In glioblastoma (GBM), we encounter many challenges, including resistance to radiotherapy and chemotherapy, as well as an immunosuppressive tumor microenvironment (TME). Tumor cells secrete immunosuppressive molecules, such as transforming growth factor beta (TGF-β) and C-C chemokine ligand 5 (CCL5), which recruit and reprogram immune cells to support tumor growth. Novel therapeutic strategies therefore focus on combining different approaches targeting the TME. The aim of this master's thesis was to evaluate the effects of antagonists targeting the serine/threonine kinase receptor TGF-βRI and the chemokine receptor CCR5 on the viability and invasion of three-dimensional (3D) GBM cell models. Furthermore, we investigated whether targeting these cytokine pathways increased the sensitivity of spheroids and glioblastoma organoids (GBOs) to standard therapy (ST). Comparison of the viability and invasion of spheroids derived from GBM patients demonstrated pronounced heterogeneity in response to the TGF-βRI inhibitor, as monotherapy and in combination with ST, between patients and between spheroids generated from differentiated glioblastoma cells (dGBM) and glioblastoma stem cells (GSCs). In two out of six spheroids, inhibition of TGF-βRI with galunisertib (GAL) increased sensitivity to ST. Western blot analysis revealed an impaired SMAD (suppressor of mother against decapentaplegic)-dependent TGF-β pathway, suggesting the presence of a compensatory pathway regulating invasion. Following inhibition with GAL, TGF-βRI expression increased in some spheroids and decreased in others, while inhibition of TGF-β signaling in all dGBM/GSC spheroids activated the SMAD-independent ERK pathway. Maraviroc (MRV), a CCR5 antagonist, had no effect on GBO viability when used as monotherapy. However, it increased GBO invasion, which may be a consequence of activation of a compensatory pathway regulating invasion. Targeting the CCL5/CCR5 axis did not increase GBO sensitivity to ST. In future studies, the use of more complex preclinical models could further elucidate compensatory signaling mechanisms and more precisely define the effects of antagonists, thereby improving the efficacy of cell-based therapies through enhancement of the patient's immune system.
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