Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx

Background<p>Tertiary lymphoid structures (TLSs) are linked to prognosis in esophageal squamous cell carcinoma (ESCC), but whether the distribution, abundance, and maturity of TLSs affect therapeutic efficacy and prognosis in ESCC treated with neoadjuvant chemoradiotherapy plus immunotherapy (...

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Main Author: Ke Zhai (22107574) (author)
Other Authors: Ru Xie (4850122) (author), Kun Ru (832741) (author), Miaoqing Zhao (4381246) (author)
Published: 2025
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_version_ 1855367816448835584
author Ke Zhai (22107574)
author2 Ru Xie (4850122)
Kun Ru (832741)
Miaoqing Zhao (4381246)
author2_role author
author
author
author_facet Ke Zhai (22107574)
Ru Xie (4850122)
Kun Ru (832741)
Miaoqing Zhao (4381246)
author_role author
dc.creator.none.fl_str_mv Ke Zhai (22107574)
Ru Xie (4850122)
Kun Ru (832741)
Miaoqing Zhao (4381246)
dc.date.none.fl_str_mv 2025-08-22T08:20:44Z
dc.identifier.none.fl_str_mv 10.3389/fimmu.2025.1616247.s001
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Data_Sheet_1_Tertiary_lymphoid_structures_correlate_with_the_therapeutic_efficacy_and_prognosis_of_resectable_esophageal_squamous_cell_carcinoma_undergoing_neoadjuvant_chemoradiotherapy_plus_immunotherapy_docx/29966389
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Genetic Immunology
tertiary lymphoid structures
esophageal squamous cell carcinoma
neoadjuvant therapy
immunotherapy
chemoradiotherapy
multiplex immunofluorescence
tumor biomarker
prognosis
dc.title.none.fl_str_mv Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description Background<p>Tertiary lymphoid structures (TLSs) are linked to prognosis in esophageal squamous cell carcinoma (ESCC), but whether the distribution, abundance, and maturity of TLSs affect therapeutic efficacy and prognosis in ESCC treated with neoadjuvant chemoradiotherapy plus immunotherapy (NRCI) remains unclear. We explored TLS characteristics and correlated them with patient survival.</p>Methods<p>A total of 157 resectable ESCC patients treated with neoadjuvant therapy between September 2020 and May 2023 were divided into NRCI (n=49) and neoadjuvant chemoimmunotherapy (NCI, n=108) groups. Multiplex immunofluorescence (mIHC) was employed to compare the spatial distribution and cellular composition of TLSs in the NRCI (n=40) and NCI (n=40) groups. A TLSs scoring system assessed TLSs abundance and maturity across intratumoral regions (T regions), invasive margins (IM regions), and peritumoral regions (P regions). The differences in overall survival (OS) and disease-free survival (DFS) between the two groups were analyzed. Furthermore, whole-exome sequencing (WES) on 20 untreated ESCC samples examined the relationship between TLS infiltration and genetic mutations.</p>Results<p>The OS and DFS in the NRCI group were significantly superior to the NCI group, with a higher rate of major pathological response (MPR). MPR patients exhibited significantly longer OS and DFS, suggesting that NRCI therapy substantially enhanced patient outcomes (all P<0.05). TLSs abundance exhibited varying immune effects in different tissue regions: intratumoral and invasive margin TLSs abundance was significantly associated with longer OS, while peritumoral TLSs abundance was linked to a shorter OS (all P<0.05). Highly mature TLSs (M-TLSs) were closely associated with a better OS (all P<0.05). In the NRCI group, M-TLSs showed higher proportions of CD20<sup>+</sup>Ki-67<sup>+</sup> B cells, CD21<sup>+</sup> dendritic cells (DCs), CD4<sup>+</sup>Ki-67<sup>+</sup> helper T cells (Th), and CD8<sup>+</sup>Ki-67<sup>+</sup> cytotoxic T cells compared to the NCI group (all P<0.05), indicating that NRCI therapy enhanced antitumor immune responses.</p>Conclusion<p>NRCI therapy significantly enhanced the prognosis of resectable ESCCs compared to NCI therapy. The distribution and abundance of TLSs were clearly associated with OS in ESCCs and acted as independent prognostic indicators for OS in NRCI therapy. NRCI therapy extended OS and bolstered antitumor immune responses by facilitating the proliferation and activation of M-TLSs.</p>
eu_rights_str_mv openAccess
id Manara_a713906ff08e4c8545ede2624dd3a475
identifier_str_mv 10.3389/fimmu.2025.1616247.s001
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/29966389
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docxKe Zhai (22107574)Ru Xie (4850122)Kun Ru (832741)Miaoqing Zhao (4381246)Genetic Immunologytertiary lymphoid structuresesophageal squamous cell carcinomaneoadjuvant therapyimmunotherapychemoradiotherapymultiplex immunofluorescencetumor biomarkerprognosisBackground<p>Tertiary lymphoid structures (TLSs) are linked to prognosis in esophageal squamous cell carcinoma (ESCC), but whether the distribution, abundance, and maturity of TLSs affect therapeutic efficacy and prognosis in ESCC treated with neoadjuvant chemoradiotherapy plus immunotherapy (NRCI) remains unclear. We explored TLS characteristics and correlated them with patient survival.</p>Methods<p>A total of 157 resectable ESCC patients treated with neoadjuvant therapy between September 2020 and May 2023 were divided into NRCI (n=49) and neoadjuvant chemoimmunotherapy (NCI, n=108) groups. Multiplex immunofluorescence (mIHC) was employed to compare the spatial distribution and cellular composition of TLSs in the NRCI (n=40) and NCI (n=40) groups. A TLSs scoring system assessed TLSs abundance and maturity across intratumoral regions (T regions), invasive margins (IM regions), and peritumoral regions (P regions). The differences in overall survival (OS) and disease-free survival (DFS) between the two groups were analyzed. Furthermore, whole-exome sequencing (WES) on 20 untreated ESCC samples examined the relationship between TLS infiltration and genetic mutations.</p>Results<p>The OS and DFS in the NRCI group were significantly superior to the NCI group, with a higher rate of major pathological response (MPR). MPR patients exhibited significantly longer OS and DFS, suggesting that NRCI therapy substantially enhanced patient outcomes (all P<0.05). TLSs abundance exhibited varying immune effects in different tissue regions: intratumoral and invasive margin TLSs abundance was significantly associated with longer OS, while peritumoral TLSs abundance was linked to a shorter OS (all P<0.05). Highly mature TLSs (M-TLSs) were closely associated with a better OS (all P<0.05). In the NRCI group, M-TLSs showed higher proportions of CD20<sup>+</sup>Ki-67<sup>+</sup> B cells, CD21<sup>+</sup> dendritic cells (DCs), CD4<sup>+</sup>Ki-67<sup>+</sup> helper T cells (Th), and CD8<sup>+</sup>Ki-67<sup>+</sup> cytotoxic T cells compared to the NCI group (all P<0.05), indicating that NRCI therapy enhanced antitumor immune responses.</p>Conclusion<p>NRCI therapy significantly enhanced the prognosis of resectable ESCCs compared to NCI therapy. The distribution and abundance of TLSs were clearly associated with OS in ESCCs and acted as independent prognostic indicators for OS in NRCI therapy. NRCI therapy extended OS and bolstered antitumor immune responses by facilitating the proliferation and activation of M-TLSs.</p>2025-08-22T08:20:44ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fimmu.2025.1616247.s001https://figshare.com/articles/dataset/Data_Sheet_1_Tertiary_lymphoid_structures_correlate_with_the_therapeutic_efficacy_and_prognosis_of_resectable_esophageal_squamous_cell_carcinoma_undergoing_neoadjuvant_chemoradiotherapy_plus_immunotherapy_docx/29966389CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299663892025-08-22T08:20:44Z
spellingShingle Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
Ke Zhai (22107574)
Genetic Immunology
tertiary lymphoid structures
esophageal squamous cell carcinoma
neoadjuvant therapy
immunotherapy
chemoradiotherapy
multiplex immunofluorescence
tumor biomarker
prognosis
status_str publishedVersion
title Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
title_full Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
title_fullStr Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
title_full_unstemmed Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
title_short Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
title_sort Data Sheet 1_Tertiary lymphoid structures correlate with the therapeutic efficacy and prognosis of resectable esophageal squamous cell carcinoma undergoing neoadjuvant chemoradiotherapy plus immunotherapy.docx
topic Genetic Immunology
tertiary lymphoid structures
esophageal squamous cell carcinoma
neoadjuvant therapy
immunotherapy
chemoradiotherapy
multiplex immunofluorescence
tumor biomarker
prognosis