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Tertiary lymphoid structures in pancreatic cancer resemble lymphoid follicles in secondary lymphoid organs as common sites of anti-tumor adaptive immune responses


ABSTRACT: Tertiary lymphoid structures (TLS) in cancer are considered ectopic hotspots for immune activation, which are similar to lymphoid follicles in secondary lymphoid organs (SLO). This study elucidates shared and TLS/SLO-specific features in pancreatic ductal adenocarcinoma (PDAC). TLS abundance was related to superior survival and T-cell abundance in 110 treatment-naïve PDAC samples, underlining their clinical relevance. Immunofluorescence microscopy identified structural homologies between TLS and SLO. In RNA-expression analyses of laser-microdissected TLS and paired SLOs, we observed largely overlapping expression patterns of immune-related gene clusters, but distinct expression patterns of T-cell and complement-associated genes. Immune cells in TLS expressed essential markers of germinal center formation. Increased activation of tumor-draining lymph nodes in TLS-high patients highlights the relevance of these tumor-related structures to systemic immune response. We identified an overlap of expanded clonotypes in TLS and SLO in B-cell receptor sequencing as an additional correlate of systemic effects of TLS.

ORGANISM(S): Homo sapiens (human)

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PROVIDER: S-BSST1643 | biostudies-other |

REPOSITORIES: biostudies-other

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