Abstract 3508: Glioblastoma treatment with multifunctional nanodrug inhibiting laminin-411 activates local immune response, increases survival of mice and reveals AI-selected immune molecular pathways

Abstract Introduction: Cancer microenvironment influences tumor growth, invasion, and escape from immune surveillance. Glioblastoma (GBM) extracellular matrix (ECM) especially laminins play an important role in tumor progression. We previously observed a correlation in GBM samples from 130 patients between increased expression of ECM laminin-411 (α4β1γ1) and faster tumor recurrence with decreased patient survival. Laminin-411 is a basement membrane component that can also modulate immune response through Notch signaling. We developed novel nanoconjugate (NC) blocking laminin-411 that can activate GBM local immune system after brain delivery. Methods: NC was based on non-toxic poly (β-L-malic acid, P) with covalently attached antisense oligonucleotides (AON) against laminin-411 α4 and β1 chains, as well as trileucine (LLL) peptide for endosomal escape, AP-2 peptide for blood-brain barrier (BBB) crossing and GBM cell targeting. The NC was thoroughly characterized and was intravenously administered to mice (5 injections) with intracranial syngeneic GL261 GBM. The NC selected for treatment had the structure P/mPEG5000(2%)/LLL(40%)/AON(α4β1)(2.0%)/AP-2(2%). Tumor RNA sequencing (RNA-seq) was analyzed by bioinformatics with artificial intelligence and validated for select genes by immunohistochemistry. Immune cell populations were analyzed by flow cytometry. Results: NC treatment in vivo suppressed GBM growth and significantly prolonged animal survival. RNA-sec analysis after treatment with NC suppressing tumor laminin-411 suggested anti-tumor effect with upregulation of apoptotic Casp3, Ifng, Tnf, Il1a, and Il1b genes and reduction of glioma proliferation markers and oncogenes EGFR, c-Myc, Klf4, Irf4, and Ki-67, as well as Notch ligand Dll3. Ingenuity pathway analysis artificial intelligence module AI interpret predicted activation of inflammatory pathways involved in cell signaling during immune responses, pathways related to adhesion and migration of immune cells, and general immune response. In agreement with these data, protein validation showed decreased Ki-67 and Dll3, and increased T cell marker CD4, inflammatory markers IFNγ and TNFα, and anti-tumor M1 macrophage marker NOS2/iNOS. Interestingly, the immunostaining for markers of GBM stem cells, CD133 and nestin, was markedly decreased upon treatment. Flow cytometry also suggested activation of immune response after NC administration. Conclusion: We describe a novel GBM treatment strategy via NC crossing BBB and targeting critical ECM and immune components of tumor microenvironment that are largely independent of heterogeneous genetic mutations in glioblastoma. Support: NIH grants R01 CA284247, R01 CA188743, R01 CA206220, R01 CA209921, R01 EY013431 Citation Format: Alexander V. Ljubimov, Rameshwar Patil, Vladimir A. Ljubimov, Hui Ding, Yizhou Wang, Sarah Song, Andrei A. Kramerov, Oksana Chepurna, Vanessa Borges, Jessica Dos Santos, Eggehard Holler, Julia Y. Ljubimova, Keith L. Black. Glioblastoma treatment with multifunctional nanodrug inhibiting laminin-411 activates local immune response, increases survival of mice and reveals AI-selected immune molecular pathways abstract. In: Proceedings of the American Association for Cancer Research Annual Meeting 2026; Part 1 (Regular Abstracts); 2026 Apr 17-22; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2026;86(7 Suppl):Abstract nr 3508.