Tumor-intrinsic FDFT1 determines coordinated macrophage anti-tumor immunity

Rongchen Shi1, Yulan Huang2, Pengfei Zheng3

  • 1Department of Pathophysiology, College of High Altitude Military Medicine, Third Military Medical University (Army Medical University), Chongqing 400038, China; Key Laboratory of Extreme Environmental Medicine, Ministry of Education, Chongqing 400038, China; Frontier Medical Training Brigade, Third Military Medical University (Army Medical University), Xinjiang 831200, China.

Developmental Cell
|April 30, 2026
PubMed

Insights

Tumor cells use farnesyl-diphosphate farnesyltransferase 1 (FDFT1) to suppress macrophage anti-tumor functions, promoting cancer growth. Targeting FDFT1 with drugs like FDFT1-I enhances anti-tumor immunity by restoring macrophage activation and phagocytosis.

Area of Science:

  • Oncology
  • Immunology
  • Metabolic Regulation

Background:

  • Macrophage anti-tumor efficacy relies on inflammatory activation and phagocytosis.
  • The role of tumor-intrinsic metabolic regulators in controlling both macrophage functions is not fully understood.

Purpose of the Study:

  • To identify tumor-intrinsic metabolic regulators that simultaneously control macrophage activation and phagocytosis.
  • To elucidate the mechanisms by which such regulators promote tumor progression.
  • To evaluate FDFT1 as a potential therapeutic target for cancer treatment.

Main Methods:

  • Screening for tumor-intrinsic metabolic regulators affecting macrophage functions.
  • Investigating the molecular mechanisms of FDFT1 action, including protein-protein interactions and pathway analysis.
  • Utilizing mouse tumor models and clinical data for validation.
  • Testing a small-molecule FDFT1 inhibitor (FDFT1-I) in preclinical models.

Main Results:

  • Farnesyl-diphosphate farnesyltransferase 1 (FDFT1) was identified as a key regulator inhibiting both macrophage activation and phagocytosis.
  • FDFT1 promotes STAT3 phosphorylation, leading to PD-L1 expression and suppressed phagocytosis.
  • FDFT1 stabilizes cholesterol 25-hydroxylase (CH25H), increasing 25-hydroxycholesterol (25HC) and suppressing macrophage inflammatory activation.
  • FDFT1 inhibition by FDFT1-I restored anti-tumor immunity in preclinical models.

Conclusions:

  • Tumor-intrinsic FDFT1 promotes tumor development by simultaneously inhibiting macrophage inflammatory activation and phagocytic function.
  • FDFT1 represents a novel therapeutic target for enhancing anti-tumor immunity and treating cancer.

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