Evidence map›Paper›PMID 42045486›Full record

ArticleJournal of gastroenterology2026

Single-cell analysis reveals crosstalk between TREM1-positive myeloid cells and cancer-associated fibroblasts in colorectal cancer progression.

Shang-Yin Wu, Po-Chuan Chen, Ren-Hao Chan, Chung-Hsing Chen, Yi-Hsuan Huang, Yi-Jing Huang, Bing-Syuan Chung, Che-Hung Shen, Hsin-Yu Kuo, Jui-Wen Kang and 6 more

Abstract read
In one paragraph

Article in Journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Shang-Yin WuDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Po-Chuan ChenDivision of Colorectal Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Ren-Hao ChanDivision of Colorectal Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Chung-Hsing ChenDepartment of Mathematics, University of Taipei, No. 1, Aiguo West Road, Taipei City, Taiwan.
Yi-Hsuan HuangDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Yi-Jing HuangDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Bing-Syuan ChungDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Che-Hung ShenNational Institute of Cancer Research, National Health Research Institutes, 2F, No. 367, Sheng Li Road, Tainan City, Taiwan.
Hsin-Yu KuoDepartment of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Jui-Wen KangDepartment of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Chung-Ta LeeDepartment of Pathology, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Hui-Ju TsaiNational Institute of Cancer Research, National Health Research Institutes, 2F, No. 367, Sheng Li Road, Tainan City, Taiwan.
Yu-Chen FangNational Institute of Cancer Research, National Health Research Institutes, 2F, No. 367, Sheng Li Road, Tainan City, Taiwan.
Peng-Chan LinDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan.
Yu-Min YehDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan. i5485111@gmail.com.
Shang-Hung ChenDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, Taiwan. Bryanchen@nhri.edu.tw.ORCID 0000-0002-4086-4757

Funding

National Health Research Institutes CA-114-PP-24
6 · The paper itself

Abstract

backgroundThe limited efficacy of immunotherapy in colorectal cancer (CRC) underscores the need to better define immunosuppressive mechanisms within the tumor microenvironment (TME). We applied single-cell RNA sequencing (scRNA-seq) to characterize stromal-immune interactions shaping the CRC TME.

methodsPaired tumor and adjacent normal mucosa samples from eight patients with CRC were analyzed by scRNA-seq. Integrated bioinformatic approaches, including trajectory inference, transcriptional regulon analysis, and cell-cell communication modeling, were used to define cellular differentiation and intercellular signaling. Key findings were validated using The Cancer Genome Atlas datasets, multiplex immunofluorescence staining, and in vitro functional assays.

resultsTrajectory analysis demonstrated a progressive increase in triggering receptor expressed on myeloid cells 1 (TREM1) expression during tumor-associated myeloid differentiation. TREM1-positive myeloid cells exhibited enriched M2-like signatures and were preferentially associated with consensus molecular subtype 4 tumors, characterized by stromal activation and poor clinical outcomes. Stromal profiling identified an α-smooth muscle actin (ACTA2)-positive population associated with CRC progression. Spatial analyses revealed close localization of TREM1-positive myeloid cells and ACTA2-positive cancer-associated fibroblasts (CAFs) in tumor tissues. Mechanistically, integrated bioinformatic analyses indicated that TREM1-positive myeloid cells engage CAFs primarily through secreted phosphoprotein 1 (SPP1) signaling, while CAFs reinforce immunosuppressive myeloid phenotypes via TGF-β-associated extracellular matrix pathways. Functional assays showed that TREM1 inhibition reduced SPP1 expression and attenuated M2 macrophage polarization.

conclusionsThese findings identify a bidirectional interaction between TREM1-positive myeloid cells and CAFs that contributes to a profibrotic and immunosuppressive CRC microenvironment, highlighting the TREM1-SPP1 axis as a pathway of potential translational relevance.

Indexed as

Cancer-Associated FibroblastsColorectal NeoplasmsMyeloid CellsTriggering Receptor Expressed on Myeloid Cells-1Cell CommunicationDisease ProgressionFemaleHumansMaleSignal TransductionSingle-Cell AnalysisTumor MicroenvironmentTREM1 protein, humanTriggering Receptor Expressed on Myeloid Cells-1Cancer-associated fibroblastColorectal cancerSingle-cell RNA sequencingSPP1TREM1Tumor-associated macrophage

Identifiers

PMID42045486
PMCPMC13407760

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.