Evidence map›Paper›PMID 40686387›Full record

ArticleInternational journal of cancer2025

The anti-aging Klotho protects glioblastoma macrophages from radiotherapy-induced inflammation and predicts immunotherapy response.

Andrea Galluzzo, Martina Maffezzini, Maria Luisa Fumagalli, Irene Sambruni, Silvia Musio, Monica Patanè, Rosina Paterra, Erika Salvi, Manuel Facciolla, Micaela Milani and 10 more

Abstract read
In one paragraph

Article in International journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Andrea GalluzzoUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Martina MaffezziniUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Maria Luisa FumagalliUnit of Neuro-Radiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Irene SambruniUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Silvia MusioUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Monica PatanèUnit of Neuro-Pathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Rosina PaterraUnit of Neuroncology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Erika SalviData Science Center, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Manuel FacciollaUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Micaela MilaniUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Marco SchiaritiUnit of NeuroSurgery 2, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0001-5494-8292
Luca MatteiUnit of NeuroSurgery 1, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Alessandra RossiOncohematology Division, IEO European Institute of Oncology IRCCS, Milan, Italy.
Marica EoliUnit of Neuroncology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Luigi PolianiUnit of Pathology, IRCCS Ospedale San Raffaele, Milan, Italy.
Antonio SilvaniUnit of Neuroncology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Bianca PolloUnit of Neuro-Pathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Laura FariselliUnit of Neuro-Radiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Natalia Di IanniUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Serena PellegattaUnit of Immunotherapy of Brain Tumors, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.

Funding

Italian Ministry of Health CAL.HUB.RIA (2022-2024)
6 · The paper itself

Abstract

Immunosuppressive myeloid cells, such as microglia and macrophages, play a key role in mediating resistance to immunotherapy in glioblastoma patients. Bulk RNA sequencing analysis revealed elevated expression of Klotho (Kl) in gliomas derived from irradiated glioma-bearing mice. Klotho, which encodes an anti-aging protein, was found to be upregulated in glioma-associated microglia/macrophages (GAMs) exhibiting an M1 pro-inflammatory phenotype. This upregulation appeared to enhance the antitumor efficacy of a combination of radiotherapy and dendritic cell (DC) immunotherapy. Furthermore, transcript levels of KL in tumor specimens and corresponding serum levels in glioblastoma patients undergoing DC immunotherapy were correlated with favorable prognostic outcomes and improved treatment responses. Given its expression in human M1-like GAMs, serum KL levels can offer valuable insights into the immune microenvironment and hold clinical significance as a peripheral biomarker. These findings highlight the pivotal role of Klotho as a prognostic biomarker for predicting responses to immunotherapy, with potential applications for monitoring tumor progression or regression through changes in serum levels.

Indexed as

Brain NeoplasmsGlioblastomaGlucuronidaseImmunotherapyInflammationMacrophagesAnimalsBiomarkers, TumorCell Line, TumorDendritic CellsFemaleHumansKlotho ProteinsMaleMiceMicrogliaBiomarkers, TumorGlucuronidaseKlotho ProteinsKL protein, humanglioblastomaimmunotherapyinflammationmacrophagesradiotherapy

Identifiers

PMID40686387
PMCPMC12439078

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.