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PLXDC1+ Tumor-Associated Pancreatic Stellate Cells Promote Desmoplastic and Immunosuppressive Niche in Pancreatic Ductal Adenocarcinoma

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机构: [1]Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Ctr Immune Related Dis,Shanghai Inst Immunol,Dept, Shanghai, Peoples R China [2]Shanghai Jiao Tong Univ, Yale Inst Immune Metab, State Key Lab Syst Med Canc, Sch Med, Shanghai 20025, Peoples R China [3]Naval Med Univ, Changzheng Hosp, Dept Pancreat Biliary Surg, Shanghai 200003, Peoples R China [4]Hebei Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Hebei Key Lab Gen Surg Digital Med, Baoding 071000, Peoples R China [5]UNSW Sydney, Sch Biomed Engn, UNSW BioMed Machine Learning Lab BML, Sydney, NSW 2052, Australia
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关键词: activation heterogeneity immunotherapy resistance pancreatic stellate cells (PSCs) PLXDC1(+) tumor-associated PSCs single-cell and spatial transcriptomes

摘要:
Pancreatic stellate cells (PSCs) contribute to pancreatic ductal adenocarcinoma (PDAC) progression and therapeutic resistance, yet their detailed functions remain unclear. This study combined RNA sequencing and assay for transposase-accessible chromatin using sequencing (ATAC-seq) on sorted PSCs from adjacent normal and PDAC tissues to investigate their transcriptional and epigenetic activation. PSCs heterogeneity and functions are characterized through bulk, single-cell, and spatial transcriptomes, as well as in situ sequencing. The clinical relevance of PSCs in immunotherapy is assessed using an in-house immune-checkpoint blockade (ICB) treatment cohort. Findings showed that stress and hypoxia signaling activated PSCs in PDAC. Three common PSCs (CPSCs) and four tumor-associated PSCs (TPSCs) are identified, each with distinct functions. CPSCs differentiated into CCL19+ TPSCs in immune-enriched regions, MYH11+ TPSCs in the stromal region, and PLXDC1+ TPSCs, which exhibited cancer-associated myofibroblasts (myCAFs) phenotype linked to poor prognosis. Notably, PLXDC1+ TPSCs, located near aggressive LRRC15+ myCAFs and SPP1+ macrophages, formed a desmoplastic and immunosuppressive niche around the tumor boundary, promoting CD8 T cell exhaustion. Single-cell transcriptomics of PDAC patients treated with ICB revealed that PLXDC1+ TPSCs correlated with poor immunotherapy efficacy. Overall, this study provides key insights into PSCs in PDAC and potential therapeutic targets.

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大类 | 1 区 综合性期刊
小类 | 1 区 化学:综合 1 区 材料科学:综合 1 区 纳米科技
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Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 NANOSCIENCE & NANOTECHNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2025版] 出版当年五年平均 出版前一年[2024版]

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第一作者机构: [1]Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Ctr Immune Related Dis,Shanghai Inst Immunol,Dept, Shanghai, Peoples R China [2]Shanghai Jiao Tong Univ, Yale Inst Immune Metab, State Key Lab Syst Med Canc, Sch Med, Shanghai 20025, Peoples R China
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通讯机构: [1]Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Ctr Immune Related Dis,Shanghai Inst Immunol,Dept, Shanghai, Peoples R China [2]Shanghai Jiao Tong Univ, Yale Inst Immune Metab, State Key Lab Syst Med Canc, Sch Med, Shanghai 20025, Peoples R China
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