase (MAPK) activation. The higher aromatase mRNA expression in patients with glioblastoma was associated with the worst survival prognostic, according to The Cancer Genome Atlas (TCGA). An intrinsic immunosuppressive glioblastoma tumor milieu has been previously documented. We demonstrate how Ang II treatment in glioblastoma cells increases programmed death-ligand 1 (PD-L1) expression reversed by combined exposure to Losartan (LOS) in vitro and in vivo. Our findings highlight how LOS, in addition, antagonizes the previously documented neoangiogenetic, profibrotic, and immunosuppressive effects of Ang II and drastically inhibits its stimulatory effects on local estrogen production, sustaining glioblastoma cell growth. Thus, Losartan may represent an adjuvant pharmacological tool to be repurposed prospectively for glioblastoma treatment.
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Panza et al. (2021) studied Glioblastoma. Losartan vs. Angiotensin II alone was evaluated on PD-L1 expression, local estrogen production, and cell growth. Losartan reversed Angiotensin II-induced PD-L1 expression and inhibited its stimulatory effects on local estrogen production and glioblastoma cell growth in vitro and in vivo.
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