Evidence map›Paper›PMID 41727472›Full record

ReviewFrontiers in immunology2026

The tumor microenvironment in leukemia: molecular pathways of immune evasion.

Ying Zhu, Jinying Liu, Fang Qiu, Zhongjian You, Zhirui Liu, Jiqiang Zeng, Jinqiong Zhong, Ziling Song, Shanrong Zhang, Jiawei Lu and 4 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. 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

14 authors.

Ying ZhuDepartment of Blood Transfusion, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
Jinying LiuBasic Medical College of Gannan Medical University, Ganzhou, Jiangxi, China.
Fang QiuDepartment of Blood Transfusion, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
Zhongjian YouSchool of Medical Technology, Gannan Medical University, Ganzhou, Jiangxi, China.
Zhirui LiuInstitute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Jiqiang ZengSchool of Medical Technology, Gannan Medical University, Ganzhou, Jiangxi, China.
Jinqiong ZhongDepartment of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
Ziling SongSchool of Medical Technology, Gannan Medical University, Ganzhou, Jiangxi, China.
Shanrong ZhangThe First Clinical Medical School of Gannan Medical University, Ganzhou, Jiangxi, China.
Jiawei LuThe First Clinical Medical School of Gannan Medical University, Ganzhou, Jiangxi, China.
Yujie JiangSchool of Medical Technology, Gannan Medical University, Ganzhou, Jiangxi, China.
Jianshuo LiuSchool of Medical Technology, Gannan Medical University, Ganzhou, Jiangxi, China.
Zhimin YanDepartment of Hematology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
Chen LuSchool of Medical Technology, Gannan Medical University, Ganzhou, Jiangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The interplay between the immune system and leukemia presents major challenges to effective therapy development. This Review examines mechanisms of immune evasion across leukemia subtypes, emphasizing T-cell exhaustion, regulatory T cells (Tregs), and antigen-presentation deficits. Globally, leukemia remains a significant burden, with approximately 460,000 new cases and 320,000 deaths estimated in 2021 alone. Recent studies reveal how the tumor microenvironment (TME) shapes immune behavior and how leukemic cells remodel it to support survival and therapeutic resistance. We illustrate these adaptive processes, highlighting the contributions of the bone-marrow niche and B-cell dysregulation in chronic lymphocytic leukemia (CLL). We further discuss implications for immunotherapy, noting that agents like magrolimab (anti-CD47) combined with azacitidine have demonstrated objective response rates (ORR) exceeding 80% in early-phase AML trials, though challenges such as on-target anemia persist. By integrating current evidence from preclinical metabolic profiling to Phase 3 clinical data on E-selectin inhibition (uproleselan)-we clarify the immune landscape of leukemia and outline avenues for innovative treatments. Ultimately, this Review underscores the need for multifaceted immunotherapeutic approaches that account for the complex interactions within the TME.

Indexed as

LeukemiaTumor EscapeTumor MicroenvironmentAnimalsHumansImmunotherapyT-Cell ExhaustionT-Lymphocytes, Regulatorybone marrow nicheimmune evasionimmunotherapyleukemiaT-cell exhaustiontherapeutic resistancetumor microenvironment

Identifiers

PMID41727472
PMCPMC12920481

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.