RT Journal Article SR Electronic T1 The Peptidoglycan Recognition Protein 1 confers immune evasive properties on pancreatic cancer stem cells JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP gutjnl-2023-330995 DO 10.1136/gutjnl-2023-330995 A1 López-Gil, Juan Carlos A1 García-Silva, Susana A1 Ruiz-Cañas, Laura A1 Navarro, Diego A1 Palencia-Campos, Adrián A1 Giráldez-Trujillo, Antonio A1 Earl, Julie A1 Dorado, Jorge A1 Gómez-López, Gonzalo A1 Monfort-Vengut, Ana A1 Alcalá, Sonia A1 Gaida, Matthias M A1 García-Mulero, Sandra A1 Cabezas-Sáinz, Pablo A1 Batres-Ramos, Sandra A1 Barreto, Emma A1 Sánchez-Tomero, Patricia A1 Vallespinós, Mireia A1 Ambler, Leah A1 Lin, Meng-Lay A1 Aicher, Alexandra A1 García García de Paredes, Ana A1 de la Pinta, Carolina A1 Sanjuanbenito, Alfonso A1 Ruz-Caracuel, Ignacio A1 Rodríguez-Garrote, Mercedes A1 Guerra, Carmen A1 Carrato, Alfredo A1 de Cárcer, Guillermo A1 Sánchez, Laura A1 Nombela-Arrieta, César A1 Espinet, Elisa A1 Sanchez-Arevalo Lobo, Víctor Javier A1 Heeschen, Christopher A1 Sainz, Bruno YR 2024 UL http://gut.bmj.com/content/early/2024/05/14/gutjnl-2023-330995.abstract AB Objective Pancreatic ductal adenocarcinoma (PDAC) has limited therapeutic options, particularly with immune checkpoint inhibitors. Highly chemoresistant ‘stem-like’ cells, known as cancer stem cells (CSCs), are implicated in PDAC aggressiveness. Thus, comprehending how this subset of cells evades the immune system is crucial for advancing novel therapies.Design We used the KPC mouse model (LSL-KrasG12D/+; LSL-Trp53R172H/+; Pdx-1-Cre) and primary tumour cell lines to investigate putative CSC populations. Transcriptomic analyses were conducted to pinpoint new genes involved in immune evasion. Overexpressing and knockout cell lines were established with lentiviral vectors. Subsequent in vitro coculture assays, in vivo mouse and zebrafish tumorigenesis studies, and in silico database approaches were performed.Results Using the KPC mouse model, we functionally confirmed a population of cells marked by EpCAM, Sca-1 and CD133 as authentic CSCs and investigated their transcriptional profile. Immune evasion signatures/genes, notably the gene peptidoglycan recognition protein 1 (PGLYRP1), were significantly overexpressed in these CSCs. Modulating PGLYRP1 impacted CSC immune evasion, affecting their resistance to macrophage-mediated and T-cell-mediated killing and their tumourigenesis in immunocompetent mice. Mechanistically, tumour necrosis factor alpha (TNFα)-regulated PGLYRP1 expression interferes with the immune tumour microenvironment (TME) landscape, promoting myeloid cell-derived immunosuppression and activated T-cell death. Importantly, these findings were not only replicated in human models, but clinically, secreted PGLYRP1 levels were significantly elevated in patients with PDAC.Conclusions This study establishes PGLYRP1 as a novel CSC-associated marker crucial for immune evasion, particularly against macrophage phagocytosis and T-cell killing, presenting it as a promising target for PDAC immunotherapy.Data are available in a public, open access repository. Transcriptional data generated in this study from expression microarrays have been deposited in GEO database with accession number ID: GSE222986. Additional publicly available dataset references: Schlesinger Y, Yosefov-Levi O, Kolodkin-Gal D, Granit RZ, Peters L, Kalifa R, et al. Single-cell transcriptomes of pancreatic preinvasive lesions and cancer reveal acinar metaplastic cells’ heterogeneity. Nat Commun. 2020;11(1):4516.38. Nicolle R, Raffenne J, Paradis V, Couvelard A, de Reynies A, Blum Y, et al. Prognostic Biomarkers in Pancreatic Cancer: Avoiding Errata When Using the TCGA Dataset. Cancers. 2019;11(1).40. Espinet E, Gu Z, Imbusch CD, Giese NA, Büscher M, Safavi M, et al. Aggressive PDACs Show Hypomethylation of Repetitive Elements and the Execution of an Intrinsic IFN Program Linked to a Ductal Cell of Origin. Cancer discovery. 2021;11(3):638-59.41. Hwang WL, Jagadeesh KA, Guo JA, Hoffman HI, Yadollahpour P, Reeves JW, et al. Single-nucleus and spatial transcriptome profiling of pancreatic cancer identifies multicellular dynamics associated with neoadjuvant treatment. Nature genetics. 2022;54(8):1178-91.43. Martinelli P, Carrillo-de Santa Pau E, Cox T, Sainz B, Jr., Dusetti N, Greenhalf W, et al. GATA6 regulates EMT and tumour dissemination, and is a marker of response to adjuvant chemotherapy in pancreatic cancer. Gut. 2017;66(9):1665-76.44. Moffitt RA, Marayati R, Flate EL, Volmar KE, Loeza SG, Hoadley KA, et al. Virtual microdissection identifies distinct tumor- and stroma-specific subtypes of PDAC. Nature genetics. 2015;47(10):1168-78.45. Janky R, Binda MM, Allemeersch J, Van den Broeck A, Govaere O, Swinnen JV, et al. Prognostic relevance of molecular subtypes and master regulators in PDAC. BMC Cancer. 2016;16:632.