SERPINs in Macrophage May Be Key Inflammation Regulator and Relevant to Poor Prognosis in Adamantinomatous Craniopharyngioma

Abstract Craniopharyngioma is one of the most prevalent sellar tumors in children. Though normally, gross resection might be reached, while the prognosis and outcome of the patient is much more worse than any other benign tumor. Inflammation in tumor is of essential in tumor growth and progression. We found that inflammation was relevant to patient outcome and macrophages in adamantinomatous craniopharyngioma were activated in an interesting pattern. We then evaluated immune microenvironment in adamantinomatous craniopharyngioma and intended to screen out potential functional molecules for therapeutic targets and predicting prognosis. The results showed that SERPINs family, especially SERPINE1 and SERPING1 were up-regulated in adamantinomatous craniopharyngioma and might be related to patient outcome in malignant tumor. At the same time, the immune environment of adamantinomatous craniopharyngioma was similar with glioma rather than other benign brain tumors. The study firstly proposes the view that ACP might share the same characteristics with malignant brain tumor, and meanwhile preliminarily demonstrates SERPINs, especially SERPINE1 might also play a critical role in ACP, just like other aggressive cancer.