Glioblastoma is the most common and highly malignant brain tumor. It is also one among the most therapy-resistant human neoplasias.
Patients die within a year of diagnosis despite the use of available treatment strategies such as surgery, radiotherapy, and
chemotherapy. Thus, there is a critical need to find a novel therapeutic strategy for treating this disease. Here, we have
investigated the molecular mechanisms for induction of apoptosis as well as for activation of immune components in human malignant
glioblastoma T98G and U87MG cells following treatment with all
-trans retinoic acid (ATRA) plus interferon-gamma (IFN-γ). Treatment of glioblastoma cells with ATRA alone prevented cell proliferation
and induced astrocytic differentiation, while IFN-γ alone induced apoptosis and modulated expression of human leukocyte antigen
(HLA) class II molecules such as HLA-DRα, HLA-DR complex, invariant chain (Ii), HLA-DM (an important catalyst of the class
II-peptide loading), and gamma interferon-inducible lysosomal thiol-reductase (GILT). Interestingly, both T98G and U87MG cells
showed more increase in apoptosis with expression of the HLA class II components for an effective immune response following
treatment with ATRA plus IFN-γ than with IFN-γ alone. Apoptotic mode of cell death was confirmed morphologically by Wright
staining and biochemically by measuring an increase in caspase-3 activity. While conversion of tumor cells into HLA class
II+/Ii- cells by stimulation with the helper CD4+ T cells is thought to be challenging, this study reports for the first time
that treatment of glioblastoma cells with ATRA plus IFN-γ can simultaneously enhance apoptosis and expression of the HLA class
II immune components with a marked suppression of Ii expression. Taken together, this study suggests that induction of apoptosis
and immune components of the HLA class II pathway by ATRA plus IFN-γ may be a promising chemoimmunotherapeutic strategy for
treatment of human malignant glioblastoma.
Keywords Apoptosis - ATRA - Caspase-3 - GILT - HLA class II - Human malignant glioblastoma cells - IFN-γ