ArticlePeerJ2025
Tertiary lymphoid structures-driven immune infiltration patterns and their association with survival in neuroblastoma.
Article in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- CCL2: A double-edged sword in neuroblastoma, with a critical role in MYCN-amplified tumors.Translational oncology · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Neuroblastoma (NB), a diverse childhood cancer, needs better prognostic markers for personalized treatment. The current clinical risk stratification system does not fully explain the high heterogeneity of tumor patients. Tertiary lymphoid structures (TLS), key in tumor immunity, may serve as new biomarkers, but their impact on NB prognosis is unclear. Methods: We combined transcriptome data from NB cohorts GSE49710 and GSE62564, analyzing 37 TLS-related genes. A prognostic signature (CMLS) was created using machine learning and validated with Kaplan-Meier and receiver operating characteristic (ROC) curves. We also studied immune infiltration and gene expression patterns in NB tissues using single-cell sequencing and quantitative real-time polymerase chain reaction (qRT-PCR). Results: A 6-gene TLS signature predicted better survival in NB patients. High levels of CCL2, CCL4, CCL21, CD200, CXCR3, and IGSF6 correlated with improved survival. The low-TLS risk group showed better event-free and overall survival. Immune analysis indicated a higher immune cell presence, especially cytotoxic T cells, in this group. Single-cell sequencing revealed lower TLS gene expression in refractory recurrence samples. CD200 downregulation reduced NB cell invasiveness and migration. Conclusion: Our study demonstrates that TLS-related genes play a crucial role in NB prognosis, with a 6-gene TLS signature (CCL2, CCL4, CCL21, CD200, CXCR3, and IGSF6) serving as a promising prognostic biomarker for NB. CD200 may be a potential target for inhibiting the biological behavior of NB cells.
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