Evidence map›Paper›PMID 39808504›Full record

ArticleJCI insight2025

Highly multiplexed imaging reveals prognostic immune and stromal spatial biomarkers in breast cancer.

Jennifer R Eng, Elmar Bucher, Zhi Hu, Cameron R Walker, Tyler Risom, Michael Angelo, Paula Gonzalez-Ericsson, Melinda E Sanders, A Bapsi Chakravarthy, Jennifer A Pietenpol and 3 more

Abstract read
In one paragraph

Article in JCI insight, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Decoding the breast cancer microenvironment by spatial multi-omics: from architecture to clinical translation.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  8. Pan-cancer Distant Metastasis Prediction Based on Graph Neural Network.Interdisciplinary sciences, computational life sciences · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. PIVOT: an open-source tool for multi-omic spatial data registration.bioRxiv : the preprint server for biology · 2025
    Article
  19. Review
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.

Jennifer R EngDepartment of Molecular and Medical Genetics and.
Elmar BucherDepartment of Biomedical Engineering, Oregon Health and Science University (OHSU), Portland, Oregon, USA.
Zhi HuDepartment of Biomedical Engineering, Oregon Health and Science University (OHSU), Portland, Oregon, USA.
Cameron R WalkerDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Tyler RisomDepartment of Research Pathology, Genentech, South San Francisco, California, USA.
Michael AngeloDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Paula Gonzalez-EricssonVanderbilt-Ingram Cancer Center and.
Melinda E SandersVanderbilt-Ingram Cancer Center and.
A Bapsi ChakravarthyVanderbilt-Ingram Cancer Center and.
Jennifer A PietenpolVanderbilt-Ingram Cancer Center and.
Summer L GibbsDepartment of Biomedical Engineering, Oregon Health and Science University (OHSU), Portland, Oregon, USA.
Rosalie C SearsDepartment of Molecular and Medical Genetics and.
Koei ChinDepartment of Biomedical Engineering, Oregon Health and Science University (OHSU), Portland, Oregon, USA.

Funding

Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Grace B Gill · 1997 to 2026
$60.5M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Understanding the Impact of Microscale and Nanoscale Heterogeneity and ResistanceU54CA209988 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI GRAY, JOE W. · 2017 to 2021
$10.3M
High Performance Computing and Machine Learning Infrastructure for Oregon Life SciencesS10OD034224 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLROTT, KYLE · 2023 to 2023
$2.0M
NCI NIH HHS P30 CA069533NCI NIH HHS P50 CA098131NCI NIH HHS U54 CA209988NIH HHS S10 OD034224
6 · The paper itself

Abstract

Spatial profiling of tissues promises to elucidate tumor-microenvironment interactions and generate prognostic and predictive biomarkers. We analyzed single-cell spatial data from 3 multiplex imaging technologies: cyclic immunofluorescence (CycIF) data we generated from 102 patients with breast cancer with clinical follow-up as well as publicly available mass cytometry and multiplex ion-beam imaging datasets. Similar single-cell phenotyping results across imaging platforms enabled combined analysis of epithelial phenotypes to delineate prognostic subtypes among patients who are estrogen-receptor+ (ER+). We utilized discovery and validation cohorts to identify biomarkers with prognostic value. Increased lymphocyte infiltration was independently associated with longer survival in triple-negative (TN) and high-proliferation ER+ breast tumors. An assessment of 10 spatial analysis methods revealed robust spatial biomarkers. In ER+ disease, quiescent stromal cells close to tumor were abundant in tumors with good prognoses, while tumor cell neighborhoods containing mixed fibroblast phenotypes were enriched in poor-prognosis tumors. In TN disease, macrophage/tumor and B/T lymphocyte neighbors were enriched, and lymphocytes were dispersed in good-prognosis tumors, while tumor cell neighborhoods containing vimentin+ fibroblasts were enriched in poor-prognosis tumors. In conclusion, we generated comparable single-cell spatial proteomic data from several clinical cohorts to enable prognostic spatial biomarker identification and validation.

Indexed as

Biomarkers, TumorBreast NeoplasmsFemaleHumansLymphocytes, Tumor-InfiltratingMiddle AgedPrognosisReceptors, EstrogenSingle-Cell AnalysisStromal CellsTumor MicroenvironmentBiomarkers, TumorReceptors, EstrogenBreast cancerImmunologyMacrophagesOncologyT cells

Identifiers

PMID39808504
PMCPMC11948582

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.