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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1665906</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Dendritic cell&#x2013;related gene signature in pancreatic cancer stratifies patient subtypes and implicates a KCTD14&#x2013;TNF signaling axis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Liang</surname>
<given-names>Yuxin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1936906/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Gu</surname>
<given-names>Yuheng</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2802729/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
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</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Zhang</surname>
<given-names>Zilong</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1771322/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhong</surname>
<given-names>Deyuan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2702676/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yan</surname>
<given-names>Hongtao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Yuhao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Yahui</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Fei</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Leng</surname>
<given-names>Zhengwei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Huang</surname>
<given-names>Xiaolun</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1379109/overview"/>
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</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Liver Transplantation Center and HBP Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital &amp; Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China</institution>, <addr-line>Chengdu</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Clinical Medical College, Southwest Medical University</institution>, <addr-line>Luzhou</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Hepatic Surgery Center, Clinical Medical Research Center of Hepatic Surgery at Hubei Province, Hubei Key Laboratory of Hepato-Pancreatic-Biliary Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology</institution>, <addr-line>Wuhan, Hubei</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Center for Natural Products Research, Chengdu Institute of Biology, Chinese Academy of Sciences</institution>, <addr-line>Chengdu</addr-line>,&#xa0;<country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2944570/overview">Wei Wang</ext-link>, Nanjing Medical University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2659444/overview">Lexin Wang</ext-link>, Ningxia Medical University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2727206/overview">Wei Pan</ext-link>, Foshan Women and Children Hospital, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Xiaolun Huang, <email xlink:href="mailto:huangxiaolun@med.uestc.edu.cn">huangxiaolun@med.uestc.edu.cn</email>; Zhengwei Leng, <email xlink:href="mailto:lengzhengwei@scszlyy.org.cn">lengzhengwei@scszlyy.org.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1665906</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>07</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>09</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Liang, Gu, Zhang, Zhong, Yan, Su, Chen, Wang, Leng and Huang.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Liang, Gu, Zhang, Zhong, Yan, Su, Chen, Wang, Leng and Huang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Pancreatic cancer (PC) is characterized by a profoundly immunosuppressive tumor microenvironment and poor prognosis. Dendritic cells (DCs) are pivotal for antigen presentation and T-cell activation, yet their prognostic and mechanistic roles in PC remain incompletely defined.</p>
</sec>
<sec>
<title>Methods</title>
<p>This study performed weighted gene co-expression network analysis (WGCNA) on transcriptomic data from The Cancer Genome Atlas (TCGA) and two Gene Expression Omnibus cohorts (GSE62165, GSE85916) to identify DC&#x2013;related gene modules. Consensus clustering based on these modules stratified patients into two immune phenotypes. A four-gene DC&#x2013;related risk score (DCRS) was constructed using LASSO-Cox regression and validated in independent cohorts. Single-cell RNA sequencing data from 25 PC samples (GSE242230) were analyzed through cell clustering analysis, cell-cell communication analysis, and pathway-specific analysis. Functional assays following <italic>KCTD14</italic> knockdown in CAPAN-1 and PANC-1 cell lines assessed its impact on proliferation, migration, invasion, and TNF signaling.</p>
</sec>
<sec>
<title>Results</title>
<p>WGCNA identified 130 overlapping DC&#x2013;related genes enriched in immune pathways. Two DC&#x2013;related patient clusters exhibited distinct overall survival (OS) (P &lt; 0.05). The DCRS robustly stratified patients into high- and low-risk groups in both TCGA training and validation sets. DCRS demonstrated good predictive potential for OS and there is a significant difference in OS between the two groups of patients (<italic>P</italic> &lt; 0.05). Single-cell analysis revealed <italic>KCTD14</italic> enrichment in malignant epithelial cells and predicted its interaction with DCs via the TNF-TNFRSF1A axis. <italic>In vitro</italic>, <italic>KCTD14</italic> knockdown significantly reduced PC cell proliferation, colony formation, migration, and invasion, and downregulated TNF-&#x3b1; and TNFRSF1A expression (P &lt; 0.01).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>We identified a novel DC&#x2013;related gene signature that stratifies PC patients by prognosis and highlights KCTD14 as a novel immunomodulatory oncogene acting through the TNF-TNFR1 axis. Our findings provide a foundation for integrating DCRS into clinical risk assessment and for pursuing KCTD14/TNFR1-targeted therapies to overcome DC-mediated immune suppression in pancreatic cancer.</p>
</sec>
</abstract>
<kwd-group>
<kwd>pancreatic ductal adenocarcinoma</kwd>
<kwd>dendritic cells</kwd>
<kwd>Kctd14</kwd>
<kwd>prognosis</kwd>
<kwd>signature</kwd>
<kwd>TNF signaling</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="47"/>
<page-count count="14"/>
<word-count count="5046"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Cancer Immunity and Immunotherapy</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Pancreatic cancer (PC) remains among the most aggressive malignancies, with a 5-year survival rate of less than 10% and limited therapeutic options (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>). Despite advances in surgical techniques and systemic therapies, most patients are diagnosed at an advanced stage when curative treatment is no longer feasible (<xref ref-type="bibr" rid="B4">4</xref>). Postoperative recurrence, drug resistance, and persistent low response to treatment are still problems in the treatment of PC (<xref ref-type="bibr" rid="B5">5</xref>). Therefore, the development of reliable indicators for early detection and risk stratification represents an urgent unmet clinical need. To date, numerous studies have sought biomarkers for PC, ranging from subcellular organelle dysfunction, tumor-immune interactions and epigenetic alterations (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B8">8</xref>). Nevertheless, clinically validated early diagnostic markers, therapeutic targets, and risk assessment algorithms for PC remain lacking.</p>
<p>The tumor immune microenvironment of PC is characterized by chronic inflammation coupled with profound immunosuppression, which together impede the infiltration and function of antitumor effector cells (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). In particular, dendritic cells (DCs), the professional antigen-presenting cells that bridge innate and adaptive immunity, are notably scarce or functionally impaired in PC (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). DCs normally capture tumor antigens and migrate to lymphoid tissues to prime T and B lymphocytes, driving antitumor immune responses (<xref ref-type="bibr" rid="B13">13</xref>). Insufficient DCs numbers or maturation results in poor activation of cancer-specific T cells. Indeed, studies in PC models have shown that tumor-derived TNF-&#x3b1; signaling through TNF receptor 1 (TNFR1) causes apoptosis of DCs, thereby depleting intratumoral DCs and weakening immunity (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B14">14</xref>). These findings highlight the pivotal role of DCs and the TNF-TNFR1 axis in shaping the anti-tumor immune landscape of PC.</p>
<p>In the present study, we aimed to develop a DC&#x2013;related gene signature for PC prognosis and to elucidate the molecular crosstalk between tumor cells and DCs. Leveraging bulk transcriptomic datasets from multiple pancreatic ductal adenocarcinoma (PDAC) cohorts, we stratified patients into two immune phenotypes and constructed a DC-related gene signature. We then interrogated single-cell RNA-sequencing data to pinpoint key gene of DC-tumor interactions. Finally, we performed <italic>in vitro</italic> assays to assess its effect on tumor cell proliferation, migration, invasion, and downstream signaling pathways. Our integrative approach seeks to uncover novel biomarkers for early diagnosis and risk assessment and to identify potential targets for immunomodulatory therapy in PC.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Data acquisition</title>
<p>Transcriptome profiles and corresponding clinicopathological information for PDAC were collected from The Cancer Genome Atlas (TCGA)-pancreatic adenocarcinoma (PAAD) and two independent Gene Expression Omnibus (GEO) cohorts (GSE62165 and GSE85916). To minimize inter-dataset variability, batch correction was implemented using the &#x201c;ComBat&#x201d; function within the <italic>sva</italic> R package (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>).</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>DC-related gene and consensus clustering analysis</title>
<p>Immune cell infiltration in TCGA-PAAD, GSE62165, and GSE85916 samples was quantified using the TIME method. Weighted gene co-expression network analysis (WGCNA) was then employed to construct gene modules correlated with DC infiltration across all cohorts. Intersection of module genes via Venn diagrams yielded a PDAC-specific DC&#x2013;related gene set. Based on these genes, unsupervised consensus clustering of TCGA-PAAD samples based on this gene set was performed with the <italic>ConsensusClusterPlus</italic> package. Differentially expressed genes (DEGs) between clusters were determined by the <italic>limma</italic> package, with significance thresholds of adjusted <italic>P</italic>&lt; 0.05.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Functional enrichment analysis</title>
<p>To characterize the biological significance of candidate genes, Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were conducted. In addition, Gene Set Enrichment Analysis (GSEA) was performed to evaluate pathway&#x2013;level enrichment (<xref ref-type="bibr" rid="B17">17</xref>). All analyses were performed using the <italic>clusterProfiler</italic> package.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Identification of the DC-related risk score for HCC</title>
<p>Patients from the TCGA-PAAD dataset were first stratified into two subtypes by consensus clustering. Candidate genes were obtained from the intersection of DEGs between subtypes and those between tumor and adjacent non-tumor samples. The TCGA-PAAD cohort was randomly divided into training and validation sets using the <italic>caret</italic> package. In the training cohort, prognostic genes were screened by univariate Cox regression and subsequently refined with least absolute shrinkage and selection operator (LASSO) regression using the <italic>glmnet</italic> package (<xref ref-type="bibr" rid="B18">18</xref>). Risk scores were generated as a weighted sum of gene expression values, with Cox coefficients as weights. Patients were dichotomized into high- and low-risk groups according to the median risk score, and the model&#x2019;s predictive performance was further confirmed in the TCGA validation set.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Single-cell RNA sequencing analysis</title>
<p>Single-cell RNA sequencing data from 25 PDAC patients were acquired from the GEO database (GSE242230) for comprehensive analysis. The gene expression matrix was processed using the <italic>Seurat</italic> package, with stringent normalization and filtering criteria applied: a minimum of 200 genes per cell, no more than 20% mitochondrial genes, and at least 5% ribosomal genes (<xref ref-type="bibr" rid="B19">19</xref>). Subsequently, nonlinear dimensionality reduction, cell clustering, and visualization were performed to delineate the expression profiles of target genes across various cell types.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Cell clustering analysis, cell-cell communication analysis, and Pathway-specific analysis</title>
<p>Cell clustering analysis was conducted by t-distributed stochastic neighbor embedding (t-SNE) dimensionality reduction with a resolution parameter of 0.5. Clusters were visualized using the <italic>Seurat</italic> and <italic>ggplot2</italic> packages (<xref ref-type="bibr" rid="B20">20</xref>), with custom color palettes applied for enhanced visualization. Cell type annotation was conducted through manual curation based on established marker genes and cluster characteristics. Gene expression visualization was performed using feature plots and dot plots to examine the expression patterns of DC markers including CLEC9A, XCR1, BATF3, CADM1, CD1C, FCER1A, CLEC10A, LILRA4, CLEC4C, and IRF7 across different clusters. Density plots for genes of interest (<italic>CD81</italic>, <italic>KCTD14</italic>, <italic>GBP1</italic>, and <italic>MYEOV</italic>) were generated using the <italic>Nebulosa</italic> package to visualize spatial expression patterns. For cell-cell communication analysis, epithelial cells were stratified based on <italic>KCTD14</italic> expression status into KCTD14-positive and KCTD14-negative subgroups. Cell-cell communication networks were analyzed using the <italic>CellChat</italic> package with the human CellChatDB database. A subset of 3,000 randomly selected cells was used for computational efficiency. We computed interaction probabilities (cell threshold = 0; pathway threshold = 1), visualizing networks via circular plots. Pathway-specific analyses (TNF, TGF&#x3b2;, SPP1, SEMA4, and MIF) included heatmaps, ligand&#x2013;receptor contributions, and top interacting pairs. Interactions with <italic>P</italic> &lt; 0.01 were deemed significant. All visualizations and statistical analyses were performed using R software with appropriate packages including <italic>Seurat</italic>, <italic>ggplot2</italic>, <italic>Nebulosa</italic>, <italic>CellChat</italic>, and <italic>ktplots</italic>.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Cell culture and cell transfection</title>
<p>Human pancreatic ductal epithelial cells (H6C7) and pancreatic cancer cell lines (CAPAN-1, PANC-1) were obtained from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). Cells were cultured in DMEM supplemented with 10% fetal bovine serum (FBS) and 1% penicillin-streptomycin at 37&#xb0;C with 5% CO<sub>2</sub> (<xref ref-type="bibr" rid="B21">21</xref>). For <italic>KCTD14</italic> knockdown, cells at 60&#x2013;70% confluence were transfected with small interfering RNAs (siRNAs) targeting KCTD14 (si&#x2212;KCTD14&#x2212;1, si&#x2212;KCTD14&#x2212;2, si&#x2212;KCTD14&#x2212;3) or non&#x2212;targeting control siRNA using Lipofectamine 3000 (Invitrogen). After 48 hours, cells were harvested for downstream assays.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Quantitative real&#x2212;time polymerase chain reaction</title>
<p>Total RNA was extracted with TRIzol reagent (Invitrogen) and reverse&#x2212;transcribed using the PrimeScript RT kit (Takara). qRT&#x2212;PCR was conducted with SYBR qPCR Master Mix (Vazyme, China). Primer sequences were as follows:</p>
<p>KCTD14 (Forward): 5&#x2032;&#x2212;AGCAAACATGAACAGTAGGTTA&#x2212;3&#x2032;,</p>
<p>KCTD14 (reverse): 5&#x2032;&#x2212;GGAATGAAGGTAAGCAAAC&#x2212;3&#x2032;. Relative gene expression was calculated by the 2^(<sup>&#x2212;</sup>&#x394;&#x394;Ct) method with &#x3b2;-actin as internal reference.</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Western blot</title>
<p>Cells were lysed in RIPA buffer supplemented with protease and phosphatase inhibitors (Roche). Protein concentrations were quantified by BCA assay (Pierce). Equal amounts of protein were separated on 10% SDS&#x2013;PAGE gels and transferred onto PVDF membranes (Millipore). Membranes were blocked in 5% non&#x2212;fat milk and incubated overnight at 4&#xb0;C with primary antibodies against KCTD14, TNF&#x2212;&#x3b1;, TNFRSF1A, TNFRSF1B, and &#x3b2;-actin. After washing, membranes were incubated using HRP&#x2212;conjugated secondary antibodies and bands were visualized by ECL substrate (Thermo) and quantified by ImageJ (<xref ref-type="bibr" rid="B22">22</xref>).</p>
</sec>
<sec id="s2_10">
<label>2.10</label>
<title>CCK&#x2212;8, colony formation, migration and invasion assays</title>
<p>Cell proliferation was assessed with the CCK-8 assay by seeding 3 &#xd7; 10&#xb3; transfected cells per well in 96-well plates, with viability measured at 24, 48, 72, and 96 hours. Colony formation assays were performed by seeding 500 cells per well in six-well plates and allowing growth for 10&#x2013;14 days before fixation and crystal violet staining. Colonies containing &#x2265;50 cells were counted. Migration and invasion were examined using 8-&#x3bc;m pore Transwell chambers, with invasion assays performed in Matrigel-coated inserts. After incubation (24 h for migration, 48 h for invasion), cells on the lower membrane were fixed, stained, and quantified in five random fields (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>).</p>
</sec>
<sec id="s2_11">
<label>2.11</label>
<title>Statistical analysis</title>
<p>All statistical analyses were performed with R software version 4.0.1. Data were compared using Student&#x2019;s <italic>t</italic>-test or Wilcoxon rank-sum test, as appropriate. Survival analyses were conducted with the Cox proportional hazards model and Kaplan&#x2013;Meier method, with significance assessed by the log-rank test. Predictive accuracy was evaluated using time-dependent receiver operating characteristic (ROC) curves. For <italic>in vitro</italic> assays, all experiments were performed in three independent biological replicates, with each assay including three technical replicates unless otherwise specified. <italic>P</italic> value &lt; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Identification of the DC&#x2013;related gene set in PC</title>
<p>WGCNA was applied to three independent PDAC cohorts to identify modules most closely associated with DC infiltration. In the TCGA cohort, the turquoise module (1746 genes) showed the strongest association with DC infiltration (correlation coefficient = 0.87, <italic>P</italic> &lt; 1e-200) (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A, B</bold>
</xref>). Similarly, in GSE62165, the brown module (743 genes) correlated most highly with DC infiltration (correlation coefficient = 0.91, <italic>P</italic> &lt; 1e-200) (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1C, D</bold>
</xref>). In GSE85916, the green module (1926 genes) showed a moderate but significant association with DC infiltration (correlation coefficient = 0.32, <italic>P</italic> = 8.2e-5) (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E, F</bold>
</xref>). Taking the intersection across these three modules, we identified a set of 130 DC&#x2013;related genes (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref>). GO enrichment analysis of these 130 genes revealed significant enrichment in pathways such as leukocyte chemotaxis, immune response<bold>&#x2013;</bold>regulating signaling pathway, and lymphocyte differentiation (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1H</bold>
</xref>). KEGG enrichment analysis further revealed enrichment in pathways such as cytokine-cytokine receptor interaction, chemokine signaling pathway, T cell receptor signaling pathway, and TNF signaling pathway (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1I</bold>
</xref>). Protein&#x2013;protein interaction (PPI) network construction identified <italic>ITGAL</italic>, <italic>GAS7</italic>, and <italic>STAB1</italic> as hub nodes with high connectivity (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1</bold>
</xref>), suggesting their central roles in DC recruitment and activation.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Identify DC-related gene modules and their functional enrichment across three pancreatic cancer cohorts. <bold>(A&#x2013;F)</bold> Weighted gene co-expression network analysis identifies gene modules associated with immune cell infiltration and gene modules most strongly correlated with DCs in the TCGA-PAAD <bold>(A, B)</bold>, GSE62165 <bold>(C, D)</bold>, and GSE85916 <bold>(E, F)</bold> datasets separately; <bold>(G)</bold> Venn diagram showing the intersection of genes from the three dataset-specific modules to define a core set of DC-related genes; <bold>(H, I)</bold> GO enrichment analysis and KEGG pathway analysis of DC-related genes. DC, dendritic cell; TCGA, The Cancer Genome Atlas; PAAD, pancreatic adenocarcinoma; GO, Gene Ontology; KEGG, Kyoto Encyclopedia of Genes and Genomes.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1665906-g001.tif">
<alt-text content-type="machine-generated">Heatmaps, scatter plots, a Venn diagram, and bar charts analyzing gene expression data from different studies. Panels A, C, and E display module-trait relationships as heatmaps with varying color intensities. Panels B, D, and F show scatter plots correlating module membership with gene significance. Panel G is a Venn diagram indicating shared and unique gene counts across studies TCGA-PAAD, GSE62165, and GSE85916. Panels H and I present bar charts of biological processes and pathways categorized by gene counts and significance levels.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Identification of DC&#x2013;related molecular clusters</title>
<p>Using unsupervised consensus clustering based on the 130 DC&#x2013;related genes, we stratified TCGA-PAAD patients into two distinct molecular clusters (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A, B</bold>
</xref>). Principal component analysis confirmed clear separation between them (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C, D</bold>
</xref>). The heatmap demonstrated generally higher expression of DC&#x2013;related genes in cluster 2 compared to cluster 1 (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Survival analysis revealed that patients classified into cluster 1 demonstrated significantly improved overall survival (OS) compared to those in cluster 2 (<italic>P</italic> = 0.044, <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). Differential expression analysis between the two clusters identified 1,827 DEGs (adjusted <italic>P</italic> &lt; 0.05, |log<sub>2</sub>FC| &gt; 1, <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>). Subsequent GSEA indicated that these DEGs were particularly enriched in immune-associated pathways, such as IL6&#x2013;JAK&#x2013;STAT3 signaling, TNF-&#x3b1; signaling via NF-&#x3ba;B, and IL2&#x2013;STAT5 signaling, underscoring functional divergence in immune regulation between the two clusters (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2H</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Unsupervised clustering into two DC&#x2013;related clusters with expression profiling and survival analysis. <bold>(A, B)</bold> Consensus clustering analysis identifies two DC-related clusters in the TCGA-PAAD dataset; <bold>(C, D)</bold> PCA demonstrates distinct separation between the two DC-related clusters; <bold>(E)</bold> Heatmap shows the enrichment levels of DC-related genes in the two clusters; <bold>(F)</bold> Kaplan-Meier curve of overall survival between the two DC-related clusters. <bold>(G)</bold> Volcano plot of differentially expressed genes between the two DC-related clusters; <bold>(H)</bold> GSEA analysis of differentially expressed genes. DC, dendritic cell; TCGA, The Cancer Genome Atlas; PAAD, pancreatic adenocarcinoma; PCA, principal component analysis; GSEA, Gene Set Enrichment Analysis.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1665906-g002.tif">
<alt-text content-type="machine-generated">A series of eight panels displaying various biological data visualizations: A) A line graph showing delta area changes over k values. B) A heatmap with a consensus matrix for k equals 2. C) A scatter plot illustrating dimensional reduction for two groups, with axis labels Dim1 and Dim2. D) A scatter plot with ellipses representing two groups. E) A heatmap showing expression across groups C1 and C2. F) A Kaplan-Meier survival plot comparing groups C1 and C2 with p equals 0.044. G) A volcano plot highlighting genes with fold change and significance. H) A dot plot showing pathways with NES and p.adjust values.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Construction and validation of a DC&#x2013;related prognostic signature</title>
<p>To construct a prognostic model, we intersected the 1,827 cluster&#x2013;associated DEGs with the 1,943 DEGs identified between tumor and adjacent normal tissues in TCGA-PAAD, yielding 771 candidate genes (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). The TCGA cohort was randomly split into equal training and validation sets. In the training set, univariate Cox regression identified 22 genes significantly associated with OS (<italic>P</italic> &lt; 0.05, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>). These candidates were further narrowed down using LASSO regression and stepwise regression analysis, resulting in a four-gene prognostic signature (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B, C</bold>
</xref>). The DCRS was calculated using the formula: Risk score = <italic>CD81</italic> &#xd7; -0.806289828 + <italic>KCTD14</italic> &#xd7; 0.739669347 + <italic>GBP1</italic> &#xd7; 0.415429681 + <italic>MYEOV</italic> &#xd7; 0.17556951. Using the medium value of the risk score, patients were divided into high- and low-risk groups. In the TCGA training cohort, patients in the low-risk group demonstrated significantly better OS compared to the high-risk group (<italic>P</italic> = 0.005, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). The risk curves also showed higher survival probability in the low-risk group (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>). Similarly, in the TCGA validation cohort, the low-risk group showed significantly better OS compare to high-risk group (<italic>P</italic> = 0.006, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3F</bold>
</xref>), with risk curves corroborating superior survival probability in the low-risk group (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>). Time-dependent ROC curves demonstrated that area under the curve (AUC) values of the DCRS for OS in the TCGA training cohort at 1-, 3-, and 5-year were 0.727, 0.694, and 0.824, respectively (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3H</bold>
</xref>). Despite a slight decrease in the AUC values of the TCGA validation cohort, the results also demonstrated relatively good predictive potential for the short- and long-term OS of PC patients (1-year:0.651; 3-year: 0.684; 5-year:0.671, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3I</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Development and validation of a DC-related gene signature. <bold>(A)</bold> Venn diagram identifies the intersection of DEGs in DC-related clusters and DEGs between TCGA-PAAD tumor and adjacent non-tumor tissues; <bold>(B, C)</bold> Construction of the DC-related signature based on LASSO regression; <bold>(D, F)</bold> Kaplan&#x2013;Meier curves of OS for DCRS risk groups in the TCGA training and TCGA validation cohort; <bold>(E, G)</bold> Distribution of risk scores and corresponding survival status in the TCGA training and TCGA validation cohort; <bold>(H, I)</bold> Time-dependent ROC curves of OS for the risk scores in the TCGA training and TCGA validation cohort. DC, dendritic cell; DEGs, differentially expressed genes; TCGA, The Cancer Genome Atlas; PAAD, pancreatic adenocarcinoma; LASSO, Least Absolute Shrinkage and Selection Operator; OS, overall survival; DCRS, DC related risk score; ROC, receiver operating characteristic.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1665906-g003.tif">
<alt-text content-type="machine-generated">A series of graphs and charts analyzing survival data for cancer risk groups. A: Venn diagram showing overlapping differentially expressed genes (DEGs) between groups. B: Graph of coefficient changes over Log Lambda. C: Plot of partial likelihood deviance versus Log Lambda. D, F: Kaplan-Meier survival curves for low and high-risk groups in TCGA training and validation sets, showing lower survival for high-risk groups. E, G: Risk score plots with survival status, categorized by risk group with corresponding gene expression heatmaps. H, I: ROC curves showing sensitivity and specificity for predicting risk scores at different years with area under the curve (AUC) values.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Single-cell transcriptomic profiling of DC&#x2013;related genes</title>
<p>To elucidate cellular sources of the four signature genes, we analyzed single-cell RNA-seq data from PDAC tumors, clustering cells into 23 populations (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S3</bold>
</xref>). Cell type annotation identified 13 major cell clusters, including acinar cells, B cells, DCs, endothelial cells, erythrocytes, fibroblasts, malignant cells, mast cells, monocytes, NK/T cells, plasma cells, platelets, and stellate cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). <italic>CD81</italic>, <italic>KCTD14</italic>, and <italic>MYEOV</italic> were predominantly expressed in malignant clusters, whereas <italic>GBP1</italic> localized primarily to DC clusters (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Single&#x2212;cell transcriptomic profiling of DC-related gene expression and cellular communication. <bold>(A)</bold> Cell type annotation identifies 13 major cell clusters in the pancreatic cancer tumor microenvironment; <bold>(B)</bold> The expression of four key genes across the identified cell clusters; <bold>(C, D)</bold> Cell-cell communication analysis between epithelial cells with different KCDT14 expression status and various immune cell populations; <bold>(E&#x2013;I)</bold> Pathway-specific analysis of epithelial cells with different KCDT14 expression status and DCs. DC, dendritic cell.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1665906-g004.tif">
<alt-text content-type="machine-generated">A composite image with several panels displaying different types of data analysis related to cell interactions. Panel (A) shows a t-SNE plot of various cell types identified by color. Panel (B) consists of four density plots for genes CSF1, G6PD, KCTD14, and MYEOV. Panel (C) presents network diagrams showing the number of interactions and interaction strength among cell types. Panel (D) is a heatmap depicting interaction strengths. Panel (E) features a dot plot of ligand-receptor interactions. Panel (F) displays violin plots showing gene expression levels in different cell types. Panel (G) highlights significant interactions in a grid. Panel (H) shows a bar graph of ligand pair contributions. Panel (I) illustrates a network diagram focusing on the TNF-TNFRSF1A interaction.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Cell&#x2013;cell communication analysis and pathway-specific analysis of <italic>KCDT14</italic>
</title>
<p>In the risk model, <italic>KCTD14</italic> carried the largest positive coefficient, suggesting the strongest prognostic weight. <italic>CD81</italic> is a canonical exosomal tetraspanin involved in extracellular vesicles (EV) biogenesis and immune modulation across solid tumors. PDAC EV studies indicate that circulating EV features correlate with survival or treatment response, underscoring a biomarker-oriented role rather than a single-gene driver in tumor&#x2013;DC crosstalk (<xref ref-type="bibr" rid="B25">25</xref>&#x2013;<xref ref-type="bibr" rid="B27">27</xref>). <italic>GBP1</italic>, a prototypical IFN-induced GTPase, is enriched in myeloid/immune cells and mediates innate immune programs (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>). In line with this biology, our single-cell analysis localized <italic>GBP1</italic> predominantly to DC clusters rather than malignant epithelial clusters. In contrast, <italic>MYEOV</italic> already has PDAC-specific mechanistic evidence showing it enhances SOX9 transactivity to elevate HES1 and drive tumor progression (<xref ref-type="bibr" rid="B30">30</xref>), which reduces incremental novelty for the present study&#x2019;s mechanistic focus. Therefore, we centered subsequent analyses on <italic>KCTD14</italic> in PDAC. The cell&#x2013;cell communication analysis revealed significant negative correlations between <italic>KCDT14</italic>
<sup>+</sup> epithelial cells and DCs (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>). Pathway-specific analyses showed that the connection between <italic>KCDT14</italic>
<sup>+</sup> epithelial cells and DCs is related to a series of signaling pathways, including TNF-TNFRSF1A, SPPA-CD44, and SEMA4G-PLXNB2 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). Given that prior GSEA, GO, and KEGG results consistently highlighted TNF signaling among DC-related gene programs (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1H, I</bold>
</xref>; <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2H</bold>
</xref>), we prioritized TNF pathway for in-depth investigation. The results confirmed that the TNF-TNFRSF1A pathway plays a crucial role in the connection between <italic>KCDT14</italic>
<sup>+</sup> epithelial cells and DCs (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4F&#x2013;I</bold>
</xref>).</p>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>
<italic>In vitro</italic> validation of KCTD14 function in PC cell lines</title>
<p>
<italic>KCTD14</italic> expression and function were validated in H6C7, CAPAN-1, and PANC-1 cell lines. According to the Western Blot and qRT-PCR assays, the expression of <italic>KCTD14</italic> was significantly up-regulated in CAPAN-1 and PANC-1 cell lines compared with H6C7 cell line (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>, **<italic>P</italic> &lt; 0.01, ***<italic>P</italic> &lt; 0.001). Among three siRNAs, si-KCTD14&#x2013;3 achieved the highest knockdown efficiency and was therefore chosen for subsequent experiments. In both CAPAN-1 and PANC-1 cell lines, the expression of <italic>KCTD14</italic> was significantly reduced after si-KCTD14&#x2013;3 transfection (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>, **<italic>P</italic> &lt; 0.01). Functionally, the cell viability was significantly reduced following <italic>KCTD14</italic> knockdown in both cell lines (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>, **<italic>P</italic> &lt; 0.01, ***<italic>P</italic> &lt; 0.001). Clonal formation assays demonstrated significantly fewer colonies in both cell lines after <italic>KCTD14</italic> knockdown (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E, F</bold>
</xref>, **<italic>P</italic> &lt; 0.01). In Transwell assays, the numbers of migrated and invaded cells significantly decreased in both cell lines following KCTD14 knockdown (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A, B</bold>
</xref>, **<italic>P</italic> &lt; 0.01). The Western Blot results confirmed lowered protein levels of TNF-&#x3b1;, TNFRRSF1A, and TNFRRSF1B following <italic>KCTD14</italic> knockdown in both cell lines (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). Collectively, <italic>KCTD14</italic> knockdown significantly reduced PC cell proliferation, colony formation, migration, and invasion, and downregulated TNF pathway&#x2013;related proteins.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>
<italic>In vitro</italic> validation of <italic>KCTD14</italic> knockdown effects on proliferation and colony formation in pancreatic cancer cell lines. <bold>(A, B)</bold> Baseline <italic>KCTD14</italic> mRNA and protein levels are significantly higher in CAPAN-1 and PANC-1 cells compared to the H6C7 cell line (**<italic>P</italic> &lt; 0.01, ***<italic>P</italic> &lt; 0.001); <bold>(C)</bold> <italic>KCTD14</italic> expression is significantly reduced in both the CAPAN-1 and PANC-1 cell lines after knockdown (**<italic>P</italic> &lt; 0.01); <bold>(D)</bold> CCK-8 assays show significantly reduced viability of CAPAN-1 and PANC-1 cells following <italic>KCTD14</italic> knockdown (**<italic>P</italic> &lt; 0.01, ***<italic>P</italic> &lt; 0.001); <bold>(C, D)</bold> Colony formation assays demonstrate a significantly decrease in clonogenic capacity after <italic>KCTD14</italic> knockdown in CAPAN-1 and PANC-1 cell lines (**<italic>P</italic> &lt; 0.01).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1665906-g005.tif">
<alt-text content-type="machine-generated">Western blot and graphs demonstrate KCTD14 expression and effects of si-KCTD14-3 in H6C7, Capan-1, and PANC-1 cells. A: Western blot shows higher KCTD14 expression in PANC-1 and Capan-1 than in H6C7. B: Bar graph illustrates KCTD14 expression levels, with statistical significance indicated. C: Reduction of KCTD14 expression by si-KCTD14-3 in Capan-1 and PANC-1. D: Line graphs show cell growth over days, revealing decreased growth in si-KCTD14-3 treated cells. E and F: Colony formation assays show fewer colonies in si-KCTD14-3 treated Capan-1 and PANC-1 cells, with bar graphs confirming results.</alt-text>
</graphic>
</fig>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>
<italic>KCTD14</italic> knockdown significantly suppresses migration, invasion, and TNF-TNFR1 signaling in pancreatic cancer cell lines. <bold>(A, B)</bold> Transwell assays reveal significantly reduced migration and invasion abilities of CAPAN&#x2212;1 and PANC&#x2212;1 cells after <italic>KCTD14</italic> knockdown (**<italic>P</italic> &lt; 0.01). <bold>(C)</bold> Western Blot analysis shows decreased expression of TNF-&#x3b1;, TNFRSF1A, and TNFRSF1B in <italic>KCTD14</italic>-knockdown cells compared to controls.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1665906-g006.tif">
<alt-text content-type="machine-generated">Panels A and B show microscopy images and bar graphs comparing migration and invasion of Capan-1 and PANC-1 cells, treated with si-control and si-KCTD14-3. The bar graphs indicate reduced migration and invasion in si-KCTD14-3 treated cells. Panel C presents Western blots for TNF-&#x3b1;, TNFRSF1A, TNFRSF1B, and &#x3b2;-actin in Capan-1 and PANC-1 cells under si-control, si-KCTD14-2, and si-KCTD14-3 treatments, indicating changes in protein expression.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>PC remains one of the most lethal malignancies, in part due to its profoundly immunosuppressive tumor microenvironment (TME) and the paucity of reliable prognostic biomarkers (<xref ref-type="bibr" rid="B31">31</xref>&#x2013;<xref ref-type="bibr" rid="B33">33</xref>). Here, we leveraged WGCNA across three independent transcriptomic cohorts to uncover a DC-related gene set that captures inter-tumoral heterogeneity in immune infiltration. Consensus clustering based on these 130 DC-related genes robustly stratified patients into two subgroups with distinct OS, underscoring the central role of DCs in shaping PC prognosis.</p>
<p>Building upon these findings, we developed a four-gene DCRS via Cox and LASSO regression analysis. The DCRS demonstrated consistent prognostic power of OS in both training and validation cohorts, with AUC values exceeding 0.65 at 1-, 3-, and 5-year time points. Notably, high DCRS scores correlated with poorer OS, aligning with prior reports of similar signatures in hepatocellular carcinoma and colorectal cancer (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). In addition, previous PDAC signatures have primarily captured T cell&#x2013;inflamed states, delineated broad molecular subtypes, or linked epigenetic programs to immunity through methylation-based features (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B36">36</xref>). While these gene signatures are prognostic and valuable for stratification, they are not DC-centric and typically do not converge on a tumor-intrinsic, targetable pathway that explains DC loss. In contrast, our DCRS advances beyond prior PDAC signatures by being derived directly from DC-associated modules, integrating single-cell communication analyses to explore a tumor-intrinsic KCTD14&#x2013;TNFR1 axis, and aligning with PDAC-specific preclinical evidence on DC depletion and the therapeutic potential of TNFR1 blockade (<xref ref-type="bibr" rid="B9">9</xref>). Collectively, this positions DCRS not only as a prognostic biomarker but also as a mechanistically actionable signature.</p>
<p>In the present study, the DCRS also captures a DC&#x2013;anchored program that influences broader antitumor immunity. First, cDC1&#x2013;T-cell coupling depends on effective DC recruitment and cross-priming. Across tumor settings, NK cells recruit cDC1 via CCL5/XCL1&#x2013;XCR1, and disruption of this circuit contributes to immune exclusion (<xref ref-type="bibr" rid="B37">37</xref>). In PDAC, the paucity of DCs is a causal determinant of immune failure, whereas restoring DC abundance and function reinstates T-cell priming (<xref ref-type="bibr" rid="B12">12</xref>). Moreover, myeloid reprogramming can complement DC recovery. For example, CD40 agonists reprogram macrophages, remodel the stroma, and enhance DC costimulatory capacity (MHC-II, CD80, CD86), thereby facilitating antigen trafficking and T-cell activation (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>).</p>
<p>A particularly novel insight from our study is the identification of <italic>KCTD14</italic> as a pivotal mediator of DC-tumor crosstalk in PDAC. <italic>KCTD14</italic>, a member of the potassium channel tetramerization domain family, has been found to be associated with cancer hallmarks and involved in the modulation of specific oncogenic pathways (<xref ref-type="bibr" rid="B40">40</xref>&#x2013;<xref ref-type="bibr" rid="B42">42</xref>). Our single-cell RNA-seq analyses revealed enriched <italic>KCTD14</italic> expression in malignant epithelial cells and a strong association with the low-immune (poor prognosis) cluster. The cell-cell communication and pathway specific analyses further implicated <italic>KCTD14</italic> in signaling to DCs via the TNF&#x2013;TNFRSF1A (TNFR1) axis. Chronic TNF signaling through TNFR1 can induce DC apoptosis and promote immune escape in PDAC (<xref ref-type="bibr" rid="B9">9</xref>). In line with this, targeting TNF<sup>+</sup> myeloid programs in PDAC can activate antitumor immunity and expand DC/T-cell activity, further reinforcing the biological plausibility of a TNF-centered axis in this disease (<xref ref-type="bibr" rid="B43">43</xref>). Therefore, it is plausible that tumor-derived <italic>KCTD14</italic> modulates TNF availability or receptor activation, thereby exacerbating DC depletion. Many KCTDs act as CUL3 E3-ligase adaptors via their BTB domains and can tune NF-&#x3ba;B pathway components. Some KCTDs modulate signaling by scaffolding/ubiquitinating receptors or adaptors (<xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B44">44</xref>). We therefore hypothesize KCTD14 may scaffold CUL3-dependent ubiquitination that stabilizes TNF/TNFR1 signaling complexes, or alter receptor internalization/turnover, thereby biasing downstream TNFR1&#x2013;NF-&#x3ba;B outputs that deplete DCs in PDAC. Functional assays confirmed that <italic>KCTD14</italic> knockdown in PDAC cells significantly reduced proliferation, migration, and invasion, and diminished TNF-&#x3b1;/TNFRSF1A expression <italic>in vitro</italic>, supporting an oncogenic and immunomodulatory role.</p>
<p>Furthermore, our results reinforce the therapeutic relevance of targeting the TNF-TNFR1 pathway in PC. Preclinical evidence has demonstrated that selective TNFR1 inhibition can restore DC viability, augment T-cell priming, and synergize with checkpoint blockade more effectively than broad DC activation strategies (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B45">45</xref>). The convergence of our KCTD14-TNF findings with these data suggested that combining <italic>KCTD14</italic> inhibition or downstream <italic>TNFR1</italic> blockade with existing immunotherapies may yield enhanced antitumor efficacy. Moreover, the repurposing of clinically approved TNF inhibitors or the development of TNFR1-specific antagonists could accelerate clinical translation and broaden therapeutic options. In parallel, additional approaches to bolster DC recovery and function merit consideration. Flt3L has been shown to expand cDC populations. When combined with CD40 agonism, Flt3L could promote DC maturation and T-cell priming. Recent translational data support feasibility and activity of Flt3L plus CD40 agonist combinations in PDAC (<xref ref-type="bibr" rid="B46">46</xref>). In addition, targeting the CXCL12&#x2013;CXCR4 axis could overcome stromal and chemokine barriers, thereby enhancing T-cell infiltration and antitumor responses in PDAC, and potentially synergizing with the DC restoration captured by DCRS (<xref ref-type="bibr" rid="B47">47</xref>). Collectively, these therapeutic strategies highlight the potential of integrating TNFR1 blockade with DC-directed interventions to overcome immune resistance and improve outcomes in PC.</p>
<p>Despite these promising observations, there are still some limitations in the present study. First, our analysis is retrospective and based on publicly available transcriptomic datasets, where prospective clinical validation is necessary to confirm the utility of the DCRS as a prognostic tool. Second, although single-cell RNA sequencing data were analyzed, the majority of our findings rely on bulk RNA sequencing, which inherently averages signals across heterogeneous tumor samples and may obscure cell type&#x2013;specific contributions or introduce confounding factors. Third, the mechanistic role of <italic>KCTD14</italic>, while supported by <italic>in vitro</italic> experiments, requires <italic>in vivo</italic> validation to establish causality. Integrating spatial transcriptomics and multiplex immunostaining into future prospective cohorts will enable high-resolution mapping of immune cell infiltration and direct visualization of DC&#x2013;tumor interactions within the intact tissue microenvironment. Such approaches will be crucial for refining the DCRS, confirming its translational applicability, and informing rational design of combination immunotherapies in PDAC.</p>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusion</title>
<p>In summary, our study identified a novel DC-related gene signature that stratifies PC patients by prognosis and highlights KCTD14 as a novel immunomodulatory oncogene acting through the TNF-TNFR1 axis. Our findings provide a foundation for integrating DCRS into clinical risk assessment and for pursuing KCTD14/TNFR1-targeted therapies to overcome DC-mediated immune suppression in pancreatic cancer.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets analyzed in this study are publicly available from the following repositories: The Cancer Genome Atlas (TCGA), accessible via project ID TCGA-PAAD, and Gene Expression Omnibus (GEO), accession numbers: GSE62165, GSE85916, GSE242230 (single-cell RNA-seq data of PDAC). All data used are open-access and can be freely retrieved using the accession numbers provided above.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The study was approved by the Research Ethics Committee of Sichuan Cancer Hospital. All procedures were carried out in accordance with the ethical principles of the Declaration of Helsinki.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>YL: Conceptualization, Data curation, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. YG: Conceptualization, Data curation, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. ZZ: Conceptualization, Data curation, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. DZ: Validation, Writing &#x2013; review &amp; editing. HY: Validation, Writing &#x2013; review &amp; editing. YS: Validation, Writing &#x2013; review &amp; editing. YC: Validation, Writing &#x2013; review &amp; editing. FW: Validation, Writing &#x2013; review &amp; editing. ZL: Conceptualization, Validation, Writing &#x2013; review &amp; editing. XH: Conceptualization, Validation, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This study was supported by Research Project of Science and Technology Department of Sichuan Province (2024YFHZ0358), and Noncommunicable Chronic Diseases-National Science and Technology Major Project(2024ZD0525500/2024ZD0525506).</p>
</sec>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s12" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s13" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2025.1665906/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2025.1665906/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
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