Evidence map›Paper›PMID 41932810›Full record

ArticleJournal for immunotherapy of cancer2026

TROP2/claudin program mediates immune exclusion to impede checkpoint blockade in breast cancer.

Bogang Wu, Win Thant, Elena Bitman, Ting Liu, Jie Liu, Eleftherios I Paschalis, Bidish K Patel, Cole Nawrocki, Katherine H Xu, Linda T Nieman and 13 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Bogang WuMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA lellisen@mgh.harvard.edu wu.bogang@mayo.edu.ORCID http://orcid.org/0000-0003-1654-198X
Win ThantMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Elena BitmanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Ting LiuMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Jie LiuDepartment of Immunology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Eleftherios I PaschalisMassachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
Bidish K PatelMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Cole NawrockiMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Katherine H XuMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Linda T NiemanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
David T TingMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Bruna de Gois MacedoDepartment of Immunology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Yang ChengDepartment of Immunology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Kevin JiangMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Fengfei SunDivision of Gastrointestinal and Oncologic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Nayana ThimmiahMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Sheng SunMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Rachel O AbelmanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Veerle I BossuytMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Steven J IsakoffMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Laura M SpringMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Aditya BardiaMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.
Leif W EllisenMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA lellisen@mgh.harvard.edu wu.bogang@mayo.edu.

Funding

Breaching the Tumor-Immune Mechanical Barrier for Optimal Antitumor ImmunityR00CA286969 · NCI · MAYO CLINIC ARIZONA · PI BOGANG WU · 2025 to 2026
$498k
Breaching the Tumor-Immune Mechanical Barrier for Optimal Antitumor ImmunityK99CA286969 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI WU, BOGANG · 2024 to 2025
$352k
NCI NIH HHS K99 CA286969NCI NIH HHS R00 CA286969
6 · The paper itself

Abstract

backgroundImmune exclusion inhibits antitumor immunity and response to immunotherapy, but its mechanisms remain poorly defined. In triple-negative breast cancer (TNBC), an aggressive and generally immune-rich subtype, an immune-cold microenvironment predicts poor prognosis due to a limited response to chemotherapy and immune checkpoint inhibitors. This study aimed to identify mechanisms regulating immune infiltration in TNBC.

methodsWe performed spatial transcriptomic analysis comparing immune-enriched versus immune-cold treatment-naïve TNBCs. Functional analyses, including loss-of-function and reconstitution experiments, were conducted to investigate the role of trophoblast cell-surface antigen 2 (TROP2), a key target of anticancer antibody drug conjugates (ADCs), in promoting TNBC progression. A humanized TROP2 syngeneic TNBC model was used to assess the effects of TROP2-targeting in combination with anti-programmed cell death protein 1 (PD-1) therapy. Additionally, data from patients treated with immune checkpoint blockade were used to test hypotheses from the preclinical findings.

resultsWe reveal that TROP2 controls barrier-mediated immune exclusion in TNBC through claudin 7 association and tight junction regulation. TROP2 expression is inversely correlated with T-cell infiltration and predicts poor outcomes in TNBC. We demonstrate that TROP2 is sufficient to drive tumor progression in vivo in a CD8 T cell-dependent manner, while its loss deregulates expression and localization of multiple tight junction proteins, enabling T-cell infiltration. We show that TROP2 targeting via hRS7, the antibody component of the ADC sacituzumab govitecan, enhances the anti-PD-1 response and improves T-cell accessibility and effector function. Correspondingly, TROP2 expression is highly associated with lack of response to anti-PD-1 therapy in human breast cancer.

conclusionsThis study defines a new mechanism of barrier-mediated immune exclusion in cancer controlled by TROP2-dependent tight junctions. This mechanism drives tumor progression but can be targeted via TROP2-directed therapy to activate antitumor immunity and enhance immunotherapy response.

Indexed as

Antigens, NeoplasmCell Adhesion MoleculesClaudinsImmune Checkpoint InhibitorsTriple Negative Breast NeoplasmsAnimalsCell Line, TumorFemaleHumansMiceTumor MicroenvironmentAntigens, NeoplasmCell Adhesion MoleculesClaudinsImmune Checkpoint InhibitorsTACSTD2 protein, humanAntibody-drug conjugates - ADCBreast CancerImmune Checkpoint InhibitorTumor infiltrating lymphocyte - TILTumor microenvironment - TME

Identifiers

PMID41932810
PMCPMC13052784

What OpenQuestion holds

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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.