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Related Concept Videos

The Tumor Microenvironment02:17

The Tumor Microenvironment

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Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
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Related Experiment Video

Updated: Apr 14, 2026

Author Spotlight: Multiplex Immunofluorescence Combined with Spatial Image Analysis for the Clinical and Biological Assessment of the Tumor Microenvironment
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SpaHE-Infil: A spatial heterogeneity framework for decoding TME infiltration from H&E-stained slides.

Fang Wang1,2, Hejia Xu1,3, Xue Wang3

  • 1Department of Cancer Diagnosis and Treatment Center, Affiliated Hospital of Jiangnan University, Wuxi, China.

Iscience
|April 13, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces SpaHE-Infil, a computational tool that analyzes H&E images to map immune cells in tumors. This method predicts immunotherapy response and patient survival, offering a new approach for precision cancer care.

Keywords:
BioinformaticsCancerMedicineMicroenvironment

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Area of Science:

  • Computational pathology
  • Tumor immunology
  • Precision medicine

Background:

  • Spatial distribution of immune cells in the tumor microenvironment (TME) is crucial for immunotherapy response.
  • Current methods for TME analysis are limited by sequencing dependence and spatial resolution.

Purpose of the Study:

  • To develop a multimodal computational framework, SpaHE-Infil, for accurate spatial characterization of TME immune cells using standard H&E images.
  • To validate the framework's ability to predict immunotherapy response and patient survival.

Main Methods:

  • Integrated spatial transcriptomics and whole-slide H&E images to train a Random Forest model.
  • Extracted morphological, textural, and density features to identify 12 core TME cell types in situ.
  • Employed dynamic calibration to correct immune cell proportion biases in clinical samples.

Main Results:

  • SpaHE-Infil accurately predicted spatial immune cell distribution across multiple cancer types, validated against multiplex immunohistochemistry (mIHC) and deconvolution algorithms.
  • Stratification of TME immune infiltration using H&E images predicted enhanced immunotherapy response.
  • TME immune infiltration predicted prolonged recurrence-free survival in clinical cohorts.

Conclusions:

  • SpaHE-Infil offers a clinically applicable tool for spatial TME characterization from H&E images.
  • The framework supports advancements in tumor immunology research and precision immunotherapy.
  • Spatial TME profiling using H&E images can guide clinical decision-making for cancer treatment.