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Updated: Jun 27, 2025

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Published on: January 26, 2024
Tertiary lymphoid structures in cancer: maturation and induction.
Yulu Chen1,2,3, Yuhao Wu1,2,3, Guorong Yan1,2,3
1Department of Phototherapy, Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, China.
Tertiary lymphoid structures (TLS) are key in cancer immunity. This review details TLS maturity classifications and therapeutic strategies to enhance their tumor-suppressive capacity for better cancer treatment outcomes.
Area of Science:
- Immunology
- Oncology
Background:
- Tertiary lymphoid structures (TLS) are ectopic lymphocyte aggregates found in non-lymphoid tissues, particularly in inflamed or cancerous environments.
- Tumor-associated TLS are crucial for antigen presentation and adaptive immune activation, correlating positively with prognosis in various cancers.
Purpose of the Study:
- To comprehensively review current classifications of TLS maturity.
- To summarize therapeutic strategies that can induce TLS formation in tumors.
Main Methods:
- Literature review of existing research on TLS maturity and therapeutic induction.
- Synthesis of data on TLS classification systems and treatment-induced TLS formation.
Main Results:
- Mature TLS, defined by well-developed germinal centers, demonstrate enhanced tumor-suppressive capabilities.
- Therapeutic interventions are increasingly recognized for their ability to induce TLS formation during cancer treatment.
Conclusions:
- Evaluating TLS maturity is critical for understanding their prognostic significance.
- Identifying and applying therapeutic strategies that promote TLS formation holds promise for improving cancer immunotherapy.
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