Evidence map›Paper›PMID 40475770›Full record

ReviewFrontiers in immunology2025

Tertiary lymphoid structures: exploring opportunities to improve immunotherapy in ovarian cancer.

Aaron Varghese, Suzanne M Hess, Shanmuga Chilakapati, Jose R Conejo-Garcia, A J Robert McGray, Emese Zsiros

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

6 authors.

Aaron VargheseDepartment of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United States.
Suzanne M HessDepartment of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United States.
Shanmuga ChilakapatiDepartment of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United States.
Jose R Conejo-GarciaDepartment of Integrative Immunobiology, Duke University School of Medicine, Durham, NC, United States.
A J Robert McGrayDepartment of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United States.
Emese ZsirosDepartment of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tertiary lymphoid structures (TLS) are organized ectopic lymphoid clusters of immune cells that develop in non-lymphoid tissue to promote antigen presentation, drive cytotoxic immune responses, and enhance humoral immunity via B cell clonal expansion. Their presence within the tumor microenvironment (TME) correlates with increased patient survival and an improved response to immune checkpoint inhibitors (ICIs), positioning TLS as potential predictive and prognostic biomarkers. Despite the widespread use of ICIs across various cancers, their effectiveness remains limited in gynecological malignancies, including ovarian cancer (OC), a notably challenging disease characterized by poor responses to both single and combination ICI therapies. Interestingly, the infiltration of T cells into the OC TME is linked to enhanced progression-free survival (PFS) and overall survival (OS), yet an immunosuppressive TME frequently impedes therapeutic efficacy, suggesting cell activity within localized immune niches can impact antitumor immunity. This review explores the roles of TLS, their maturity, functionality, identification, and related gene signatures; specific immune cells and cytokines that play a role in TLS formation and antitumor response; and other modifiable elements, including gut microbiota, that may drive improving OC survival by leveraging a TLS-driven antitumor response to bolster immunotherapy outcomes.

Indexed as

ImmunotherapyOvarian NeoplasmsTertiary Lymphoid StructuresAnimalsFemaleHumansImmune Checkpoint InhibitorsLymphocytes, Tumor-InfiltratingTumor MicroenvironmentImmune Checkpoint Inhibitorsbiomarkersgut microbiomeimmunotherapyovarian cancertertiary lymphoid structurestumor microenvironment

Identifiers

PMID40475770
PMCPMC12137288

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.