Evidence map›Paper›PMID 42174623›Full record

ArticleJournal of translational medicine2026

Multimodal transcriptomics reveal myCAF-derived collagen signaling associated with impaired NK-cell cytotoxicity and immune exclusion in pancreatic cancer.

Lei Kong, Shengxin Gu, Mingyang Wang, Lili Gao, Xiaoling Song, Jun Gu

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Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lei Kong *Laboratory of General Surgery and Department of General Surgery, Xinhua Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai, 200092, China.
Shengxin Gu *Laboratory of General Surgery and Department of General Surgery, Xinhua Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai, 200092, China.
Mingyang Wang *Laboratory of General Surgery and Department of General Surgery, Xinhua Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai, 200092, China.
Lili GaoDepartment of Pathology, Xinhua Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai, 200092, China.
Xiaoling SongLaboratory of General Surgery and Department of General Surgery, Xinhua Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai, 200092, China. sxl_dy@163.com.
Jun GuLaboratory of General Surgery and Department of General Surgery, Xinhua Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 1665 Kongjiang Road, Shanghai, 200092, China. gujun6666@sjtu.edu.cn.ORCID 0009-0001-1097-6942

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite years of research, pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest cancers. A highly fibrotic, immunosuppressive microenvironment poses a significant barrier to effective immunotherapy. As key innate immune effectors of antitumor immunity, the functional status of natural killer (NK) cells within this environment remains poorly understood. This study aims to explore the role of stromal-immune interactions, particularly myofibroblastic cancer-associated fibroblasts (myCAFs) and NK cells, in shaping immune dysfunction in PDAC.

methodsWe integrated spatial, single-cell and bulk transcriptomic analyses to characterize NK-cell heterogeneity and its cellular and molecular regulation in PDAC. CellChat-based communication analysis, spatial co-localization, and multiplex immunofluorescence were utilized to identify regulatory interactions and validate spatial associations.

resultsA tumor-associated NK (TaNK) subset with impaired cytotoxicity was identified. myCAFs strongly interacted with TaNK cells through collagen signaling. Within ligand-receptor pairs, COL1A2-CD44 and COL1A1-LAIR1 served as dominant mediators linking stromal remodeling to impaired NK cell function. Spatial and histological validation confirmed their co-localization, while tumors co-enriched with myCAFs and TaNKs exhibited immune exclusion and poor response to immunotherapy.

conclusionsOur study demonstrates that collagen signaling from myCAFs impairs NK-cell cytotoxicity and promotes immune exclusion in PDAC. These findings advance the understanding of stromal-immune mechanisms underlying immunotherapy resistance and highlight that targeting the myCAF-NK axis may help improve the response to immunotherapy in PDAC.

Indexed as

Cancer-Associated FibroblastsCollagenCytotoxicity, ImmunologicGene Expression ProfilingKiller Cells, NaturalPancreatic NeoplasmsSignal TransductionTranscriptomeCarcinoma, Pancreatic DuctalCell Line, TumorGene Expression Regulation, NeoplasticHumansTumor MicroenvironmentCollagenCollagen signalingImmune exclusionmyCAFPDACTaNK

Identifiers

PMID42174623
PMCPMC13483683

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