PT - JOURNAL ARTICLE AU - Samantha B Kemp AU - Nina G Steele AU - Eileen S Carpenter AU - Katelyn L Donahue AU - Grace G Bushnell AU - Aaron H Morris AU - Stephanie The AU - Sophia M Orbach AU - Veerin R Sirihorachai AU - Zeribe C Nwosu AU - Carlos Espinoza AU - Fatima Lima AU - Kristee Brown AU - Alexander A Girgis AU - Valerie Gunchick AU - Yaqing Zhang AU - Costas A Lyssiotis AU - Timothy L Frankel AU - Filip Bednar AU - Arvind Rao AU - Vaibhav Sahai AU - Lonnie D Shea AU - Howard C Crawford AU - Marina Pasca di Magliano TI - Pancreatic cancer is marked by complement-high blood monocytes and tumor-associated macrophages AID - 10.26508/lsa.202000935 DP - 2021 Jun 01 TA - Life Science Alliance PG - e202000935 VI - 4 IP - 6 4099 - https://www.life-science-alliance.org/content/4/6/e202000935.short 4100 - https://www.life-science-alliance.org/content/4/6/e202000935.full SO - Life Sci. Alliance2021 Jun 01; 4 AB - Pancreatic ductal adenocarcinoma (PDA) is accompanied by reprogramming of the local microenvironment, but changes at distal sites are poorly understood. We implanted biomaterial scaffolds, which act as an artificial premetastatic niche, into immunocompetent tumor-bearing and control mice, and identified a unique tumor-specific gene expression signature that includes high expression of C1qa, C1qb, Trem2, and Chil3. Single-cell RNA sequencing mapped these genes to two distinct macrophage populations in the scaffolds, one marked by elevated C1qa, C1qb, and Trem2, the other with high Chil3, Ly6c2 and Plac8. In mice, expression of these genes in the corresponding populations was elevated in tumor-associated macrophages compared with macrophages in the normal pancreas. We then analyzed single-cell RNA sequencing from patient samples, and determined expression of C1QA, C1QB, and TREM2 is elevated in human macrophages in primary tumors and liver metastases. Single-cell sequencing analysis of patient blood revealed a substantial enrichment of the same gene signature in monocytes. Taken together, our study identifies two distinct tumor-associated macrophage and monocyte populations that reflects systemic immune changes in pancreatic ductal adenocarcinoma patients.