Abstract
The heterogeneous nature of tumor-associated neutrophils (TANs) has been recognized, but how different cell states of TANs emerge, evolve, distribute, and impact cancer immunotherapy efficacy remain elusive. Using single-cell RNA sequencing, spatial transcriptomics, and genetic manipulations, we show that anti-PDL1 + CD40 agonist immunotherapy can induce interferon responses in TANs, allowing them to regain anti-tumor activities in squamous cell carcinomas (SCCs). In contrast, TANs residing at the tumor-stroma interface can preserve their immune-suppressive state. Importantly, we identify a group of SOX2High tumor-initiating stem cells (tSCs) at the tumor-stroma interface that upregulate fatty acid desaturase 1 (Fads1) to produce arachidonic acid (AA). This tSC-specific pathway enhances the prostaglandin E2 (PGE2) signaling in TANs, which can disrupt the interferon response and prevent the interferon-induced anti-tumor functions in TANs. By fine-tuning the plasticity of neutrophils, tSCs shape neutrophil heterogeneity and sculpt a protective micro-niche to survive from immunotherapy and drive cancer relapse.
| Original language | English |
|---|---|
| Pages (from-to) | 94-111.e11 |
| Journal | Cancer Cell |
| Volume | 44 |
| Issue number | 1 |
| DOIs | |
| State | Published - 12 Jan 2026 |
| Externally published | Yes |
Keywords
- Fads1
- Sox2
- arachidonic acid
- cancer relapse
- immunotherapy
- interferon response
- prostaglandin E2
- squamous cell carcinoma
- tumor-associated neutrophils
- tumor-initiaiting stem cells
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