Evidence map›Paper›PMID 35437329›Full record

ArticleNature genetics2022

Breast tumor microenvironment structures are associated with genomic features and clinical outcome.

Esther Danenberg, Helen Bardwell, Vito R T Zanotelli, Elena Provenzano, Suet-Feung Chin, Oscar M Rueda, Andrew Green, Emad Rakha, Samuel Aparicio, Ian O Ellis and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Nature genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 175 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 1 pooled it
20.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

175 citing papers in PubMed, 1 synthesis or guideline pooled it, 248 citations in OpenAlex.

  1. Pooled it
  2. Spatial Transcriptomics Analysis of Ewing Sarcoma.Methods in molecular biology (Clifton, N.J.) · 2027
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  3. CXCL13-expressing CD4Oncoimmunology · 2026
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  6. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Emerging technologies in the spatial proteomics landscape.Analytical and bioanalytical chemistry · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

115 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 3 countries.

Esther DanenbergCRUK Cambridge Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1799-4457
Helen BardwellCRUK Cambridge Institute, University of Cambridge, Cambridge, UK.
Vito R T ZanotelliDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Elena ProvenzanoDepartment of Histopathology, Addenbrookes Hospital, Cambridge, UK.ORCID http://orcid.org/0000-0003-3345-3965
Suet-Feung ChinCRUK Cambridge Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5697-1082
Oscar M RuedaMRC Biostatistics Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-0008-4884
Andrew GreenDepartment of Pathology, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-0488-5913
Emad RakhaDepartment of Pathology, University of Nottingham, Nottingham, UK.
Samuel AparicioBritish Columbia Cancer Agency, University of British Columbia, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0002-0487-9599
Ian O EllisDepartment of Pathology, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0001-5292-8474
Bernd BodenmillerDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland. bernd.bodenmiller@uzh.ch.ORCID http://orcid.org/0000-0002-6325-7861
Carlos CaldasCRUK Cambridge Institute, University of Cambridge, Cambridge, UK. carlos.caldas@cruk.cam.ac.uk.ORCID http://orcid.org/0000-0003-3547-1489
H Raza AliCRUK Cambridge Institute, University of Cambridge, Cambridge, UK. raza.ali@cruk.cam.ac.uk.ORCID http://orcid.org/0000-0001-7587-0906
University of Cambridge · GBUniversity of Nottingham · GBUniversity of Zurich · CHAddenbrooke's Hospital · GBBC Cancer Agency · CAETH Zurich · CH

Funding

Cancer Research UK 16942Cancer Research UK 25815Cancer Research UK 29567Cancer Research UK A17197Cancer Research UK A25815Cancer Research UK A27657Cancer Research UK A29580Cancer Research UK A7199Department of Health BRC-1215-20014Department of Health NF-SI-0515-10090European Research Council 694620Medical Research Council MC_UU_00002/16
6 · The paper itself

Abstract

The functions of the tumor microenvironment (TME) are orchestrated by precise spatial organization of specialized cells, yet little is known about the multicellular structures that form within the TME. Here we systematically mapped TME structures in situ using imaging mass cytometry and multitiered spatial analysis of 693 breast tumors linked to genomic and clinical data. We identified ten recurrent TME structures that varied by vascular content, stromal quiescence versus activation, and leukocyte composition. These TME structures had distinct enrichment patterns among breast cancer subtypes, and some were associated with genomic profiles indicative of immune escape. Regulatory and dysfunctional T cells co-occurred in large 'suppressed expansion' structures. These structures were characterized by high cellular diversity, proliferating cells and enrichment for BRCA1 and CASP8 mutations and predicted poor outcome in estrogen-receptor-positive disease. The multicellular structures revealed here link conserved spatial organization to local TME function and could improve patient stratification.

Indexed as

Breast NeoplasmsTumor MicroenvironmentFemaleGenomeGenomicsHumans

Identifiers

PMID35437329
PMCPMC7612730
OpenAlexW4224016686

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.