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A hypoxic ride for neutrophils in PDAC
  1. Daniela Cerezo-Wallis,
  2. Andrés Hidalgo
  1. Program of Cardiovascular Regeneration, CNIC, Madrid, Spain
  1. Correspondence to Dr Andrés Hidalgo, Program of Cardiovascular Regeneration, CNIC, Madrid, Spain; ahidalgo{at}cnic.es

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A hallmark of cancer is chronic inflammation.1 In turn, inflammation is driven by heterogeneous, often antagonising, immunological cues that contribute to multiple stages of cancer, from oncogenic transformation to metastatic spread.2 Single-cell RNA sequencing technologies have enabled the identification of common as well as distinct immune profiles across tumour types with unparalleled resolution,3 thereby enabling the development of promising immunotherapeutic strategies. The amount of single-cell studies published in recent years, however, is overwhelming, with increasing public databases building up our understanding of the tumour microenvironment but also creating a degree of confusion as many of those studies are largely descriptive. This is particularly relevant when single-cell transcriptomics are applied to study poorly transcriptional cells, such as neutrophils, which are often lost during sample processing or simply wrongly annotated.

At the core of this technical limitation lies the unique biology of these cells: neutrophils feature short life spans, low transcriptional activity and low abundance in certain tissues and physiological contexts, altogether explaining why they have been missed or neglected in conventional single-cell analytical pipelines, especially in human samples.4 This can be problematic, as these leukocytes dominate the immunological landscape of many solid tumours and have been associated with poor disease outcomes in patients with cancer.5 Further, recent studies have demonstrated that neutrophils, like other myeloid cells, are highly heterogeneous and capable of transcriptional rewiring, …

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Footnotes

  • Twitter @AndrsHidalgo16

  • Contributors DC-W and AH cowrote the text of this commentary and edited the text.

  • Funding DC-W is supported by the CRI Irvington postdoctoral fellowship (CRI3511). The CNIC is supported by the MCIN and the Pro CNIC Foundation and is a Severo Ochoa CenterCentre of Excellence (CEX2020-001041-S).

  • Competing interests AH is a paid consultor for Flagship Pioneering for matters unrelated to this commentary.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • © Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.

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