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Analyses of 343,829 cells from biopsy and blood samples and spatial data from 15 tumours identify key TLS populations, including CXCL13+ cancer-associated fibroblasts, CXCL13+ stem-like CD8+ T cells, and B/T follicular helper cells. Germinal centre maturation generates plasma cells that intersperse with tumour aggregates, promoting apoptosis of EBV-related malignant cells and enhancing immunotherapy response. CXCL13+ fibroblasts support B-cell adhesion and antibody production while triggering CXCL13+CD8+ T-cell activation that becomes exhausted within aggregates. TLS-related signatures correlate with prognosis and PD-1 blockade benefit, informing therapeutic strategies.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/single-cell-and-spatial-transcriptome-analyses-reveal-tertiary-lymphoid-structures-linked-to-tumour-progression-and-immunotherapy-response-in-nasopharyngeal-carcinoma/332432/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/single-cell-and-spatial-transcriptome-analyses-reveal-tertiary-lymphoid-structures-linked-to-tumour-progression-and-immunotherapy-response-in-nasopharyngeal-carcinoma/332432.png","ImageObject",300,407,{"name":92,"@type":93},"Asher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the main goal of the study in nasopharyngeal carcinoma?","Question",{"text":113,"@type":114},"To determine the cellular composition, formation, and function of tertiary lymphoid structures and relate them to tumour progression and immunotherapy response using single-cell and spatial transcriptomics.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which key cell populations are identified as essential for TLS in this work?",{"text":118,"@type":114},"The study highlights CXCL13+ cancer-associated fibroblasts, stem-like CXCL13+CD8+ T cells, and B and T follicular helper cells.",{"name":120,"@type":111,"acceptedAnswer":121},"How do plasma cells and TLS activity affect tumour cells and treatment response?",{"text":122,"@type":114},"Germinal-centre reactions mature plasma cells that intersperse with tumour aggregates, promote apoptosis of EBV-related malignant cells, and enhance immunotherapy response; TLS-related signatures correlate with prognosis and PD-1 blockade outcomes.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},332432,1790170738,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Article [https://doi.org/10.1038/s41467-024-52153-4](https://doi.org/10.1038/s41467-024-52153-4)  \nSingle-cell and spatial transcriptome analyses reveal tertiary lymphoid structures linked to tumour progression and immunotherapy response innasopharyngeal carcinoma  \nReceived: 13 July 2023  \n\n| Accepted: 22 August 2024 |\n| --- |\n| |\n| Check for updates |\n\nYang Liu1,10, Shuang-Yan Ye2,10, Shuai He 1,10, Dong-Mei Chi 1,3,10,  \nXiu-Zhi Wang1,10, Yue-Feng Wen4, Dong Ma1, Run-Cong Nie1, Pu Xiang1, You Zhou1, Zhao-Hui Ruan1, Rou-Jun Peng1, Chun-Ling Luo 1, Pan-Pan Wei1, Guo-Wang Lin5, Jian Zheng 1, Qian Cui6, Mu-Yan Cai 1, Jing-Ping Yun 1, Junchao Dong7, Hai-Qiang Mai 1, Xiaojun Xia 1 & Jin-Xin Bei 1,8,9   \nTertiary lymphoid structures are immune cell aggregates linked with cancer outcomes, but their interactions with tumour cell aggregates are unclear. Using nasopharyngeal carcinoma as a model, here we analyse single-cell transcriptomes of 343,829 cells from 77 biopsy and blood samples and spatially-resolved transcriptomes of 31,316 spots from 15 tumours to decipher their components and interactions with tumour cell aggregates. We identify essential cell populations in tertiary lymphoid structure, including CXCL13+ cancer-associated ﬁbroblasts, stem-like CXCL13+CD8+ T cells, and B and T follicular helper cells. Our study shows that germinal centre reaction matures plasma cells. These plasma cells intersperse with tumour cell aggregates, promoting apoptosis of EBV-related malignant cells and enhancing immunotherapy response. CXCL13+ cancer-associated ﬁbroblasts promote B cell adhesion and antibody production, activating CXCL13+CD8+ T cells that become exhausted in tumour cell aggregates. Tertiary lymphoid structurerelated cell signatures correlate with prognosis and PD-1 blockade response, offering insights for therapeutic strategies in cancers.  \nImmune cell inﬁltration is a common pathological observation in cancer, where tumoral, immune, and stromal cells, as well as extracellular components, are assembled to form a tumour microenvironment (TME). The organisation of these components is essential to an effective immunity against tumour1. Tertiary lymphoid structure (TLS) represents such a well-organised ectopic compartment of immune cells that develops in inﬂamed, infected, or tumoral tissues2,3. Initially, both T and B cell zones are characterised in TLS using  \nimmunohistochemistry (IHC) assays4. Subsequently, several studies reveal that TLSs also contain antigen-presenting cells (APCs) as regulators andstromal cells as supportive infrastructures5, in addition toT follicular helper(Tfh)cells and follicular dendritic cells(FDC)closetoB cells6. Recently, single-cell RNA sequencing and spatial transcriptomics studies reveal speciﬁc cell populations of TLS in tumours, such as CXCL13+ T-helper cells in ovarian cancer7, SEMA4A+ germinal centre (GC) B cells in head and neck squamous cell carcinoma8, and CXCL12+  \nA full list of afﬁliations appears at the end of the paper. e-mail: [beijx@sysucc.org.cn](beijx@sysucc.org.cn)  \nﬁbroblasts in renal cell cancer9. These ﬁndings suggest a complicated and heterogeneous composition of TLS in tumours from different technological perspectives, which await further investigations with larger sample sizes and cutting-edge technologies under higher resolution.  \nGC is a crucial feature of matured TLSs in tumours and is a wellknown compartment for the selective activation and ampliﬁcation of B cell clonesand the production oflong-lived plasma cells6. Although the coexistence of GC B cells and tumour-inﬁltrating B or plasma cells has been demonstrated in multiple tumours9–11, little is known about the dynamic features of GC reaction and developmental trajectories of B cells within the tumours, especially at TLSs. A recent study has demonstrated GC B cells characterised by a continuum of gene expression states spanning the dark-light zone axis12,13. Apart from GC reaction, multiple cellular components, in","cbCaijITzyE9FL0r","https://ap.wps.com/l/cbCaijITzyE9FL0r","pdf",5580758,22,"English","# Introduction\n## Tumour microenvironment and TLS significance\n# Methods and Study Design\n## Single-cell and spatial transcriptome profiling in NPC\n# Key Findings\n## Essential TLS cell populations\n## Germinal centre maturation and plasma-cell function\n## CXCL13+ fibroblast, B-cell, and CD8+ T-cell interactions\n## Clinical correlations with prognosis and PD-1 blockade response\n# Background and Rationale\n## GC reaction and TLS composition in tumours\n## Unresolved questions in human tumour TLS dynamics","[{\"question\":\"What is the main goal of the study in nasopharyngeal carcinoma?\",\"answer\":\"To determine the cellular composition, formation, and function of tertiary lymphoid structures and relate them to tumour progression and immunotherapy response using single-cell and spatial transcriptomics.\"},{\"question\":\"Which key cell populations are identified as essential for TLS in this work?\",\"answer\":\"The study highlights CXCL13+ cancer-associated fibroblasts, stem-like CXCL13+CD8+ T cells, and B and T follicular helper cells.\"},{\"question\":\"How do plasma cells and TLS activity affect tumour cells and treatment response?\",\"answer\":\"Germinal-centre reactions mature plasma cells that intersperse with tumour aggregates, promote apoptosis of EBV-related malignant cells, and enhance immunotherapy response; TLS-related signatures correlate with prognosis and PD-1 blockade outcomes.\"}]","Single-cell and spatial transcriptome analyses reveal tertiary lymphoid structures linked to tumour progression and immunotherapy response in nasopharyngeal carcinoma | PDF",1789998169,55]