Exploration of the roles of CAFs in melanoma based on single-cell transcriptomics and spatial transcriptomics

Sheng Hong1, Yuhan Zhao2, Anni Hu3

  • 1Department of Dermatology, First Affiliated Hospital of Naval Military Medical University, Shanghai, China.

Discover Oncology
|November 14, 2025
PubMed
Abstract

Insights

Cancer-associated fibroblasts (CAFs) create immune-excluded environments in melanoma, hindering immunotherapy. Understanding CAF spatial roles and signaling is key to overcoming immune resistance and improving cancer treatment strategies.

Area of Science:

  • Oncology
  • Immunology
  • Bioinformatics

Background:

  • Cancer-associated fibroblasts (CAFs) are implicated in immunotherapy resistance by promoting immune exclusion.
  • The functional diversity and spatial roles of CAFs in melanoma are not well understood.

Purpose of the Study:

  • To systematically analyze CAF molecular programs and spatial ecology in melanoma.
  • To construct CAF-centered networks driving immune exclusion.
  • To develop a clinical prognostic model based on CAF activity.

Main Methods:

  • Integrated single-cell RNA sequencing, spatial transcriptomics, and bulk RNA-seq data.
  • Employed weighted gene co-expression network analysis (WGCNA) for CAF molecular profiling.
  • Utilized spatial distribution, CellChat, and ligand-receptor analyses to map immune exclusion networks.

Main Results:

  • CAFs were spatially co-localized with endothelial cells and interacted with immune cells via specific pathways (e.g., COLLAGEN-integrin, THBS1-CD47).
  • A CAF-M1 module-based risk score demonstrated significant prognostic value in the TCGA-SKCM cohort.

Conclusions:

  • CAFs establish a complex immune-exclusion network in melanoma through spatial aggregation and signaling, linking stromal remodeling to immune evasion.
  • These findings provide insights into CAF-mediated immune resistance and potential targets for stratified immunotherapy.

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