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The Yin and Yang of Tertiary Lymphoid Structures in Primary Liver Cancer - PubMed

3 hours ago
  • #Tumor microenvironment
  • #Liver cancer immunotherapy
  • #Tertiary lymphoid structures
  • Tertiary lymphoid structures (TLSs) are important regulators of anti-tumor immunity and biomarkers for immunotherapy response in primary liver cancers like HCC, iCCA, and cHCC-iCCA.
  • TLSs exhibit functional dualism, shaped by spatiotemporal context, cellular composition, and maturation status, challenging simple good/bad classifications.
  • Key metabolic drivers (e.g., ACLY) and signaling axes (e.g., cGAS-STING/mTOR) are pivotal in TLS ontogeny and regulation within the tumor microenvironment.
  • TLSs hold promise as prognostic and predictive biomarkers, especially for immune checkpoint blockade and locoregional therapies.
  • Future research directions include understanding TLS 3D architecture, mechanisms for durable immunological memory, and overcoming challenges in standardization and translational applications.