PubMed · 41722836
MIF-CD74 axis facilitates MDSC infiltration in the tumor microenvironment of pancreatic ductal adenocarcinoma.
Abstract
Immune checkpoint inhibitors show insufficient efficacy against pancreatic ductal adenocarcinoma (PDAC). The tumor microenvironment (TME) has a remarkable influence on responsiveness to cancer immunotherapy. The aim of this study was to investigate immunosuppressive characteristics of TME in PDAC tissues. The flow cytometry (FCM) of PDAC surgical specimens revealed that the profile of tumor-infiltrating leukocytes was classified into myeloid cell- and T-cell-dominant subtypes; the myeloid subtype was associated with poorer patient outcomes. Myeloid-derived suppressor cells (MDSCs) showed the highest hazard ratio among various myeloid cell types. Single-cell RNA sequencing and FCM revealed that most MDSCs, but not lymphocytes, in PDAC tissues characteristically express CD74. Macrophage migration inhibitory factor (MIF), a CD74 ligand, was highly expressed in cancer-associated fibroblasts (CAFs) and cancer cells. Spatial transcriptomics demonstrated that the MIF-CD74+ myeloid cell interaction was recognized in CAF-dominant areas in PDAC tissue. CAFs expressing immune suppressor molecules such as MFAP5 and LRRC15 were consistent with MIF+ CAFs. Furthermore, MIF+ CAFs enhanced the migratory activity of MDSCs and promoted MDSC induction and activation. In the murine model, MDSCs were significantly increased in MIF-expressing PDAC tumors, as were CD74+ M-MDSCs per M-MDSC, confirming in vivo interaction between CD74 and MIF. MDSCs play a crucial role in creating an immunosuppressive TME in PDAC; the MIF-CD74 axis drives interactions between MDSCs and CAFs.
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Hironori Fukuda, Kosuke Arai, Eri Hashimoto, Keisuke Sekine, Yasuhito Arai, Nobuyoshi Hiraoka, Aya Hirata, Makiko Yamashita, Kenta Narumi, Ayaka Kikuchi, Eri Sawai, Yuria Sawada, Ayana Sunami, Yukihiro Mizoguchi, Ryoichi Sadahiro, Yukiko Aikawa, Yasuko Henmi, Genki Okumura, Eri Sugiyama, Mami Takahashi, Tatsuhiro Shibata, Yukari Nishito, Hideaki Mizuno, Satoshi Nara, Minoru Esaki, Shohei Koyama, Shigehisa Kitano, Teruhiko Yoshida, Atsushi Ochiai, Hiroyuki Tsunoda, Kazunori Aoki. 2026-02-20. MIF-CD74 axis facilitates MDSC infiltration in the tumor microenvironment of pancreatic ductal adenocarcinoma.. https://doi.org/10.1016/j.canlet.2026.218348
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