Abstract
Cancer stem cells (CSC) play a crucial role in pancreatic ductal adenocarcinoma (PDAC) progression and therapeutic resistance. However, the underlying mechanisms and potential targeted treatment strategies remain poorly understood. In this study, we employed single-cell RNA sequencing and exosomal profiling, identifying TSPAN8-enriched exosomes secreted by CSC, which are associated with poor survival rates in PDAC patients. They enhanced stemness in the surrounding non-stem cancer cells (NSCC) by activating the Sonic Hedgehog (Hh) signalling pathway. This exosomal TSPAN8-Hh signalling axis significantly increases the clonogenic ability, invasiveness, and chemoresistance of PDAC cells. Furthermore, TSPAN8-enriched exosomes promoted a higher stem cell frequency, tumourigenicity, and tumour growth rate in vivo, confirming their critical roles in PDAC malignant progression. Our findings underscore the importance of TSPAN8-enriched exosomes for CSC-NSCC communication during PDAC progression.
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Data availability
The PDAC and adjacent non-cancerous tissue scRNA-seq data were downloaded from the Gene Expression Omnibus (GEO) database with accession number GSE212966 (PRJNA879876). Corresponding analysis scripts and codes are available upon request from the lead author, Xiaoyi Yang (nicole_yang@sjtu.edu.cn).
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Acknowledgements
This work was supported by the National Key R&D Program of China (grant number 2023YFC2506400), National Natural Science Funds (grant number 82225038, 82430092, 82272828, 82172735, 32270749, 32370755, and M-0349), Shanghai Science and Technology Innovation Action Plan (grant number 23J21900900), National Science Fund for Distinguished Young Scholars Fund (grant number 82125026), Innovative research team of high-level local universities in Shanghai (grant number SHSMU-ZLCX20211600), Talent Introduction Fund of Fudan University Shanghai Cancer Center (grant number YJRC202403), Shanghai Anticancer Association SOAR PROJECT (SACA-AX202401), Natural Science Foundation of Shanghai (grant number 22ZR1450000), Shanghai leading talent project (grant number QNWS2024019). Additional support came from Medical Innovation Research Special Project of Shanghai (Grant No. 22Y11908600). All authors involved in this study have declared that they have no financial conflicts of interest in relation to this work.
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XY, RZ, JX, JW, YJ, YZ, SC, BS, ML, WR, JL, RL and JJ, performed experiments. HS, HW, BY, RL, and JJ provided human samples. XY and JW performed bioinformatics analyses. XY, RZ, WL, GF, and BY interpreted data and wrote the manuscript. HW, WL, GF, and BY supervised the study and reviewed the manuscript. All authors approved the final version of the manuscript.
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Yang, X., Liu, R., Jin, J. et al. Cancer stem cells-derived exosomal TSPAN8 enhances non-stem cancer cells stemness and promotes malignant progression in PDAC. Oncogene 44, 2328–2341 (2025). https://doi.org/10.1038/s41388-025-03412-1
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DOI: https://doi.org/10.1038/s41388-025-03412-1