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Clinical and Translational Medicine
Article . 2026 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Article . 2026
License: CC BY
Data sources: PubMed Central
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Multi‐omics analysis identifies PUS7 as an immune modulator driving NETs‐mediated macrophage polarization in pancreatic cancer

Authors: Fang, Jike; Ruan, Shiye; Wang, Yajie; Chen, Yue; Huang, Fuxin; Zhang, Zhongyan; Zhang, Chuanzhao; +2 Authors

Multi‐omics analysis identifies PUS7 as an immune modulator driving NETs‐mediated macrophage polarization in pancreatic cancer

Abstract

Abstract Pseudouridine synthases (PUS) have been implicated in various cancers, yet their roles in pancreatic cancer immunity remain unclear. Through integrative multi‐omics analyses combining genomics, transcriptomics, and clinical datasets, we evaluated associations between PUS family genes and oncogenic features, including tumour microenvironment scores, immune infiltration, cancer stemness, and prognosis. Among them, PUS7 and PUS3 showed the strongest correlations with tumour‐promoting phenotypes, with high PUS7 expression in PDAC predicting poor overall survival. Functional assays revealed that PUS7 overexpression markedly enhanced PDAC cell proliferation, migration, and invasion. Transcriptomic profiling demonstrated that PUS7 promotes neutrophil extracellular traps formation, identifying it as a key regulator of NET‐mediated immune modulation. Single‐cell RNA sequencing of orthotopic mouse models showed PUS7 overexpression reduced macrophage infiltration and skewed macrophage polarization towards the M2 phenotype while suppressing M1 polarization. We found that PUS7 reshapes the PDAC immune landscape primarily by inducing NETs, which drive macrophage polarization from M1 to M2, fostering immune suppression and tumour progression. The PUS7–NET–M2/M1 axis thus represents a novel mechanism of PDAC pathogenesis and a potential therapeutic target in this lethal malignancy. Highlights PUS7 enhances pancreatic ductal adenocarcinoma progression by modulating the tumour immune microenvironment. PUS7 induces neutrophil extracellular trap formation within pancreatic tumours. NETs reprogram tumour‐associated macrophages from an M1 to an M2 phenotype, promoting immune suppression.

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Keywords

Pancreatic Neoplasms, Mice, Macrophages, Tumor Microenvironment, Humans, Animals, Multiomics, Extracellular Traps, Research Article, Carcinoma, Pancreatic Ductal

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
gold
Related to Research communities
Cancer Research