CCL3 is produced by aged neutrophils across cancers and promotes tumor growth

  • Cancer Cell. 2026 Mar 9;44(3):624-640.e12. doi: 10.1016/j.ccell.2026.01.006.
Evangelia Bolli  1 Pratyaksha Wirapati  1 Mehdi Hicham  1 Yuxuan Xie  1 Marie Siwicki  2 Florent Duval  1 Anne-Gaëlle Goubet  1 Máté Kiss  1 Béatrice Zitti  1 Thomas Zwahlen  3 Sheri Mcdowell  1 Ruben Bill  4 Simona Angerani  5 Camilla Engblom  6 Seth Anderson  7 Aiping Jiang  7 Oliver Hartley  5 David B Sykes  8 Maja Jankovic  9 Nadine Fournier  10 Matthias Gunzer  11 David Tarussio  12 Stéphanie Tissot  12 Peter M Sadow  13 William C Faquin  13 Moshe Sade-Feldman  14 Ralph Weissleder  15 Sara Pai  16 François Mercier  9 Robert Manguso  14 Mikaël J Pittet  17
Affiliations
  • 1. Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; AGORA Cancer Research Center, and Swiss Cancer Center Leman, Lausanne, Switzerland; Translational Research Center in Oncohaematology, University of Geneva, Geneva, Switzerland.
  • 2. Snyder Institute for Chronic Diseases, University of Calgary, Calgary, Alberta, Canada.
  • 3. Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; AGORA Cancer Research Center, and Swiss Cancer Center Leman, Lausanne, Switzerland; Translational Research Center in Oncohaematology, University of Geneva, Geneva, Switzerland; Translational Data Science Group, Swiss Institute of Bioinformatics, Lausanne, Switzerland; Bioinformatics Core Facility, Swiss Institute of Bioinformatics, Lausanne, Switzerland.
  • 4. Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; AGORA Cancer Research Center, and Swiss Cancer Center Leman, Lausanne, Switzerland; Department of Medical Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
  • 5. Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
  • 6. SciLifeLab, Department of Medicine, Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
  • 7. Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA, USA; Center for Cancer Research, Massachusetts General Hospital, Boston, MA, USA.
  • 8. Mass General Brigham Cancer Center, Boston, MA, USA.
  • 9. Lady Davis Institute for Medical Research, McGill University, Montréal, Quebec, Canada.
  • 10. Translational Data Science Group, Swiss Institute of Bioinformatics, Lausanne, Switzerland; Bioinformatics Core Facility, Swiss Institute of Bioinformatics, Lausanne, Switzerland.
  • 11. Institute for Experimental Immunology and Imaging, University Hospital Essen, University of Duisburg-Essen, Essen, Germany; Leibniz-Institut für Analytische Wissenschaften ISAS -e.V., Dortmund, Germany.
  • 12. Department of Oncology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
  • 13. Center for Cancer Research, Massachusetts General Hospital, Boston, MA, USA; Department of Surgery, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
  • 14. Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, MA, USA; Center for Cancer Research, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • 15. Mass General Brigham Cancer Center, Boston, MA, USA; Center for Systems Biology, Massachusetts General Hospital, Cambridge St, Boston, MA, USA; Department of Radiology, Massachusetts General Hospital, Fruit St, Boston, MA, USA; Department of Systems Biology, Harvard Medical School, Longwood Ave, Boston, MA, USA.
  • 16. Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
  • 17. Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; AGORA Cancer Research Center, and Swiss Cancer Center Leman, Lausanne, Switzerland; Translational Research Center in Oncohaematology, University of Geneva, Geneva, Switzerland; Ludwig Institute for Cancer Research, Lausanne Branch, Lausanne, Switzerland; Department of Oncology, Geneva University Hospitals (HUG), Geneva, Switzerland. Electronic address: [email protected].
Abstract

Tumor-associated neutrophils (TANs) are abundant across cancers, yet their phenotypic diversity and functional states remain poorly defined. Here, we introduce a cell-type probability classifier that recovers low-transcript neutrophils from scRNAseq datasets, enabling pan-cancer analyses of TAN heterogeneity. Across >190 human and murine tumors, we identify a conserved differentiation trajectory that culminates in a terminal CCL3hi state. This state exhibits pro-tumor transcriptional programs, including those involved in hypoxic adaptation and senescence. Consistently, CCL3hi TANs are enriched in hypoxic tumor niches in both humans and mice. Through mechanistic perturbations of neutrophil-derived CCL3 in mice, we show that it sustains TAN survival in hypoxic tumor regions via CCR1-dependent signaling. These findings establish CCL3 as a conserved marker and functional driver of pro-tumor neutrophils in growing tumors, and provide a scalable framework for dissecting neutrophil biology across Cancer types.

Keywords
CCL3-CCR1 signaling; CRISPR perturbation; hypoxia; neutrophil aging; neutrophil differentiation; neutrophil heterogeneity; pan-cancer analysis; single-cell RNA sequencing; tumor microenvironment; tumor-promoting neutrophils.
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