Evidence map›Paper›PMID 40078998›Full record

ArticleFrontiers in immunology2025

Development of a tertiary lymphoid structure-based prognostic model for breast cancer: integrating single-cell sequencing and machine learning to enhance patient outcomes.

Xiaonan Zhang, Li Li, Xiaoyu Shi, Yunxia Zhao, Zhaogen Cai, Ni Ni, Di Yang, Zixin Meng, Xu Gao, Li Huang and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. 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
  3. Review
  4. Review
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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

11 authors.

Xiaonan Zhang *Department of Pathophysiology, Bengbu Medical University, Bengbu, Anhui, China.
Li Li *Department of Pathophysiology, Bengbu Medical University, Bengbu, Anhui, China.
Xiaoyu ShiDepartment of Pathophysiology, Bengbu Medical University, Bengbu, Anhui, China.
Yunxia ZhaoDepartment of Pathophysiology, Bengbu Medical University, Bengbu, Anhui, China.
Zhaogen CaiDepartment of Pathology, Bengbu Medical University, Bengbu, Anhui, China.
Ni NiSchool of Clinical Medicine, Bengbu Medical University, Bengbu, Anhui, China.
Di YangSchool of Clinical Medicine, Bengbu Medical University, Bengbu, Anhui, China.
Zixin MengSchool of Clinical Medicine, Bengbu Medical University, Bengbu, Anhui, China.
Xu GaoSchool of Health Administration, Bengbu Medical University, Bengbu, Anhui, China.
Li HuangDepartment of Pathophysiology, Bengbu Medical University, Bengbu, Anhui, China.
Tao WangResearch Laboratory Center, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer, a highly prevalent global cancer, poses significant challenges, especially in advanced stages. Prognostic models are crucial to enhance patient outcomes. Tertiary lymphoid structures (TLS) within the tumor microenvironment have been associated with better prognostic outcomes. Methods: We analyzed data from 13 independent breast cancer cohorts, totaling over 9,551 patients. Using single-cell RNA sequencing and machine learning algorithms, we identified critical TLS-associated genes and developed a TLS-based predictive model. This model stratified patients into high and low-risk groups. Genomic alterations, immune infiltration, and cellular interactions within the tumor microenvironment were assessed. Results: The TLS-based model demonstrated superior accuracy compared to traditional models, predicting overall survival. High TLS patients had higher tumor mutation burden and more chromosomal alterations, correlating with poorer prognosis. High-risk patients exhibited a significant depletion of CD4 Conclusions: The TLS-based prognostic model is a robust tool for predicting breast cancer outcomes, highlighting the tumor microenvironment's role in cancer progression. It enhances our understanding of breast cancer biology and supports personalized therapeutic strategies.

Indexed as

Breast NeoplasmsMachine LearningTertiary Lymphoid StructuresBiomarkers, TumorFemaleHumansLymphocytes, Tumor-InfiltratingPrognosisSingle-Cell AnalysisTumor MicroenvironmentBiomarkers, Tumorbreast cancerimmune microenvironmentmachine learning algorithmsprognostic prediction modelstertiary lymphoid structures

Identifiers

PMID40078998
PMCPMC11897234

What OpenQuestion holds

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LicenceCC BY
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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.