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Senescent Cancer-associated Fibroblasts in Pancreatic Adenocarcinoma Restrict CD8 T Cell Activation and Limit Responsiveness to Immunotherapy in Mice

Abstract

Senescent cells within tumors and their stroma exert complex pro- and anti-tumorigenic functions. However, the identities and traits of these cells, and the potential for improving cancer therapy through their targeting, remain poorly characterized. Here, we identify a senescent subset within previously-defined cancer-associated fibroblasts (CAFs) in pancreatic ductal adenocarcinomas (PDAC) and in premalignant lesions in mice and humans. Senescent CAFs isolated from mouse and humans expressed elevated levels of immune-regulatory genes. Depletion of senescent CAFs, either genetically or using the Bcl-2 inhibitor ABT-199 (venetoclax), increased the proportion of activated CD8 T cells in mouse pancreatic carcinomas, whereas induction of CAF senescence had the opposite effect. Combining ABT-199 with an immune checkpoint therapy regimen significantly reduced mouse tumor burden. These results indicate that senescent CAFs in PDAC stroma limit the numbers of activated cytotoxic CD8 T cells, and suggest that their targeted elimination through senolytic treatment may enhance immunotherapy.

Citing Articles

Revealing the role of cancer-associated fibroblast senescence in prognosis and immune landscape in pancreatic cancer.

Liu L, Huang H, Cheng B, Xie H, Peng W, Cui H iScience. 2025; 28(1):111612.

PMID: 39834857 PMC: 11742819. DOI: 10.1016/j.isci.2024.111612.

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