Multi-Omics reveals SPP1+malignant and CXCR4+ TAM crosstalk predicts immunotherapy response in lung adenocarcinoma

Bei Li Wang1, Juan Wen Lian1, Jia Ling Xu1

  • 1Xi 'an Chest Hospital, Xi 'an, 710010, Shaanxi, China.

Discover Oncology
|April 27, 2026
PubMed
Abstract

Insights

Researchers identified SPP1+ malignant cells and CXCR4+ TAM crosstalk as a key factor in poor immunotherapy response in lung adenocarcinoma (LUAD). This finding offers a potential biomarker for predicting treatment success in LUAD patients.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Lung adenocarcinoma (LUAD) is a major lung cancer subtype influenced by its immune microenvironment.
  • The immunosuppressive tumor microenvironment (TME) limits the efficacy of immune checkpoint inhibitors in LUAD.
  • There is a critical need for biomarkers to predict immunotherapy response in LUAD.

Purpose of the Study:

  • To investigate the immune microenvironment in LUAD using multi-omics data.
  • To explore intercellular communication mechanisms within the LUAD TME.
  • To identify potential biomarkers for immunotherapy response in LUAD.

Main Methods:

  • Analysis of multi-omics data from LUAD.
  • Single-cell RNA sequencing to study intercellular communication in the TME.
  • Spatial transcriptomic analysis to confirm co-localization of specific cell types.
  • In vitro experiments to validate biomarker functions.

Main Results:

  • Identified crosstalk between SPP1+ malignant cells and CXCR4+ tumor-associated macrophages (TAMs) as a driver of CD8+ T cell exhaustion.
  • This crosstalk was associated with poor immunotherapy response and increased immune escape potential in LUAD patients.
  • Spatial transcriptomics confirmed the co-localization of SPP1+ malignant cells and CXCR4+ TAMs, with in vitro studies highlighting CXCR4's role in LUAD cell function.

Conclusions:

  • SPP1+ malignant and CXCR4+ TAM crosstalk represents a novel TME-driven mechanism of resistance to immunotherapy in LUAD.
  • This crosstalk serves as a potential biomarker for stratifying LUAD patients who may benefit from immunotherapy.
  • Understanding this interaction is crucial for improving therapeutic strategies in LUAD.