Content of review 1, reviewed on July 28, 2024

This is a small descriptive study assessing the GB microenvironment in a paired tissue cohort by immunofluorescence and histology (n=11, early recurrence; n=12, late recurrence). Classical markers are used to characterize cells within the TME. At early recurrence, the authors describe a particularly reactive tumor region encompassing fibrosis, chronic inflammation, TAMs and tumor cells and speculate that this might result in a time-dependent response to immunotherapy. The study has clear limitations as stated by the authors themselves.

Major points:

  • MGMT promotor status should be displayed as this represents a strong confounder and unmethylated MGMT-P is associated with early recurrence
  • Time from last dose of RT should be displayed, correlative analyses (time post RT) to TME phenotypes could be interesting to visualize
  • The terminology M1/M2 is referring to in vitro phenotypes and the authors correctly state that multiple distinct TAM phenotypes likely co-exist, hence, I would suggest to rename into M1-like / M2-like

Source

    © 2024 the Reviewer.

References

    Moldrup, K. A., Dupont, E. J., Vilde, P., Martin, H., Riber, H. E. V., Winther, K. B. 2024. Characterisation of the tumour microenvironment in primary and recurrent glioblastomas. Neuropathology and Applied Neurobiology.