May 8, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.04.021

Neutrophil-Driven Trogocytosis in PDAC Liver Metastases Restrains Immunosuppressive Macrophage Polarization and Limits Metastatic Progression

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This study investigates the role of neutrophils in modulating the immune landscape of pancreatic ductal adenocarcinoma (PDAC) liver metastases, specifically how they influence macrophage polarization. The authors found that neutrophils, through trogocytosis, present tumor cell fragments to macrophages, suppressing the development of immunosuppressive macrophages and enhancing anti-tumor signaling pathways. These findings suggest that targeting neutrophil-macrophage interactions could be a promising therapeutic strategy in metastatic PDAC.

Larissa Belz, Dominic van den Heuvel, Badr Kilani, Alejandro Martinez-Navarro, Anastassia Akhalkatsi, Markus Joppich, Yinfeng Zhu, Qiongjie Ding, Jinlong Wan, Julia Stermann, Julia Winterhalter, Denise Messerer, Anna Titova, Sanjana Balaji, Santoshi Giri, Luke Eivers, Sebastian Widholz, Stefanie Bärthel, Elisabeth Raatz, Dieter Saur, Kirsten Lauber, Georg Beyer, Julia Mayerle, Steffen Ormanns, Michael Guenther, Steffen Massberg, Hellen Ishikawa-Ankerhold, Konstantin Stark

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