April 26, 2026 · Journal of hepatology · DOI: 10.1016/j.jhep.2026.04.010

Tim-3 facilitates dendritic cell ferroptosis and impairs anti-tumor immunity in steatohepatitis-related HCC

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The authors investigate how the lipid-rich microenvironment in metabolic dysfunction-associated steatotic liver disease (MASLD) contributes to immune suppression and resistance to immunotherapy in hepatocellular carcinoma (HCC). They identify Tim-3 as a key regulator of dendritic cell (DC) ferroptosis, which impairs CD8<sup>+</sup> T cell activation and promotes tumor progression. The study suggests that targeting Tim-3 may enhance anti-tumor immunity and improve treatment outcomes in patients with steatohepatitic HCC.

Na Li, Xiaojia Song, Xueqi Peng, Mengzhen Li, Mengyao Zhu, Rong Xiao, Liwen Wang, Leyan Ling, Ying Zhao, Tixiao Wang, Zhiyuan Zhou, Zhuanchang Wu, Hua Tang, Lifen Gao, Xiaohong Liang, Chunyang Li, Chunhong Ma

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