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CXCL13 as a Prognostic Biomarker and Modulator of the Tumor Microenvironment in Colorectal Cancer

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机构: [1]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Gastroenterol, Hangzhou, Zhejiang, Peoples R China [2]Shanghai Jiao Tong Univ, Renji Hosp,State Key Lab Oncogenes & Related Genes, Key Lab Gastroenterol & Hepatol,Minit Hlth,Div Gas, Shanghai Inst Digest Dis,Shanghai Canc Inst,Sch Me, Shanghai, Peoples R China [3]Zhejiang Univ, Childrens Hosp, Sch Med, Natl Clin Res Ctr Child Hlth,Dept Gen Surg, Hangzhou, Zhejiang, Peoples R China [4]Shanghai KR Pharmtech Inc Ltd, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Gastrointestinal Surg, Shanghai, Peoples R China [6]Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Sch Med, Dept Gastroenterol, Chengdu, Sichuan, Peoples R China
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关键词: chemokine CXCL13 colorectal cancer immune contexture

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ObjectivesImmunotherapy yields limited results in patients with colorectal cancer (CRC), emphasizing the need for a deeper understanding of the immune landscape within the tumor microenvironment. Although the C-X-C motif chemokine ligand 13 (CXCL13) recruits B cells and promotes tertiary lymphoid structure (TLS) formation, its immune function and prognostic value in CRC remain unclear. This study investigated the impact of CXCL13 on patient outcomes and CRC immune landscape.MethodsFour independent cohorts were recruited in this study. The Cancer Genome Atlas Program (TCGA) cohort evaluated survival differences as well as immune contexture associated with CXCL13 expression in CRC. Immunohistochemistry (IHC) in the Renji Hospital (RJ) cohort was used to validate CXCL13 and CD8 levels, while multiplex IHC assessed their spatial correlation. Two single-cell RNA sequencing (scRNA-seq) cohorts were used for evaluating the potential roles of CXCL13 and CXCL13+CD8+T cells in the immune context of CRC.ResultsOur study revealed a positive correlation between CXCL13 expression and improved survival among CRC patients. Elevated CXCL13 levels and CXCL13+CD8+T cells were linked to a favorable immune context that impeded tumor growth in CRC. Moreover, CXCL13 expression was more prevalent in microsatellite instability-high (MSI-H)/mismatch repair-deficient (MMRd) tumors, demonstrating its potential role in enhancing the response to anti-programmed death-1 ligand (PD-L1) treatment.ConclusionsCXCL13 plays a critical role in shaping a favorable immune tumor microenvironment in CRC. Further research should elucidate how CXCL13 modulates CD8+T cell function to improve antitumor immunity.

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基金编号: 82002487 82202359 82103246 82472889 82302890 2019M660142 2020T130586 2025ZNSFSC0716

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大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
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大类 | 4 区 医学
小类 | 4 区 胃肠肝病学
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Q3 GASTROENTEROLOGY & HEPATOLOGY
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Q3 GASTROENTEROLOGY & HEPATOLOGY

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第一作者机构: [1]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Gastroenterol, Hangzhou, Zhejiang, Peoples R China [2]Shanghai Jiao Tong Univ, Renji Hosp,State Key Lab Oncogenes & Related Genes, Key Lab Gastroenterol & Hepatol,Minit Hlth,Div Gas, Shanghai Inst Digest Dis,Shanghai Canc Inst,Sch Me, Shanghai, Peoples R China
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通讯机构: [1]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Gastroenterol, Hangzhou, Zhejiang, Peoples R China [2]Shanghai Jiao Tong Univ, Renji Hosp,State Key Lab Oncogenes & Related Genes, Key Lab Gastroenterol & Hepatol,Minit Hlth,Div Gas, Shanghai Inst Digest Dis,Shanghai Canc Inst,Sch Me, Shanghai, Peoples R China
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