A zinc transporter drives glioblastoma progression via extracellular vesicles-reprogrammed microglial plasticity

L Liyang Zhang (Department of Medicine, The University of Oklahoma Health Sciences Center) J Jingxuan Yang (Department of Medicine, The University of Oklahoma Health Sciences Center) Z Zhijun Zhou (The Institute for Advanced Studies, Wuhan University, 299 Bayi Road, Wuhan 430072, China) Y Yu Ren (Department of Medicine, The University of Oklahoma Health Sciences Center) B Bo Chen A Anliu Tang (Department of Gastroenterology, The Third Xiangya Hospital of Central South University) K Kailiang Zhang (Department of Medicine, The University of Oklahoma Health Sciences Center) C Chuntao Li (Department of Medicine, The University of Oklahoma Health Sciences Center) H Hongshu Zhou (Department of Neurosurgery, Xiangya Hospital, Central South University) K Kar-Ming Fung (Department of Pathology, The University of Oklahoma Health Sciences Center) C Chao Xu C Chunsheng Kang (Department of Neurosurgery, Tianjin Medical University General Hospital, Laboratory of Neuro-Oncology, Tianjin Neurological Institute, Key Laboratory of Post-Trauma Neuro-repair and Regeneration in Central Nervous System, Ministry of Education) J James D. Battiste (Department of Neurosurgery, The University of Oklahoma Health Sciences Center) M Michael S. Bronze (Department of Medicine, The University of Oklahoma Health Sciences Center) C Courtney W. Houchen (Department of Medicine, The University of Oklahoma Health Sciences Center) Z Zhixiong Liu (Department of Neurosurgery, Xiangya Hospital, Central South University) I Ian F. Dunn (Department of Neurosurgery, The University of Oklahoma Health Sciences Center) W Webster K. Cavenee (Department of Medicine, University of California at San Diego) M Min Li

Abstract

Glioblastoma (GBM) is the most aggressive form of brain cancer, with limited therapeutic options. While microglia contribute to GBM progression, the mechanisms by which they foster a protumorigenic immune environment remain poorly understood. We identify the zinc transporter Zrt- And Irt-Like Protein 4 (ZIP4) as a pivotal regulator of the GBM immune landscape. In orthotopic mouse models, ZIP4 drives tumor growth and behavioral changes. Mechanistically, ZIP4 modulates microglial plasticity through tumor-derived extracellular vesicles carrying triggering receptor expressed on myeloid cells-1 (TREM1), a process regulated by the zinc-dependent transcription factor Zinc Finger E-box Binding Homeobox 1 in GBM cells. TREM1 enhances microglial plasticity through the spleen associated tyrosine kinase-Pyruvate dehydrogenase kinase-signal transducer and activator of transcription 3 (SYK-PDK-STAT3) signaling axis, ultimately promoting an immune environment favorable to tumor progression. ZIP4 depletion or TREM1 inhibition attenuates tumor growth and behavioral effects in vivo by disrupting the tumor–microglia interaction. These findings establish ZIP4 as a key modulator of the GBM immune landscape and suggest a promising therapeutic target to counteract microglia-mediated tumor progression.

Article Details

Volume / Issue Vol. 122, Issue 18
Published May 06, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (19)

L

Liyang Zhang

Department of Medicine, The University of Oklahoma Health Sciences Center

J

Jingxuan Yang

Department of Medicine, The University of Oklahoma Health Sciences Center

Z

Zhijun Zhou

The Institute for Advanced Studies, Wuhan University, 299 Bayi Road, Wuhan 430072, China

Y

Yu Ren

Department of Medicine, The University of Oklahoma Health Sciences Center

B

Bo Chen

A

Anliu Tang

Department of Gastroenterology, The Third Xiangya Hospital of Central South University

K

Kailiang Zhang

Department of Medicine, The University of Oklahoma Health Sciences Center

C

Chuntao Li

Department of Medicine, The University of Oklahoma Health Sciences Center

H

Hongshu Zhou

Department of Neurosurgery, Xiangya Hospital, Central South University

K

Kar-Ming Fung

Department of Pathology, The University of Oklahoma Health Sciences Center

C

Chao Xu

C

Chunsheng Kang

Department of Neurosurgery, Tianjin Medical University General Hospital, Laboratory of Neuro-Oncology, Tianjin Neurological Institute, Key Laboratory of Post-Trauma Neuro-repair and Regeneration in Central Nervous System, Ministry of Education

J

James D. Battiste

Department of Neurosurgery, The University of Oklahoma Health Sciences Center

M

Michael S. Bronze

Department of Medicine, The University of Oklahoma Health Sciences Center

C

Courtney W. Houchen

Department of Medicine, The University of Oklahoma Health Sciences Center

Z

Zhixiong Liu

Department of Neurosurgery, Xiangya Hospital, Central South University

I

Ian F. Dunn

Department of Neurosurgery, The University of Oklahoma Health Sciences Center

W

Webster K. Cavenee

Department of Medicine, University of California at San Diego

M

Min Li