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ResearchIn-Press PreviewOncology Open Access | 10.1172/JCI180893
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Chen, S. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Huang, C. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Li, K. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Cheng, M. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Zhang, C. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Xiong, J. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Tian, G. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Zhou, R. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Ling, R. in: JCI | PubMed | Google Scholar |
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Wang, X. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Xiong, G. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Zhang, Z. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Ma, J. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Zhu, Y. in: JCI | PubMed | Google Scholar |
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Zhou, B. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Peng, L. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Peng, Z. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Li, H. in: JCI | PubMed | Google Scholar
1Department of Medical Oncology; Department of Pancreato-Biliary Surgery; De, Center for Translational Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
3Department of Medical Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
4State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry an, Chinese Academy of Sciences; University of Chinese Academy of Sciences, Shanghai, China
5Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, China
Find articles by Chen, D. in: JCI | PubMed | Google Scholar
Published January 7, 2025 - More info
Tumor-initiating cells (TICs) play a key role in cancer progression and immune escape. However, how TICs evade immune elimination remains poorly characterized. Combining single-cell RNA sequencing (scRNA-seq), dual-recombinase-based lineage tracing, and other approaches, we identified a WNT-activated subpopulation of malignant cells that act as TICs in vivo. We found intensive reciprocal interactions between TICs and immune regulatory tumor-associated macrophages (Reg-TAMs) via GAS6-AXL/MERTK signaling pathways, which facilitated the immune escape of TICs. Our study employed chemical inhibitors and Axl/Mertk conditional double knockout mice to demonstrate that inhibiting the interaction between TIC-derived GAS6 and AXL/MERTK in Reg-TAMs reactivated anti-tumor immune responses. We identified CCL8 as a critical mediator of the GAS6/AXL/MERTK pathway, primarily by inhibiting regulatory T cell (Treg) infiltration into the tumor. Furthermore, the AXL/MERTK signaling blockade sensitized tumor cells to anti-PD-1 treatment. Thus, we elucidated a detailed mechanism by which TICs evade tumor immunity, providing insights into strategies to eradicate TICs that escape conventional immunotherapy.