Journal Article DKFZ-2026-01341

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Pancreatic cancer induces B cell lineage plasticity via Pax5 inhibition to sustain immunosuppression.

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2026
Nature Publishing Group London

Cell death discovery 12(1), 265 () [10.1038/s41420-026-03174-z]
 GO

Abstract: Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive tumor characterized by its ability to create an immunosuppressive tumor microenvironment. Here, using robust 3D co-culture systems, samples from PDAC patients and murine in vivo models, we described a novel immune evasion mechanism used by PDAC to inhibit the anti-tumor activity of B lymphocytes: We provide evidence that pancreatic cancer suppresses the B cell-specific transcriptional program while enforcing their reprogramming into functional macrophages. Thus, we hypothesize that B cells undergo transdifferentiation under the influence of PDAC, by losing their lymphoid identity and acquiring a myeloid immunosuppressive phenotype. This drastic change is enacted by the loss of Pax5 expression. Importantly, our results showed that the Ex-B cells efficiently become phagocytic and produce soluble proteins that are known to enhance cancer cell survival and proliferation. This suggests that the PDAC-induced B cell to macrophage transdifferentiation pathway is functionally relevant and hence could serve as an immunotherapeutic target.

Classification:

Note: #DKTKZFB26#

Contributing Institute(s):
  1. Chronische Entzündung und Krebs (D440)
  2. DKTK Koordinierungsstelle Tübingen (TU01)
Research Program(s):
  1. 314 - Immunologie und Krebs (POF4-314) (POF4-314)

Appears in the scientific report 2026
Database coverage:
Medline ; Creative Commons Attribution CC BY (No Version) ; DOAJ ; Article Processing Charges ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; DOAJ Seal ; Essential Science Indicators ; Fees ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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 Record created 2026-06-03, last modified 2026-06-05



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