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A Serpin-myeloid axis in pancreatic cancer heterogeneity and immune evasion

This repository accompanies our manuscript Falcomatà, C., et al., 2026. It contains the code used to reproduce the figures, as well as the data processing pipelines for the single-cell RNA-seq, 10x Visium, and 10x Xenium datasets analysed in the study.

Abstract

Pancreatic ductal carcinoma (PDAC) is characterized by a highly immunosuppressive, ECM-rich microenvironment, yet tumors display striking heterogeneity1-4. This raises the question of whether immune resistance is a global tumor property or organized within spatially restricted niches. Using Perturb-map spatial functional genomics, we determine how different genes shape the growth and cellular environments of PDAC clones across space and time. This revealed early gene-driven remodeling of local immune neighborhoods preceding late-stage spatial clonal dominance. We identify SERPINE1 (PAI1) and SERPINB2 (PAI2) as dominant regulators of tumor microenvironment control and immune evasion. These SERPINs promote stabilization of fibrin-rich ECM niches that spatially retain and program macrophages toward immunosuppressive states while excluding cytotoxic T cells. Loss of Serpine1 or Serpinb2, or pharmacologic inhibition of PAI1 or CD18, improves tumor control and synergizes with anti-PD-1. Multimodal spatial analysis of patient tumors revealed that immunosuppressive niches form around rare SERPINB2- and SERPINE1-expressing PDAC subpopulations, dominated by SPP1+MARCO+ macrophages. These findings identify cancer-derived SERPINE1/B2 as local spatial organizers of immune suppression, linking tumor-intrinsic heterogeneity to local microenvironmental control and immunotherapy resistance in PDAC.  

Analyses

Analysis Pertaining Folder
Perturb-map analysis Perturb-map analysis
Perturb-map Multi-modal analysis Perturb-Map MM
ScRNAseq analysis Single-Cell
Visium analysis Visium
BulkRNAseq analysis Bulk

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