Systemic immunosuppression limits NK cell therapy efficacy in pancreatic cancer

Chunbo He1, Dezhen Wang2, Tuo Hu2

  • 1Department of Oncology Science, University of Oklahoma Health Campus, 940 Stanton L. Young Blvd., BMSB 332, Oklahoma City, OK, 73104, USA.

Molecular Cancer
|July 9, 2026
PubMed

Insights

Pancreatic cancer suppresses natural killer (NK) cells via myeloid cells that overexpress Apolipoprotein E (ApoE). Inhibiting lipid metabolism in these myeloid cells restores NK cell function, crucial for immunotherapy.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Research

Background:

  • Natural killer (NK) cells are vital for cancer immunosurveillance and immunotherapy, particularly for pancreatic ductal adenocarcinomas (PDAC).
  • Systemic immune changes accompany cancer, but PDAC's impact on systemic NK cells is unclear.

Purpose of the Study:

  • To investigate how PDAC tumor burden affects systemic NK cell frequency and function.
  • To identify mechanisms underlying NK cell suppression in PDAC.

Main Methods:

  • Analysis of NK cell frequency and function in spleens of PDAC-bearing mice.
  • Identification and characterization of splenic myeloid cell populations.
  • Investigating the role of Apolipoprotein E (ApoE) in myeloid cell-mediated NK cell suppression.
  • Genetic knockout of Apoe and treatment with lipid metabolism inhibitors.

Main Results:

  • PDAC tumor burden decreased NK cell frequency and function in spleens.
  • Increased Gr-1+ myeloid cells in spleens suppressed NK cell activity.
  • Upregulated ApoE in myeloid cells promoted lipid oxidation and reactive oxygen species (ROS) generation, impairing NK cells.
  • ApoE knockout or lipid metabolism inhibition restored NK cell function.

Conclusions:

  • PDAC tumor burden induces systemic immune perturbations, specifically suppressing NK cells via myeloid cell-derived ApoE.
  • Targeting lipid metabolism in myeloid cells can restore NK cell function.
  • Understanding these systemic alterations is critical for effective NK cell-based PDAC immunotherapy.

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