Evidence map›Paper›PMID 41799509›Full record

ArticleOncology research2026

TDO2-Associated Tryptophan Metabolism Correlates with Impaired Tertiary Lymphoid Structure Maturation and Reduced B Cell Class Switching in Breast Cancer.

Weiping Yang, Wei Xiao, Wenhao Xu, Lijun Ren, Xian Li, Junhua Yu, Ronghua Wang

Abstract read
In one paragraph

Article in Oncology research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

7 authors.

Weiping YangDepartment of Breast and Thyroid Surgery, Qingdao Chengyang People's Hospital, Qingdao, 266109, China.
Wei XiaoDepartment of Hematology, The Seventh Affiliated Hospital, Sun Yat-sen University, Guangdong, 518107, China.
Wenhao XuDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China.
Lijun RenDepartment of Breast and Thyroid Surgery, Qingdao Chengyang People's Hospital, Qingdao, 266109, China.
Xian LiDepartment of Breast and Thyroid Surgery, Qingdao Chengyang People's Hospital, Qingdao, 266109, China.
Junhua YuDepartment of Breast and Thyroid Surgery, Qingdao Chengyang People's Hospital, Qingdao, 266109, China.
Ronghua WangRudong People's Hospital/Affiliated Rudong Hospital of Xinglin College, Nantong University, Nantong, 226007, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tertiary lymphoid structures (TLSs) promote antitumor immunity and predict favorable immunotherapy outcomes in breast cancer. The study aimed to investigate how Tryptophan 2,3-dioxygenase (TDO2)-associated tryptophan metabolism influences TLS maturation and B cell class switching in breast cancer. Methods: Bulk transcriptomic data from The Cancer Genome Atlas-Breast Invasive Carcinoma (TCGA-BRCA, Results: We identified that elevated tryptophan metabolism was predominantly enriched in the Luminal A subtype and delineates an immune-cold phenotype with less immunogenicity, associated with a distinct immune-dominant cellular microenvironment, particularly enriched in T and plasma cells. High expression of the tryptophan-metabolizing enzyme TDO2 was significantly enriched in TLS-low tumors and negatively correlated with TLS maturation signatures. Functional enrichment revealed suppressed B cell class switching and attenuated C-X-C motif chemokine ligand 9 (CXCL9) expression in TLS-deficient tumors. Spatial transcriptomics and hotspot analysis demonstrated an inverse spatial correlation between TDO2 expression and TLS core components. Tumors with high tryptophan metabolism showed decreased cluster of differentiation 20 (CD20) Conclusion: In conclusion, our findings suggest that TDO2-associated tryptophan metabolism is linked to impaired TLS maturation and suppressed B cell class switching in breast cancer. Targeting the TDO2-kynurenine axis may represent a promising strategy to restore TLS formation and enhance immunotherapy responsiveness in breast cancer.

Indexed as

B-LymphocytesBreast NeoplasmsTertiary Lymphoid StructuresTryptophanTryptophan OxygenaseFemaleGene Expression Regulation, NeoplasticHumansLymphocytes, Tumor-InfiltratingSpatial TranscriptomicsTumor MicroenvironmentTryptophanTryptophan Oxygenasearyl hydrocarbon receptor (AhR)breast cancerkynurenineSpatial transcriptomicstertiary lymphoid structures (TLS)tryptophan 2,3-dioxygenase (TDO2)tumor immune microenvironment

Identifiers

PMID41799509
PMCPMC12963687

What Socratic holds

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LicenceCC BY
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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.