ArticleFrontiers in immunology2026
Spatial transcriptomics and histopathological analyses reveal potential biomarkers and immune features linked to recurrence in head and neck cancer.
Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Head and neck cancers (HNCs) are aggressive malignancies, with recurrence contributing substantially to poor patient outcomes. We used spatial transcriptomics to identify tumour and immune features associated with recurrence. Methods: Pathologist-annotated tumour and stromal regions from recurrent and non-recurrent HNC samples were analysed using spatially resolved transcriptomics. Exploratory differential expression analysis was used to nominate tumour-associated candidate markers for recurrence. Selected candidates were assessed by immunohistochemistry and further evaluated using independent spatial transcriptomic and bulk RNA-sequencing cohorts. Immune-cell abundance and spatial co-localisation were also examined. Results: Discussion: Spatial transcriptomics identified tumour-intrinsic and immune microenvironmental features associated with HNC recurrence. PAEP emerged as the most reproducible candidate biomarker across internal and external cohorts and may be associated with reduced B-cell and plasma-cell infiltration. These findings support further validation of PAEP and related immune signatures for recurrence-risk stratification and personalised treatment.
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