Evidence map›Paper›PMID 40695620›Full record

ArticleGut2025

Targeting Treg-fibroblast interaction to enhance immunotherapy in steatotic liver disease-related hepatocellular carcinoma.

Aldo Prawira, Hang Xu, Yu Mei, Wei Qiang Leow, Nurul Jannah Mohamed Nasir, Marie Jy Reolo, Masayuki Otsuka, Mohammad Rahbari, Ziyao Chen, Madhushanee Weerasooriya and 20 more

Abstract read
In one paragraph

Article in Gut, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Review
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  5. Spatiotemporal voxel-wise concordance betweenEuropean journal of nuclear medicine and molecular imaging · 2026
    Article
  6. Article
  7. Review
  8. Cytokines and cancer-associated fibroblasts.Journal of hematology & oncology · 2026
    Review
  9. Article
  10. Article
  11. Review
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  13. Computational analysis of multi-omics data reveals CXCL10Cellular and molecular life sciences : CMLS · 2026
    Article
  14. Review
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  18. Article
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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

30 authors.

Aldo Prawira *Translational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Hang Xu *Binformatics Institute (BII), Agency for Science, Technology and Research (A*STAR), Singapore.
Yu Mei *Immunology Programme, Life Science Institute, Centre for Life Sciences, National University of Singapore, Singapore.
Wei Qiang LeowDepartment of Anatomical Pathology, Singapore General Hospital, Singapore.
Nurul Jannah Mohamed NasirTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.ORCID http://orcid.org/0000-0003-3700-9036
Marie Jy ReoloTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Masayuki OtsukaTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Mohammad RahbariDivision of Chronic Inflammation and Cancer, German Cancer Research Centre, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1133-2134
Ziyao ChenDivision of Chronic Inflammation and Cancer, German Cancer Research Centre, Heidelberg, Germany.
Madhushanee WeerasooriyaImmunology Programme, Life Science Institute, Centre for Life Sciences, National University of Singapore, Singapore.
Liyana Bte AbdullahTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Jiawei WuTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Sharifah N HazirahTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Martin WasserTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Alexander ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre, Singapore.
Brian Kp GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre, Singapore.
Pierce Kh ChowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre, Singapore.ORCID http://orcid.org/0000-0003-0584-2584
Salvatore AlbaniTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Joycelyn LeeDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Tony Kiat Hon LimDepartment of Anatomical Pathology, Singapore General Hospital, Singapore.
Weiwei ZhaiGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore.
Yock Young DanDivision of Gastroenterology & Hepatology, Department of Medicine, National University Hospital, Singapore.
George Bb GohDepartment of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Mathias F HeikenwälderDivision of Chronic Inflammation and Cancer, German Cancer Research Centre, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-3135-2274
Yongliang ZhangImmunology Programme, Life Science Institute, Centre for Life Sciences, National University of Singapore, Singapore.ORCID http://orcid.org/0000-0002-4964-1285
Ramanuj DasguptaGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore.
Wai Meng David TaiDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Haiyan LiuImmunology Programme, Life Science Institute, Centre for Life Sciences, National University of Singapore, Singapore.
Jinmiao ChenBinformatics Institute (BII), Agency for Science, Technology and Research (A*STAR), Singapore.
Valerie ChewTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore valerie.chew@duke-nus.edu.sg.ORCID http://orcid.org/0000-0002-5617-0936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSteatotic liver disease-related hepatocellular carcinoma (SLD-HCC), a rising global challenge, is characterised by unique tumour microenvironment (TME) adaptations.

objectiveThis study investigates the immune microenvironment and interactions driving immunosuppression and potential resistance to immunotherapy in SLD-HCC.

designWe employed single-cell transcriptomics, cytometry by time-of-flight (CyTOF) and two independent spatial transcriptomics platforms to study the TME of 22 SLD-HCC and 31 non-SLD-HCC cases. Findings were further validated using multiplex immunohistochemistry in an independent cohort of 103 patients, an HCC model and an immunotherapy-treated patient cohort to evaluate clinical relevance.

resultsOur findings revealed significant alterations in immune and lipid metabolism pathways, particularly in regulatory T cells (Tregs) and cancer-associated fibroblasts (CAFs), suggesting distinct cellular adaptations to a high-fat TME and general immunosuppression. CyTOF revealed a cold, immunosuppressive TME with reduced CD8

conclusionThis study uncovers critical immune and metabolic adaptations in SLD-HCC, identifying TNFSF14-TNFRSF14 signalling as a key driver of immunotherapy resistance. Targeting this signalling axis enhances antitumour immunity and improves immunotherapy efficacy, offering a promising therapeutic strategy for SLD-HCC.

Indexed as

Cancer-Associated FibroblastsCarcinoma, HepatocellularFatty LiverImmunotherapyLiver NeoplasmsT-Lymphocytes, RegulatoryAnimalsFemaleHumansMaleMiceMiddle AgedTumor MicroenvironmentCELLULAR IMMUNITYHEPATOCELLULAR CARCINOMAIMMUNOREGULATIONIMMUNOTHERAPYLIVER IMMUNOLOGY

Identifiers

PMID40695620
PMCPMC12703262

What OpenQuestion holds

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LicenceCC BY-NC
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.