DOI: 10.1158/1538-7445.pancreatic26-b076 ISSN: 0008-5472

Abstract B076: Tumor cell-intrinsic KMT2D loss regulates T cell function through FN1 signaling in pancreatic ductal adenocarcinoma

Heizel Acosta, Ranga Sudharshan, Hongsun Kim, Jiaqi Shi

Abstract

Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest malignancies and is characterized by a profoundly immunosuppressive tumor microenvironment (TME) that limits the efficacy of current therapies. KMT2D (Mll4 in mice) is a histone H3K4 methyltransferase and critical epigenetic regulator that is altered in approximately 11% of PDAC cases, based on analysis of The Cancer Genome Atlas (TCGA). Our previous studies demonstrated that KMT2D loss promotes epithelial-to-mesenchymal transition (EMT) and tumor progression in human PDAC cells while remodeling the tumor immune microenvironment in vivo. To define how KMT2D loss reshapes epithelial–immune communication, we performed single-cell RNA sequencing on pancreata from age-matched KPC, stage-matched KPC-T, and our laboratory-generated pancreas-specific KMT2D-deficient PDAC mouse model (KPCM; LSL-KrasG12D/+^; LSL-Trp53R172H/+^; Ptf1a-Cre; Mll4^SETflox/flox). CellChat analysis revealed genotype-dependent remodeling of epithelial–immune communication and identified a distinct FN1-associated epithelial–T-cell signaling network selectively enriched in KPCM tumors compared with KPC/KPC-T. Given the established role of FN1 in extracellular matrix remodeling and integrin-mediated tumor–immune interactions, we further characterized these interactions by subclustering T cells into CD4 and CD8 populations followed by ligand–receptor analysis. FN1–ITGA4/ITGB7 emerged as the predominant predicted epithelial-to-CD8 T-cell interaction, while additional FN1-associated interactions, including FN1–ITGA4/ITGB1, were identified in CD4 T cells. Consistent with the single-cell transcriptomic findings, FN1 expression was significantly increased in KMT2D-deficient mouse and human PDAC cells and independently validated by RT-qPCR, while receptor expression analyses confirmed expression of the corresponding integrin receptors within the relevant T-cell populations. Collectively, these findings identify an FN1-associated epithelial–T-cell communication network associated with KMT2D loss and suggest a mechanism through which tumor-intrinsic epigenetic alterations remodel tumor–immune interactions within the PDAC microenvironment. These findings provide a foundation for future functional studies investigating FN1-associated signaling as a potential therapeutic target in PDAC.

Citation Format:

Heizel Acosta, Ranga Sudharshan, Hongsun Kim, Jiaqi Shi. Tumor cell-intrinsic KMT2D loss regulates T cell function through FN1 signaling in pancreatic ductal adenocarcinoma [abstract]. In: Proceedings of the AACR Conference on Pancreatic Cancer: New Frontiers in Biology and Therapeutic Development; 2026 Sep 25-28; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2026;86(18_Suppl_2):Abstract nr B076.