Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer

Gastric cancer is a common malignant tumor of the digestive tract, and its treatment remains a significant challenge. In recent years, the role of various immune cells in the tumor microenvironment in cancer progression and treatment has gained increasing attention. Immunotherapy, primarily based on...

Full description

Saved in:
Bibliographic Details
Main Authors: Weiyi Chen, Lingli Zhang, Man Gao, Ning Zhang, Rumeng Wang, Yang Liu, Yan Niu, Lizhou Jia
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519034/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841556622104592384
author Weiyi Chen
Lingli Zhang
Man Gao
Ning Zhang
Rumeng Wang
Yang Liu
Yan Niu
Lizhou Jia
Lizhou Jia
author_facet Weiyi Chen
Lingli Zhang
Man Gao
Ning Zhang
Rumeng Wang
Yang Liu
Yan Niu
Lizhou Jia
Lizhou Jia
author_sort Weiyi Chen
collection DOAJ
description Gastric cancer is a common malignant tumor of the digestive tract, and its treatment remains a significant challenge. In recent years, the role of various immune cells in the tumor microenvironment in cancer progression and treatment has gained increasing attention. Immunotherapy, primarily based on immune checkpoint inhibitors, has notably improved the prognosis of patients with gastric cancer; however, challenges regarding therapeutic efficacy persist. Histological features within the tumor microenvironment, such as tertiary lymphoid structures (TLSs), tumor-infiltrating lymphocytes, and the proportion of intratumoral stroma, are emerging as potentially effective prognostic factors. In gastric cancer, TLSs may serve as local immune hubs, enhancing the ability of immune cells to interact with and recognize tumor antigens, which is closely linked to the effectiveness of immunotherapy and improved survival rates in patients. However, the specific cell type driving TLS formation in tumors has not yet been elucidated. Mature TLSs are B-cell regions containing germinal centers. During germinal center formation, B cells undergo transformations to become mature cells with immune function, exerting anti-tumor effects. Therefore, targeting B cells within TLSs could provide new avenues for gastric cancer immunotherapy. This review, combined with current research on TLSs and B cells in gastric cancer, elaborates on the relationship between TLSs and B cells in the prognosis and immunotherapy of patients with gastric cancer, aiming to provide effective guidance for precise immunotherapy.
format Article
id doaj-art-1326bb98e8e4441fae26445513252ba3
institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-1326bb98e8e4441fae26445513252ba32025-01-07T06:51:18ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15190341519034Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancerWeiyi Chen0Lingli Zhang1Man Gao2Ning Zhang3Rumeng Wang4Yang Liu5Yan Niu6Lizhou Jia7Lizhou Jia8Basic Medical Sciences, Inner Mongolia Medical University, Hohhot, Inner Mongolia, ChinaCollege of Veterinary Medicine, Inner Mongolia Agricultural University, Hohhot, Inner Mongolia, ChinaBayannur Clinical Medical College, Inner Mongolia Medical University, Hohhot, Inner Mongolia, ChinaCentral Laboratory, Bayannur Hospital, Bayannur, Inner Mongolia, ChinaCentral Laboratory, Bayannur Hospital, Bayannur, Inner Mongolia, ChinaCentral Laboratory, Bayannur Hospital, Bayannur, Inner Mongolia, ChinaMedical Experiment Center, Inner Mongolia Medical University, Hohhot, Inner Mongolia, ChinaCentral Laboratory, Bayannur Hospital, Bayannur, Inner Mongolia, ChinaMedical Experiment Center, Inner Mongolia Medical University, Hohhot, Inner Mongolia, ChinaGastric cancer is a common malignant tumor of the digestive tract, and its treatment remains a significant challenge. In recent years, the role of various immune cells in the tumor microenvironment in cancer progression and treatment has gained increasing attention. Immunotherapy, primarily based on immune checkpoint inhibitors, has notably improved the prognosis of patients with gastric cancer; however, challenges regarding therapeutic efficacy persist. Histological features within the tumor microenvironment, such as tertiary lymphoid structures (TLSs), tumor-infiltrating lymphocytes, and the proportion of intratumoral stroma, are emerging as potentially effective prognostic factors. In gastric cancer, TLSs may serve as local immune hubs, enhancing the ability of immune cells to interact with and recognize tumor antigens, which is closely linked to the effectiveness of immunotherapy and improved survival rates in patients. However, the specific cell type driving TLS formation in tumors has not yet been elucidated. Mature TLSs are B-cell regions containing germinal centers. During germinal center formation, B cells undergo transformations to become mature cells with immune function, exerting anti-tumor effects. Therefore, targeting B cells within TLSs could provide new avenues for gastric cancer immunotherapy. This review, combined with current research on TLSs and B cells in gastric cancer, elaborates on the relationship between TLSs and B cells in the prognosis and immunotherapy of patients with gastric cancer, aiming to provide effective guidance for precise immunotherapy.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519034/fullgastric cancertertiary lymphoid structureB cellsimmunotherapyclinical application
spellingShingle Weiyi Chen
Lingli Zhang
Man Gao
Ning Zhang
Rumeng Wang
Yang Liu
Yan Niu
Lizhou Jia
Lizhou Jia
Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer
Frontiers in Immunology
gastric cancer
tertiary lymphoid structure
B cells
immunotherapy
clinical application
title Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer
title_full Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer
title_fullStr Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer
title_full_unstemmed Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer
title_short Role of tertiary lymphoid structures and B cells in clinical immunotherapy of gastric cancer
title_sort role of tertiary lymphoid structures and b cells in clinical immunotherapy of gastric cancer
topic gastric cancer
tertiary lymphoid structure
B cells
immunotherapy
clinical application
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519034/full
work_keys_str_mv AT weiyichen roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT linglizhang roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT mangao roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT ningzhang roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT rumengwang roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT yangliu roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT yanniu roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT lizhoujia roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer
AT lizhoujia roleoftertiarylymphoidstructuresandbcellsinclinicalimmunotherapyofgastriccancer