Evidence map›Paper›PMID 40319321›Full record

ArticleActa neuropathologica communications2025

Identification and characterization of tertiary lymphoid structures in brain metastases.

Sadaf S Mughal, Yvonne Reiss, Jörg Felsberg, Lasse Meyer, Jadranka Macas, Silja Schlue, Tatjana Starzetz, Karl Köhrer, Tanja Fehm, Volkmar Müller and 8 more

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 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. Article
  2. Article
  3. CD19Breast cancer research : BCR · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. 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

18 authors.

Sadaf S Mughal *Division of Applied Bioinformatics, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany. s.mughal@dkfz-heidelberg.de.
Yvonne Reiss *Institute of Neurology (Edinger-Institute), University Hospital, Goethe University, Heinrich-Hoffmann-Strasse 7, 60590, Frankfurt, Germany.
Jörg FelsbergInstitute of Neuropathology, Medical Faculty, Heinrich Heine University and University Hospital Düsseldorf, Moorenstrasse 5, Düsseldorf, Germany.
Lasse MeyerDivision of Applied Bioinformatics, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Jadranka MacasInstitute of Neurology (Edinger-Institute), University Hospital, Goethe University, Heinrich-Hoffmann-Strasse 7, 60590, Frankfurt, Germany.
Silja SchlueDivision of Applied Bioinformatics, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Tatjana StarzetzInstitute of Neurology (Edinger-Institute), University Hospital, Goethe University, Heinrich-Hoffmann-Strasse 7, 60590, Frankfurt, Germany.
Karl KöhrerCenter for Biological and Medical Research (BMFZ), Genomics and Transcriptomics Laboratory (GTL), Heinrich Heine University, Universitätsstrasse 1, Düsseldorf, Germany.
Tanja FehmDepartment of Gynecology and Obstetrics, Center of Integrated Oncology ABCD, Medical Faculty, Heinrich Heine University and University Hospital Düsseldorf, Moorenstrasse 5, Düsseldorf, Germany.
Volkmar MüllerDepartment of Gynecology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Katrin LamszusLaboratory for Brain Tumor Biology, Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Dirk SchadendorfDepartment of Dermatology, University Hospital Essen, University Duisburg-Essen, Hufelandstrasse 50, 45147, Essen, Germany.
Iris HelfrichDepartment of Dermatology, University Hospital Essen, University Duisburg-Essen, Hufelandstrasse 50, 45147, Essen, Germany.
Harriet WikmanDepartment of Tumor Biology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Anna BerghoffDepartment of Internal Medicine 1, Clinical Division of Oncology, Medical University Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Benedikt Brors *Division of Applied Bioinformatics, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.
Karl H Plate *Institute of Neurology (Edinger-Institute), University Hospital, Goethe University, Heinrich-Hoffmann-Strasse 7, 60590, Frankfurt, Germany.
Guido Reifenberger *Institute of Neuropathology, Medical Faculty, Heinrich Heine University and University Hospital Düsseldorf, Moorenstrasse 5, Düsseldorf, Germany.

Funding

Deutsche Krebshilfe 70112507
6 · The paper itself

Abstract

Brain metastases (BrM) are the most common cancers in the brain and linked to poor prognosis. Given the high incidence and often limited treatment options, understanding the complexity of the BrM tumor microenvironment is crucial for the development of novel therapeutic strategies. We performed transcriptome-wide gene expression profiling combined with spatial immune cell profiling to characterize the tumor immune microenvironment in 95 patients with BrM from different primary tumors. We found that BrM from lung carcinoma and malignant melanoma showed overall higher immune cell infiltration as compared to BrM from breast carcinoma. RNA sequencing-based immune cell deconvolution revealed gene expression signatures indicative of tertiary lymphoid structures (TLS) in subsets of BrM, mostly from lung cancer and melanoma. This finding was corroborated by multiplex immunofluorescence staining of immune cells in BrM tissue sections. Detection of TLS signatures was more common in treatment-naïve BrM and associated with prolonged survival after BrM diagnosis in lung cancer patients. Our findings highlight the cellular diversity of the tumor immune microenvironment in BrM of different cancer types and suggest a role of TLS formation for BrM patient outcome.

Indexed as

Brain NeoplasmsTertiary Lymphoid StructuresTumor MicroenvironmentAdultAgedBreast NeoplasmsFemaleGene Expression ProfilingHumansLung NeoplasmsMaleMelanomaMiddle AgedBrain metastasisImmune cell deconvolutionMultiplex immunofluorescenceTertiary lymphoid structuresTumor microenvironment

Identifiers

PMID40319321
PMCPMC12049775

What OpenQuestion holds

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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.