It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma

Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal malignancies, characterized by an extremely poor prognosis and limited therapeutic options. Central to the progression and immune evasion of PDAC is the tumor (immune) microenvironment (TIME), where immune checkpoint proteins suc...

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Main Authors: Christin Knickmeier, Gaetan Aime Noubissi Nzeteu, Bernhard F. Gibbs, Frederik J. H. Hoogwater, Maarten W. Nijkamp, Maximilian Bockhorn, N. Helge Meyer
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1495907/full
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author Christin Knickmeier
Gaetan Aime Noubissi Nzeteu
Bernhard F. Gibbs
Frederik J. H. Hoogwater
Maarten W. Nijkamp
Maximilian Bockhorn
N. Helge Meyer
author_facet Christin Knickmeier
Gaetan Aime Noubissi Nzeteu
Bernhard F. Gibbs
Frederik J. H. Hoogwater
Maarten W. Nijkamp
Maximilian Bockhorn
N. Helge Meyer
author_sort Christin Knickmeier
collection DOAJ
description Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal malignancies, characterized by an extremely poor prognosis and limited therapeutic options. Central to the progression and immune evasion of PDAC is the tumor (immune) microenvironment (TIME), where immune checkpoint proteins such as galectin-9 (Gal-9) play pivotal roles. Gal-9 significantly contributes to the immunosuppressive milieu of PDAC by interacting with various immune cells, such as T cells, macrophages, and myeloid-derived suppressor cells (MDSCs). These interactions suppress anti-tumor immunity, thus facilitating tumor growth and metastasis. This review comprehensively examines the multifaceted role of Gal-9 in the TIME of PDAC, detailing its mechanisms of action, including the induction of regulatory T cells, polarization of tumor-associated macrophages, and modulation of apoptotic pathways via Tim-3 and caspase activation. The therapeutic potential of targeting Gal-9, either alone or in combination with other immune checkpoint inhibitors such as anti-PD-L1, is also discussed, highlighting preclinical findings that suggest promising avenues for enhancing anti-tumor immune responses. By elucidating the complex biological activities of Gal-9 and its interactions within the TIME, this review underscores the importance of innovative therapeutic strategies aimed at mitigating the immunosuppressive effects of Gal-9 in PDAC.
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spelling doaj-art-b9ddb52a654b40208f9c260b0e7e32382025-01-31T06:40:17ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011610.3389/fimmu.2025.14959071495907It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinomaChristin Knickmeier0Gaetan Aime Noubissi Nzeteu1Bernhard F. Gibbs2Frederik J. H. Hoogwater3Maarten W. Nijkamp4Maximilian Bockhorn5N. Helge Meyer6Department of Human Medicine, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg and University Hospital for General and Visceral Surgery, Oldenburg, GermanyDepartment of Human Medicine, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg and University Hospital for General and Visceral Surgery, Oldenburg, GermanySchool of Psychology and Life Sciences, Canterbury Christ Church University, Canterbury, United KingdomSection of HPB Surgery and Liver Transplantation, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsSection of HPB Surgery and Liver Transplantation, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, NetherlandsDepartment of Human Medicine, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg and University Hospital for General and Visceral Surgery, Oldenburg, GermanyDepartment of Human Medicine, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg and University Hospital for General and Visceral Surgery, Oldenburg, GermanyPancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal malignancies, characterized by an extremely poor prognosis and limited therapeutic options. Central to the progression and immune evasion of PDAC is the tumor (immune) microenvironment (TIME), where immune checkpoint proteins such as galectin-9 (Gal-9) play pivotal roles. Gal-9 significantly contributes to the immunosuppressive milieu of PDAC by interacting with various immune cells, such as T cells, macrophages, and myeloid-derived suppressor cells (MDSCs). These interactions suppress anti-tumor immunity, thus facilitating tumor growth and metastasis. This review comprehensively examines the multifaceted role of Gal-9 in the TIME of PDAC, detailing its mechanisms of action, including the induction of regulatory T cells, polarization of tumor-associated macrophages, and modulation of apoptotic pathways via Tim-3 and caspase activation. The therapeutic potential of targeting Gal-9, either alone or in combination with other immune checkpoint inhibitors such as anti-PD-L1, is also discussed, highlighting preclinical findings that suggest promising avenues for enhancing anti-tumor immune responses. By elucidating the complex biological activities of Gal-9 and its interactions within the TIME, this review underscores the importance of innovative therapeutic strategies aimed at mitigating the immunosuppressive effects of Gal-9 in PDAC.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1495907/fullpancreatic ductal adenocarcinomatumor immune microenvironmentimmunotherapyimmune checkpointsgalectin-9myeloid-derived suppressor cells
spellingShingle Christin Knickmeier
Gaetan Aime Noubissi Nzeteu
Bernhard F. Gibbs
Frederik J. H. Hoogwater
Maarten W. Nijkamp
Maximilian Bockhorn
N. Helge Meyer
It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
Frontiers in Immunology
pancreatic ductal adenocarcinoma
tumor immune microenvironment
immunotherapy
immune checkpoints
galectin-9
myeloid-derived suppressor cells
title It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
title_full It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
title_fullStr It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
title_full_unstemmed It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
title_short It’s about TIME – Gal-9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
title_sort it s about time gal 9 as a potential immunotherapeutic target in pancreatic ductal adenocarcinoma
topic pancreatic ductal adenocarcinoma
tumor immune microenvironment
immunotherapy
immune checkpoints
galectin-9
myeloid-derived suppressor cells
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1495907/full
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