Integrative cross‐tissue and spatially resolved single‐cell profiling uncovers tumour‐educated inflammatory remodelling of tissue‐resident macrophage ecosystem with immunotherapeutic prognostic significance in pan‐cancer.
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| Title: | Integrative cross‐tissue and spatially resolved single‐cell profiling uncovers tumour‐educated inflammatory remodelling of tissue‐resident macrophage ecosystem with immunotherapeutic prognostic significance in pan‐cancer. |
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| Authors: | Wang, Weikai, Chen, Zibin, Huang, Yuhan, Hu, Zhihao, Zhu, Peixin, Huang, Zhuoli, Lv, Jingzhi, Liao, Ziru, Zheng, Yuhui, Wei, Chen, Guan, Baibing, Zeng, Yin, Zhu, Xinyue, Yang, Yafei, Li, Guibo, Jin, Xin, Chen, Xi, Yang, Xiao, Ma, Zikun, Yin, Jianhua |
| Source: | Clinical & Translational Medicine; Feb2026, Vol. 16 Issue 2, p1-32, 32p |
| Subject Terms: | MACROPHAGES, TUMOR microenvironment, CELL analysis, RNA sequencing, IMMUNE checkpoint inhibitors, TUMORS, MACROPHAGE activation, MACROPHAGE inflammatory proteins |
| Abstract: | Background: Tissue‐resident macrophages (TRMs) exhibit dual roles in tumor progression, yet their functional reprogramming within the tumor microenvironment (TME) remains a critical unresolved question. Methods: We integrated single‐cell and spatial transcriptomics from a pan‐cancer atlas of 1.39 million cells across five malignancies with 2,318 bulk RNA‐seq samples to investigate macrophage states. A TRM inflammatory remodeling signature (TIR‐Sig) was developed for clinical biomarker validation. Results: We identified a conserved inflammatory TRM subtype (iTRM) characterized by CXCL8/IL1B/IL6 co‐expression that correlates with poor clinical outcomes. Crucially, both TRMs and monocyte‐derived tumor‐associated macrophages (Mono‐TAMs) underwent convergent differentiation into functionally similar inflammatory phenotypes, establishing iTRM as a universal tumor‐educated state. Further integration analysis revealed an iTRM‐enriched TME subtype which featured coordinated infiltration of neutrophils and cancer‐associated fibroblasts (CAFs), forming a 'cold tumor' ecosystem associated with immune checkpoint blockade (ICB) resistance and poor prognosis. The derived TRM inflammatory remodeling signature (TIR‐Sig) demonstrated dual clinical utility: it predicted patient survival (HR = 19.86, p <.001) and stratified ICB responders (AUC =.706). Conclusion: This study establishes phenotypic links between tissue‐resident and recruited macrophages through inflammatory reprogramming within TME, provides a unifying framework for pan‐cancer macrophage plasticity in TME, delivers a clinically actionable biomarker suite (TIR‐Sig), and provides potential therapeutic targets for TME remodeling. Key points: Cross‐tissue single‐cell atlas of tissue‐resident macrophages (TRMs).Identification of conserved inflammatory TRM phenotype (iTRM) in pan‐cancer.Dynamic convergence of TRM and monocyte‐derived macrophage lineages.TRM inflammatory remodelling signature (TIR‐Sig) with clinical potential. [ABSTRACT FROM AUTHOR] |
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| Database: | Biomedical Index |
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