Evidence map›Paper›PMID 41870278›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2026

Molecular and Immune Landscape of Recurrent and/or Distant Metastatic Squamous Cell Carcinoma of the Head and Neck: An EORTC/IMMUCAN Project.

Athénaïs van der Elst, Daniel Herrero-Saboya, Lucas Michon, Marie Morfouace, Robin Liechti, Preethi Devanand, Daniel Schulz, Maya Persoons, Sylvie Rusakiewicz, Nils Eling and 16 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

26 authors.

Athénaïs van der Elst *Pôle oncologie, Institut de Recherche Clinique et Expérimentale, Université catholique de Louvain (UCLouvain), Brussels, Belgium.ORCID 0000-0001-5816-1040
Daniel Herrero-Saboya *IMMUcan Consortium, Brussels, Belgium.ORCID 0009-0001-9948-1531
Lucas MichonIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0002-1839-4656
Marie MorfouaceIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0006-8786-0645
Robin LiechtiIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0001-8351-4776
Preethi DevanandIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0007-8820-2916
Daniel SchulzIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0002-0913-1678
Maya PersoonsIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0004-9578-9362
Sylvie RusakiewiczIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0001-5939-5690
Nils ElingIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0002-4711-1176
Paul-Antoine NicolasIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0008-5496-7408
Marie-Sophie RobertIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0000-0110-634X
Stephanie TissotIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0003-3080-4598
Sophie DégliseIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0007-7699-1823
Bruno Palau FernandezIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0005-7433-7516
Bernd BodenmillerIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0002-6325-7861
Henoch S HongIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0002-3367-1738
Rachel GalotPôle oncologie, Institut de Recherche Clinique et Expérimentale, Université catholique de Louvain (UCLouvain), Brussels, Belgium.ORCID 0000-0002-0596-4752
Paolo BossiDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0003-0135-0224
Julio OliveiraMedical Oncology, Instituto Portugues de Oncologia de Porto Franscisco Gentil, Porto, Portugal.ORCID 0000-0002-9576-3486
Marc PrachtMedical Oncology, Centre Eugène Marquis, Rennes, France.ORCID 0000-0001-8110-0780
Caroline EvenHead and Neck Department, Gustave Roussy, Villejuif, France.ORCID 0000-0002-8493-7444
Pierre SaintignyIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0002-8090-9323
Céline LefebvreIMMUcan Consortium, Brussels, Belgium.ORCID 0009-0007-6321-9084
Loredana MartignettiIMMUcan Consortium, Brussels, Belgium.ORCID 0000-0003-1535-7515
Jean-Pascal MachielsPôle oncologie, Institut de Recherche Clinique et Expérimentale, Université catholique de Louvain (UCLouvain), Brussels, Belgium.ORCID 0000-0001-6369-9742

Funding

Association Nationale de la Recherche et de la Technologie (ANRT)Belgian National Research FundInnovative Medicines Initiative 2 Joint Undertaking 821558Institut Servier (Servier Institute)
6 · The paper itself

Abstract

purposeRecurrent and/or metastatic (R/M) squamous cell carcinoma of the head and neck (SCCHN) is a heterogeneous clinical entity with a poor prognosis. The molecular and immune landscape of R/M SCCHN is underexplored. To offer a comprehensive view of the tumor microenvironment and molecular profile of R/M SCCHN, we performed an in-depth molecular and immune characterization, evaluating the impact of human papillomavirus (HPV) status, tobacco and alcohol history, primary tumor site, relapse pattern, and treatment history at the genomic, transcriptomic, and immune levels. EXPERIMENTAL

designWe analyzed 253 R/M SCCHN fresh tumor biopsies from the IMMUcan project using RNA sequencing (RNA-seq), whole-exome sequencing, and multiplex immunofluorescence (mIF).

resultsThe primary clinical factor affecting the immune microenvironment was the number of treatment lines, with significant declines in T cells and B cells observed via mIF and RNA-seq as the number of R/M treatment lines progressed. IL6, IL13, IL15, and NRF2 pathways were enriched in HPV-negative R/M SCCHN compared with HPV-positive tumors, whereas no immune differences were detected between these two clinical groups. Specific genomic alterations were observed in laryngeal cancer (DDR2, FOXP1, KLF5, and ROBO2), whereas nonsmokers/nondrinkers exhibited alterations in SPEN, PBRM1, and CYLD. 11q13.3 amplification was linked to HPV-negative metastatic tumors and hypopharyngeal cancer. HPV-negative SCCHN with locoregional recurrence showed elevated EGFR and CXCL12 pathway activity. Partial epithelial-mesenchymal transition transcriptomic signatures correlated with poor survival, whereas lymphocyte infiltration, especially in the context of tertiary lymphoid structures, was associated with improved survival.

conclusionsOur study highlights key molecular and immune differences across R/M SCCHN subgroups, identifies potential biomarkers, and suggests biological rationales for tailored therapeutic strategies.

Indexed as

Biomarkers, TumorHead and Neck NeoplasmsNeoplasm Recurrence, LocalSquamous Cell Carcinoma of Head and NeckTumor MicroenvironmentExome SequencingFemaleHuman Papillomavirus VirusesHumansMaleMiddle AgedNeoplasm MetastasisPapillomavirus InfectionsPrognosisBiomarkers, Tumor

Identifiers

PMID41870278
PMCPMC13320198

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Registered trials

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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.