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037 _ _ |a DKFZ-2026-00256
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Haist, Maximilian
|b 0
245 _ _ |a Lymph node colonization induces tissue remodeling via immunosuppressive fibroblast-myeloid cell niches supporting metastatic tolerance.
260 _ _ |a Cambridge, Mass.
|c 2026
|b Cell Press
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520 _ _ |a Lymph node (LN) colonization in cancer is linked to poor prognosis. Evidence suggests that LN colonization induces systemic immunosuppression, facilitating distant metastasis. We investigated LN-mediated immunosuppression in patients with head-and-neck cancer using spatial proteomics, spatial transcriptomics, and an in vivo model of melanoma LN metastasis. Both primary tumors and paired LNs of nodal-positive patients exhibit enhanced interferon-γ signaling and an enrichment of immunosuppressive myeloid cells and cancer-associated fibroblasts (CAFs). The spatial intersection of these myeloid-CAF-enriched niches with perifollicular T cell zones and LN follicles is linked to enhanced T cell dysfunction and Treg activation therein, thereby driving architectural LN remodeling. These immune suppressive changes extend to adjacent non-tumor-involved LN regions and nearby tumor-free LNs, but were not detected in LNs of non-cancer patients, reflecting a systemic effect that compromises anti-tumor immunity beyond the tumor-involved LN. Hence, our findings establish LN colonization as an active driver of systemic immunosuppression, facilitating metastatic progression.
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650 _ 7 |a cancer-associated fibroblasts
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650 _ 7 |a head-and-neck cancer
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650 _ 7 |a immunomodulation
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650 _ 7 |a lymph nodes
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650 _ 7 |a metastasis
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650 _ 7 |a multiplex imaging
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650 _ 7 |a spatial context
|2 Other
650 _ 7 |a spatial transcriptomics
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650 _ 7 |a tumor immune evasion
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650 _ 7 |a tumor microenvironment
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700 1 _ |a Baertsch, Marc-A
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700 1 _ |a Reticker-Flynn, Nathan E
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700 1 _ |a Lu, Guolan
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700 1 _ |a Kempchen, Tim Noah
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700 1 _ |a Chu, Pauline
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700 1 _ |a Vazquez, Gustavo
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700 1 _ |a Chen, Han
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700 1 _ |a Sunwoo, John B
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700 1 _ |a Zhang, Weiruo
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700 1 _ |a Laseinde, Eyiwunmi
|b 10
700 1 _ |a Adami, Bonny
|b 11
700 1 _ |a Zimmer, Stefanie
|b 12
700 1 _ |a Kaufman, Justus
|b 13
700 1 _ |a Le, Quynh Thu
|b 14
700 1 _ |a Gentles, Andrew J
|b 15
700 1 _ |a Kong, Christina S
|b 16
700 1 _ |a Plevritis, Sylvia K
|b 17
700 1 _ |a Goltsev, Yury
|b 18
700 1 _ |a Hickey, John W
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700 1 _ |a Nolan, Garry P
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773 _ _ |a 10.1016/j.ccell.2026.01.003
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Marc 21