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Spatial single-cell analysis reveals tumor microenvironment signatures predictive of oral cavity cancer outcome




TekijätNäsiaho, Joni; Nissi, Linda; Ventelä, Sami; Irjala, Heikki; Salmi, Marko

Julkaisuvuosi2026

Lehti: Cell Reports Medicine

Artikkelin numero102615

Vuosikerta7

Numero2

eISSN2666-3791

DOIhttps://doi.org/10.1016/j.xcrm.2026.102615

Julkaisun avoimuus kirjaamishetkelläAvoimesti saatavilla

Julkaisukanavan avoimuus Kokonaan avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1016/j.xcrm.2026.102615

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/515723942

Rinnakkaistallenteen lisenssiCC BY NC ND

Rinnakkaistallennetun julkaisun versioKustantajan versio


Tiivistelmä
Up to 20% of patients with early-stage oral squamous cell carcinoma (OSCC) develop postoperative relapse, but no parameters currently enable the identification of individuals with poor prognosis. Here, we report a spatially resolved single-cell analysis of the tumor microenvironment in OSCC. By analyzing >700,000 cells for 25 proteins using imaging mass cytometry, we discover leukocyte and endothelial cell phenotypes that are independent prognostic factors for survival. Most notably, the presence of proliferating lymphatic endothelial cells (KI67+PROX1+), which show distinct molecular signature in transcriptomic analyses, in the invasive tumor margin strongly predicts poor recurrence-free survival in early-stage OSCC. We validate our findings in an independent OSCC cohort using an easy-to-measure KI67+PROX1+ immunostaining biomarker assay and multivariate analyses of recurrence-free, disease-specific, and overall survival. Thus, our data highlight the role of tumor microenvironment in OSCC progression and its potential impact on treatment strategies.

Ladattava julkaisu

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Julkaisussa olevat rahoitustiedot
We thank Auria Biobank for OSCC samples, Histocore for cutting sections, Turku Bioscience for IMC microscope facility, and CSC for supercomputer time. We thank Dr. Jutta Huvila for providing advice regarding OSCC histopathology. J.N. was financially supported by the TuDMM postgraduate school and the Research Council of Finland InFLAMES Flagship. M.S. obtained research funding from the Finnish Cancer Foundation, Sigrid Juselius Foundation, and InFLAMES Flagship; H.I. and S.V. from Kirsti and Tor Johanssons Hjärt och Cancerstiftelse sr and the State Research Fund for Southwest Welfare District; and S.V. from the Finnish Medical Foundation, Jane and Aatos Erkko Foundation, and the Research Council of Finland (#354599).


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