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100 1 _ |a Andrade, Augusto Faria
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245 _ _ |a A spatial map of MAPK-activated immunosuppressive myeloid populations in pediatric low-grade glioma.
260 _ _ |a London
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500 _ _ |a #EA:B310#LA:B310# / 2025 Oct;26(10):1794-1806
520 _ _ |a Pediatric low-grade gliomas (pLGGs) are mitogen-activated protein kinase (MAPK) pathway-activated brain tumors prevalent in children and are associated with morbidity despite favorable survival. Here using imaging mass cytometry, we spatially characterized at the single-cell level the tumor microenvironment (TME) of 120 pLGG cases, considering age, molecular drivers, brain location and tumor subtype. Our analysis identified myeloid cells-including resident microglia and bone marrow-derived macrophages-as the predominant immune population in the TME, particularly in optic pathway tumors. Additionally, we discovered an immune signature predictive of progression-free survival. Spatial analysis identified specific cellular interactions, notably myeloid-myeloid contacts and macrophage-enriched regions harboring MAPK-activated, TIM-3+ myeloid cells, suggesting an immunosuppressive TME. Our study provides a comprehensive resource on the immune landscape of these pLGGs and underscores the immunosuppressive role of diverse myeloid infiltrates. These findings also indicate that combining TIM-3 blockade with MAPK inhibition might be a promising therapeutic strategy to target both the TME and oncogenic MAPK activation in pLGG tumors.
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700 1 _ |a Puligandla, Evan
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700 1 _ |a Liu, Bridget
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700 1 _ |a Karimi, Elham
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700 1 _ |a Annett, Alva
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700 1 _ |a Rezanejad, Morteza
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700 1 _ |a Jawhar, Wajih
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700 1 _ |a Taylor, Robert
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700 1 _ |a Cao, Yi
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700 1 _ |a Schmid, Simone
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700 1 _ |a Horn, Svea
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700 1 _ |a Sievers, Philipp
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700 1 _ |a Prinz, Marco
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700 1 _ |a Glatzel, Markus
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700 1 _ |a Mawrin, Christian
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700 1 _ |a Hartmann, Christian
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700 1 _ |a Monoranu, Camelia-Maria
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700 1 _ |a Konnikova, Liza
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700 1 _ |a Sahm, Felix
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700 1 _ |a Koch, Arend
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700 1 _ |a Kleinman, Claudia L
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700 1 _ |a Capper, David
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700 1 _ |a Walsh, Logan
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700 1 _ |a Jabado, Nada
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