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Tumor-initiating stem cells fine-tune the plasticity of neutrophils to sculpt a protective niche

  • Weijie Guo
  • , Jingyun Luan
  • , Xuejie Huang
  • , Daniel Leon
  • , Sophie Gang
  • , Benjamin Nicholson
  • , Breanna Bertacchi
  • , Diana Bolotin
  • , Mark W. Lingen
  • , Alexander T. Pearson
  • , Evgeny Izumchenko
  • , Ari J. Rosenberg
  • , Nishant Agrawal
  • , Everett E. Vokes
  • , Siwakorn Punyawatthananukool
  • , Shuh Narumiya
  • , Matthias Gunzer
  • , Iván Ballesteros
  • , Andrés Hidalgo
  • , Yuxuan Miao

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

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 languageEnglish
Pages (from-to)94-111.e11
JournalCancer Cell
Volume44
Issue number1
DOIs
StatePublished - 12 Jan 2026
Externally publishedYes

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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