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USP14-IMP2-CXCL2 axis in tumor-associated macrophages facilitates resistance to anti-PD-1 therapy in gastric cancer by recruiting myeloid-derived suppressor cells

Abstract

Resistance to anti-PD-1 therapy remains a significant challenge in gastric cancer (GC) treatment. Here, we revealed that the USP14-IMP2-CXCL2 axis in tumor-associated macrophages (TAMs) drove resistance by recruiting myeloid-derived suppressor cells (MDSCs). Endoscopic biopsy samples were obtained from patients with inoperable GC who were candidates for anti-PD-1 therapy. Single-cell RNA sequencing (scRNA-seq) analysis showed a higher prevalence of USP14+ TAMs in therapy-resistant cases, where USP14 was linked to the immunosuppressive phenotype of TAMs. Clinically, GC samples with elevated USP14+ TAM infiltration exhibited decreased CD8+ T cell presence and increased MDSC infiltration. In vivo experiments further confirmed that USP14+ TAMs facilitated resistance to anti-PD-1 therapy in GC, reduced the infiltration of CD8+ T cells, and significantly increased the infiltration of MDSCs. In particular, USP14+ TAMs markedly enhanced the recruitment of MDSCs into the GC microenvironment through the secretion of CXCL2. Mechanistically, USP14 stabilized the m6A reader IMP2 through deubiquitination, thus enhancing CXCL2 expression and secretion. Conversely, the E3 ligase RNF40 facilitated IMP2 degradation via increasing its ubiquitination, with USP14 and RNF40 dynamically balancing IMP2’s protein abundance. Furthermore, animal experiments demonstrated that targeted intervention of USP14 markedly enhanced the sensitivity of GC to anti-PD-1 therapy. This study provided a comprehensive exploration of USP14’s oncogenic roles in TAMs, suggesting a novel strategy to enhance the efficacy of anti-PD-1 therapy by inhibiting the USP14/IMP2/CXCL2 signaling axis in GC.

The sc-RNA analysis revealed that infiltration of USP14+ TAM was significantly higher in anti-PD-1 resistant GC compared to anti-PD-1 sensitive GC (top). USP14 stabilized IMP2 protein in tumor-associated macrophages (middle-left), leading to recruitment of MDSCs into GC microenvironment through secretion of CXCL2 (middle-right), thus reducing the infiltration of CD8+ T cells and facilitating the resistance to anti-PD-1 therapy in GC (bottom). Comment: Dear editors, in formally published articles, figure legends could be placed beneath their corresponding figures. In this version, is this arrangement adopted for the sake of convenience during the proofreading process? If so, we understand and accept this layout.

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Fig. 1: Cellular landscape of GC samples in the resistant and sensitive groups before initiation of anti-PD-1 therapy.
Fig. 2: USP14+ TAMs exhibited increased infiltration in the anti-PD-1 resistant group.
Fig. 3: USP14+ TAMs facilitated resistance to anti-PD-1 therapy and decreased infiltration of CD8+ T cells.
Fig. 4: USP14+ TAMs increased recruitment of MDSCs into GC microenvironment by secretion of CXCL2.
Fig. 5: USP14 interacted with and deubiquitinated IMP2 protein.
Fig. 6: Dynamic equilibrium between USP14-mediated stabilization and RNF40-induced degradation in regulating the IMP2 protein.
Fig. 7: Role of IMP2 in the USP14-mediated regulation of CXCL2.
Fig. 8: Inhibition of USP14 increased sensitivity to anti-PD-1 therapy in GC.

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Data availability

The single-cell RNA sequencing data (FUSCC Cohort 1) have been deposited in National Omics Data Encyclopedia (http://www.biosino.org/node): OEZ00017591. The readers can also obtained these data through contacting the corresponding author, Prof. Yu Zhang (zyu722320@163.com). Other materials in current study is available from the corresponding author upon reasonable requests.

Code availability

Our code used in this study can be available from the corresponding authors upon reasonable requests.

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Acknowledgements

We express our gratitude to Prof. Gong-Hong Wei, chair of the Department of Molecular Biology and Biochemistry, Fudan University, Shanghai, and Prof. Dazhi Xu, chair of the Department of Gastric Surgery, Fudan University Shanghai Cancer Center, for thier very detailed and useful suggestions on this study.

Funding

This study was supported by research funding of FUSCC (SCIP-2023146) and by the National Natural Science Foundation of China (No. 32200745).

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Li You, Xuyao Zhang, and Yu Zhang designed the research. Li You, Qian Wang, Hongwei Xiao and Mengjiao Lv performed the experiments. Hong Lv assessed the immunohistochemical scores. Li You, Tianxue Zhang, Li Deng and Yu Zhang analyzed data and wrote the manuscript. Xuyao Zhang and Yu Zhang supervised the process of this study and revised manuscript. All authors read and approved the final manuscript.

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Correspondence to Xuyao Zhang or Yu Zhang.

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The authors declare no competing interests.

Ethics

Informed consent forms were signed by all GC patients enrolled in this study, and the study was approved by the Ethics Committee of Fudan University Shanghai Cancer Center (Approval No. 2012228-14). The animal experiments were also approved by the Ethics Committee of Fudan University Shanghai Cancer Center (Approval No. IACUC-2023301). Additionally, the care and handling of the animals were conducted in accordance with applicable animal welfare regulation.

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You, L., Wang, Q., Zhang, T. et al. USP14-IMP2-CXCL2 axis in tumor-associated macrophages facilitates resistance to anti-PD-1 therapy in gastric cancer by recruiting myeloid-derived suppressor cells. Oncogene 44, 2413–2426 (2025). https://doi.org/10.1038/s41388-025-03425-w

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