Evidence map›Paper›PMID 41208844›Full record

ArticleWorld journal of oncology2025

A Tertiary Lymphoid Structure-Related Gene Signature Predicts Prognosis and Treatment Response in Hepatocellular Carcinoma.

Xiang Yin Kong, Xiao Hao Li, Xing Long Qiu, Ming Yu Ma, Jin Hao Liu, Zi Chun Wang, Zi Hui Meng, Shang Wei Ji

Abstract read
In one paragraph

Article in World journal of oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

8 authors.

Xiang Yin KongDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Xiao Hao LiDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Xing Long QiuDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Ming Yu MaDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Jin Hao LiuDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Zi Chun WangDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Zi Hui MengDepartment of Hepatic Biliary Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Shang Wei JiDepartment of Infectious Diseases, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hepatocellular carcinoma (HCC) carries a poor prognosis with limited treatment options. Tertiary lymphoid structures (TLS) impact tumor immunity, but their role in HCC requires clarification. This study aimed to develop and validate a TLS-related gene signature for predicting survival and therapeutic response in HCC, and to explore its mechanisms. Methods: We analyzed transcriptomic data from public databases (The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO)) using LASSO-Cox regression to identify a six-gene TLS signature (CCL20, CD200, PLAC8, DNASE1L3, C7, and SKAP1). We validated this TLS score across multiple independent HCC cohorts, including patients receiving transarterial chemoembolization (TACE), programmed cell death protein-1 (PD-1)/ligand 1 (PD-L1) inhibitors, or lenvatinib. Through single-cell RNA sequencing (scRNA-seq), we characterized immune microenvironment differences between score groups. Results: The TLS score effectively stratified patients' survival outcomes across all validation cohorts. Low TLS scores significantly correlated with improved overall survival, enhanced therapeutic response (especially to immune checkpoint inhibitors (ICIs)), and lower immune evasion potential. Mechanistically, scRNA-seq revealed distinct immune microenvironments: low-score tumors were enriched in cytotoxic and exhausted CD8 Conclusion: Our findings suggest a potential TLS-based biomarker for HCC prognosis and therapeutic response. This work offers preliminary insights into tumor immune microenvironment (TIME) heterogeneity, which may be modulated by the Treg/Tex balance, and proposes a possible tool for improving patient stratification.

Indexed as

Bioinformatics analysisHepatocellular carcinomaSingle-cell sequencingTertiary lymphoid structuresTumor immune microenvironment

Identifiers

PMID41208844
PMCPMC12591242

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.