Evidence map›Paper›PMID 40897851›Full record

ArticleNPJ digital medicine2025

Machine learning analysis reveals tumor heterogeneity and stromal-immune niches in breast cancer.

Junjie Kuang, Guofang Zhong, Linfeng Zhao, Xia Yuan, Yundong Zhou, Jun Li

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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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.

Junjie Kuang *Cancer Center, Huizhou First Hospital, Huizhou, Guangdong, China.
Guofang Zhong *The Second Department of Cancer Center, Huizhou First Hospital, Huizhou, Guangdong, China.
Linfeng Zhao *The Second Department of Cancer Center, Huizhou First Hospital, Huizhou, Guangdong, China.
Xia YuanCancer Center, Huizhou First Hospital, Huizhou, Guangdong, China.
Yundong ZhouCancer Center, Huizhou First Hospital, Huizhou, Guangdong, China. zyundongss@foxmail.com.
Jun LiCancer Center, Huizhou First Hospital, Huizhou, Guangdong, China. lijun_zlnk@163.com.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515140039Huizhou Science and Technology Research and Development Program 2024CZ010001Research Cultivation and Innovation Fund of Huizhou First Hospital 2024QN001
6 · The paper itself

Abstract

Breast cancer is a leading cause of cancer-related mortality, with tumor heterogeneity and drug resistance posing significant challenges to treatment. We integrated single-cell RNA sequencing, spatial transcriptomics, and bulk RNA-seq deconvolution to analyze BRCA samples. Our analysis identified 15 major cell clusters, including neoplastic epithelial, immune, stromal, and endothelial populations. Notably, low-grade tumors showed enriched subtypes, such as CXCR4+ fibroblasts, IGKC+ myeloid cells, and CLU+ endothelial cells, with distinct spatial localization and immune-modulatory functions. These subtypes were paradoxically linked to reduced immunotherapy responsiveness, despite their association with favorable clinical features. High-grade tumors exhibited reprogrammed intercellular communication, with expanded MDK and Galectin signaling. Bulk RNA-seq deconvolution further supported the prognostic significance of low-grade-enriched subtypes. Our findings highlight the heterogeneity of the tumor microenvironment and provide new insights into immune evasion and therapeutic resistance in breast cancer.

Identifiers

PMID40897851
PMCPMC12405446

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.