Evidence map›Paper›PMID 41324886›Full record

ArticleDigestive diseases and sciences2026

High INHBB Expression Shapes an Immunosuppressive Tumor Microenvironment and Predicts Poor Prognosis in Colorectal Carcinoma.

Hiroshi Sawaguchi, Takeshi Uehara, Mai Iwaya, Shiho Asaka, Tomoyuki Nakajima, Shotaro Komamura, Shunsuke Imamura, Yugo Iwaya, Shinsuke Sugenoya, Masato Kitazawa and 3 more

Abstract read
In one paragraph

Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. The Correlation ofCancers · 2026
    Article
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

13 authors.

Hiroshi SawaguchiDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Takeshi UeharaDepartment of Laboratory Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. tuehara@shinshu-u.ac.jp.
Mai IwayaDepartment of Laboratory Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Shiho AsakaDepartment of Laboratory Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Tomoyuki NakajimaDepartment of Laboratory Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Shotaro KomamuraDepartment of Laboratory Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Shunsuke ImamuraDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Yugo IwayaDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Shinsuke SugenoyaDivision of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Masato KitazawaDivision of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Yuji SoejimaDivision of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Hiroyoshi OtaDepartment of Laboratory Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Tadanobu NagayaDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInhibin subunit beta B (INHBB), a member of the TGF-β superfamily, has emerged as a potential regulator of tumor progression and immune modulation. However, its clinical and immunological significance in colorectal cancer (CRC) remains unclear.

methodsThis study evaluated INHBB mRNA expression in 248 CRC cases using RNA in situ hybridization (RNAscope), immunohistochemistry (IHC), and single-cell RNA sequencing (scRNA-seq). Associations with clinicopathological parameters, tumor-infiltrating immune cells, and prognosis were analyzed.

resultsINHBB was primarily expressed in tumor epithelial cells and weakly in stromal cells, but was negligible in normal mucosa. High INHBB expression correlated significantly with venous invasion, lymph node metastasis, advanced TNM stage, and reduced tumor-infiltrating lymphocytes. IHC revealed marked decreases in CD4⁺, CD8⁺, and FOXP3⁺ T cells and increased CD163⁺ tumor-associated macrophages in INHBB high tumors, indicating an immunosuppressive tumor microenvironment (TME). Kaplan-Meier analysis showed that high INHBB expression was associated with worse overall survival and recurrence-free survival, but was not an independent prognostic factor in multivariate models.

conclusionINHBB is predominantly expressed in tumor epithelium and is associated with aggressive features, poor prognosis, and the formation of an immune-cold, macrophage-rich TME in CRC. These findings suggest that INHBB may be a potential biomarker for immune evasion and a target for novel immunotherapeutic strategies in CRC.

Indexed as

Colorectal NeoplasmsInhibin-beta SubunitsTumor MicroenvironmentAdultAgedBiomarkers, TumorFemaleGene Expression Regulation, NeoplasticHumansImmunohistochemistryLymphocytes, Tumor-InfiltratingMaleMiddle AgedPrognosisTumor-Associated MacrophagesBiomarkers, TumorInhibin-beta SubunitsColorectal carcinomaINHBBTumor microenvironment

Identifiers

PMID41324886
PMCPMC13201340

What Socratic holds

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LicenceCC BY-NC-ND
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.