<p>Tumor-infiltrating natural killer (NK) cells are transcriptionally and functionally heterogeneous, but their subtype diversity, tissue-specific regulation, and roles in immunotherapy remain incompletely understood. Here, we generated a pan-cancer single-cell transcriptomic atlas of NK cells across 11 cancer types, including peripheral blood, primary tumors, normal tissues, and non-metastatic and metastatic lymph nodes. This atlas revealed context-dependent remodeling of NK-cell cytotoxicity, inhibitory signaling, and communication with stromal and immune cells. We identified a previously uncharacterized immunosuppressive CSF1⁺ NK-cell subset that promotes M2-like macrophage polarization and is associated with poor overall survival. We further characterized dynamic remodeling of NK-cell functional states during immune checkpoint inhibitor (ICI) therapy, suggesting a potential role for NK-cell state transitions in immunotherapy response. Together, these findings define the tissue- and therapy-associated heterogeneity of NK cells across cancers and provide a resource for developing NK-cell-centered immunotherapeutic strategies.</p>

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A pan-cancer single-cell atlas reveals tissue-specific NK cell states and therapeutic remodeling during immune checkpoint blockade

  • Zhao-Hui Ruan,
  • Shi-Bo Zhang,
  • You-You Zhang,
  • Zhen-Sheng Chen,
  • Hua-Qi Zhang,
  • Zi-Hao Xu,
  • Tao Luo,
  • Pu Xiang,
  • Bai-Jun Fang,
  • Shuai He

摘要

Tumor-infiltrating natural killer (NK) cells are transcriptionally and functionally heterogeneous, but their subtype diversity, tissue-specific regulation, and roles in immunotherapy remain incompletely understood. Here, we generated a pan-cancer single-cell transcriptomic atlas of NK cells across 11 cancer types, including peripheral blood, primary tumors, normal tissues, and non-metastatic and metastatic lymph nodes. This atlas revealed context-dependent remodeling of NK-cell cytotoxicity, inhibitory signaling, and communication with stromal and immune cells. We identified a previously uncharacterized immunosuppressive CSF1⁺ NK-cell subset that promotes M2-like macrophage polarization and is associated with poor overall survival. We further characterized dynamic remodeling of NK-cell functional states during immune checkpoint inhibitor (ICI) therapy, suggesting a potential role for NK-cell state transitions in immunotherapy response. Together, these findings define the tissue- and therapy-associated heterogeneity of NK cells across cancers and provide a resource for developing NK-cell-centered immunotherapeutic strategies.