Evidence map›Paper›PMID 41292779›Full record

ArticlebioRxiv : the preprint server for biology2025

Mitochondria redistribution organizes the immunosuppressive tumor ecosystem.

Azusa Terasaki, Alexis T Weiner, Yuhao Tan, Viktoria Szeifert, Keshav Bhatnagar, Cara C Rada, Vishnu Shankar, Courtney Kernick, Mahnoor Mahmood, Lukas Wiggers and 7 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Azusa TerasakiDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-5935-700X
Alexis T WeinerDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-0186-0921
Yuhao TanThe Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Viktoria SzeifertDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-4678-6497
Keshav BhatnagarDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0009-0000-2874-4165
Cara C RadaDepartment of Medicine, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0003-2480-1817
Vishnu ShankarDepartment of Immunology Graduate Program, Stanford University, Stanford, CA 94305, USA.
Courtney KernickDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0009-0001-1295-072X
Mahnoor MahmoodCRUK- Scotland Institute, Glasgow, UK.
Lukas WiggersDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.
Viviana R RodriguesDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.
Payam A GammageCRUK- Scotland Institute, Glasgow, UK.ORCID 0000-0003-1968-1726
Theodore RothDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-3970-9573
Jeffrey D AxelrodDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0001-6094-7392
Edgar EnglemanDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-2096-9279
Bo LiThe Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Derick Okwan-DuoduDepartment of Pathology, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0003-1479-5759

Funding

Project 3: Impact of tumor genetics on PDAC immunobiology and responses to macrophage-targeted immunotherapyP01CA244114 · NCI · STANFORD UNIVERSITY · PI ATTARDI, LAURA D, KIM, SEUNG K · 2021 to 2025
$10.0M
Systems Biology of Tumor-Immune-Stromal Interactions in Metastatic ProgressionU54CA274511 · NCI · STANFORD UNIVERSITY · PI SYLVIA KATINA PLEVRITIS · 2023 to 2026
$9.5M
Tracking Peripheral T-Cell Repertoire Changes for Preoperative and Early Ovarian Cancer DiagnosisR01CA258524 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Jayanthi S Lea, Bo Li · 2022 to 2026
$3.8M
High dimensional atlas of circulating neutrophils as reporters of solid organ functional statusR01ES034235 · NIEHS · STANFORD UNIVERSITY · PI OKWAN-DUODU, DERICK · 2021 to 2025
$2.1M
NCI NIH HHS P01 CA244114NCI NIH HHS R01 CA258524NCI NIH HHS U54 CA274511NIEHS NIH HHS R01 ES034235
6 · The paper itself

Abstract

Hostile conditions in the tumor microenvironment restrict cellular respiration, yet mitochondrial metabolism remains indispensable for tumor growth and the activity of immunosuppressive cells. How tumor ecosystems sustain mitochondrial output has been unclear. Here, we show that cancer cells resolve this paradox by acting as hubs of intercellular mitochondrial redistribution. Using mitochondrial reporter systems, we demonstrate that cancer cells import host-derived mitochondria, integrate them into their endogenous network, and subsequently relay these hybrid organelles to neighboring immune cells. Mitochondria redistribution reprograms recipient neutrophils, macrophages, and CD4⁺ T cells into highly suppressive states but drives CD8⁺ T cell exhaustion. Within cancer cells, fusion of incoming mitochondria induces filamentous P5CS assembly, enhances biosynthetic output, and enables the refurbishment of damaged organelles into fully functional units. Disrupting mitochondrial redistribution collapses the immunosuppressive ecosystem and impairs tumor growth. Thus, cancer cells do not hoard resources but orchestrate a redistribution program that fortifies their own metabolic resilience, derails anti-tumor immunity, and sustains immunosuppressive partners.

Indexed as

immunosuppressionmetabolismmitochondria redistributiontumor microenvironment

Identifiers

PMID41292779
PMCPMC12642609

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.