Liangzhan sun, Xiaojing Chu, Tingting Kong, Xirui Chen, Jianing Ru, Qianqian Gao, Wei Zhou, Xiliang Wang, Sijin Cheng, L L Zhu, Zemin Zhang
Tumor-associated macrophages (TAMs) can suppress antitumor immunity and reduce responses to immune checkpoint blockade (ICB). Here, we asked how TAM programs contribute to ICB non-response. Integration of public single-cell RNA sequencing (scRNA-seq) datasets across 12 cancer types identified SPP1 + TAMs as a tumor-enriched macrophage subset with immunosuppressive features. TAMs from ICB non-responders across multiple tumor types exhibited higher SPP1 expression. In murine models, macrophage Spp1 deletion suppressed tumor growth and prolonged survival and was associated with a remodeled tumor microenvironment featuring reduced T regulatory cell (Treg) frequencies, increased interferon (IFN)-γ + CD4 + and GZMB + CD8 + T cells, and augmented interferon-stimulated gene (ISG) expression across immune and malignant compartments. Mechanistically, intracellular SPP1 interacted with TRIM21 to limit SOCS1 ubiquitination, stabilizing SOCS1-mediated negative feedback and dampening IFN-γ-STAT1-ISG signaling in TAMs. Consistently, SPP1 targeting enhanced the efficacy of anti-PD-L1 therapy in vivo . Thus, remodeling the TME via targeting the TAM SPP1-IFN-γ axis presents a therapeutic avenue for enhancing responses to ICB.