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August 16, 2026Breast Cancer ResearchOpen Access

CD39-associated myeloid-T-cell coordination within an immunoregulatory neighborhood linked to treatment resistance in triple-negative breast cancer

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Authors

ZHZihan HuHZHaoyu ZhengCJCheng Jin

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Overview

Multi-omic profiling demonstrates that high CD39 expression drives immunosuppressive cellular interactions in triple-negative breast cancer, indicating a key mechanism of immunotherapy resistance.

Key Points

  • Investigate how ENTPD1/CD39 expression coordinates myeloid and T-cell immunosuppressive states and influences clinical outcomes in triple-negative breast cancer.
  • Re-analyzed single-cell RNA sequencing data from 156,120 immune cells across 27 tumor and metastatic samples from 14 patients with TNBC, validated with spatial transcriptomics and multiplex immunofluorescence.
  • Assessed CD39 protein expression and overall survival in an independent clinical cohort of 112 patients with TNBC using immunohistochemistry and multivariable Cox proportional hazards regression.
  • High macrophage ENTPD1 expression was associated with M2-like macrophage polarization, attenuated STING-type I interferon signaling, reduced antigen presentation, and preferential interactions with CD4+ CD39+ regulatory T cells.
  • Lymphotoxin signaling between CD4+ CD39+ T cells and myeloid populations was enriched in patients who did not respond to anti-PD-L1 plus chemotherapy.
  • High tissue-level CD39 protein expression was independently associated with shorter overall survival after adjusting for age group and AJCC stage.

Cite This Study

Hu et al. (2026) studied this question.

synapsesocial.com/papers/6a817a4cf2fb91fc834adf99https://doi.org/10.1186/s13058-026-02375-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Characterization of ENTPD1/CD39-mediated myeloid-T-cell crosstalk and its role in immunotherapy response in triple-negative breast cancer.2026
  2. 2Harnessing CD39 inhibition to boost antitumor immunity with extracellular ATP2025 · 2 citations
  3. 3CD39 defines an exhausted effector memory T cell subset associated with poor outcome in Acute Myeloid Leukemia: Immunophenotypic and transcriptomic analysis2025
  4. 4Vascular CD39/ENTPD1 Directly Promotes Tumor Cell Growth by Scavenging Extracellular Adenosine Triphosphate2011 · 137 citations
  5. 5Inhibitors of Ectonucleotidase CD39 for Immunotherapy of Cancer and Infections─Recent Developments and Future Perspectives2026 · 1 citations