1. Academic Validation
  2. B cells disrupt tertiary lymphoid structure formation and suppress anti-tumor immunity

B cells disrupt tertiary lymphoid structure formation and suppress anti-tumor immunity

  • Cancer Cell. 2026 Mar 9;44(3):551-566.e17. doi: 10.1016/j.ccell.2025.12.011.
Changhao Chen 1 Mingjie An 2 Hanhao Zheng 2 Mingrui Pang 2 Yuanlong Li 2 Xiayao Diao 3 Yuming Luo 4 Yan Lin 2 Daiyin Liu 2 Wenjie Li 2 Jiancheng Chen 2 Zhicong Liu 2 Zewei Chen 2 Anhong Hu 2 Wenlong Zhong 2 Jian Huang 2 Tianxin Lin 5
Affiliations

Affiliations

  • 1 Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P.R. China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, State Key Laboratory of Oncology in South China, Guangzhou, Guangdong, P.R. China. Electronic address: [email protected].
  • 2 Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P.R. China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, State Key Laboratory of Oncology in South China, Guangzhou, Guangdong, P.R. China.
  • 3 Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P.R. China.
  • 4 Department of General Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, P.R. China.
  • 5 Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P.R. China; Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, State Key Laboratory of Oncology in South China, Guangzhou, Guangdong, P.R. China. Electronic address: [email protected].
Abstract

Tertiary lymphoid structures (TLSs) promote antigen-specific anti-tumor immunity, but the regulators of TLSs homeostasis in Cancer remain unclear. Using single-cell RNA-sequencing and spatial transcriptomics, we identify an IGLL5+ B cell subset in bladder Cancer (BCa). In genetically engineered and humanized mouse models, these IGLL5+ B cells disrupt TLS's integrity and impair immunotherapy responses. Mechanistically, IGLL5+ B cells bind high endothelial venules (HEVs) via IGLL5-LTβR ligand-receptor interactions, with IGLL5 inducing a conformational change in LTβR that inhibits non-canonical NF-κB signaling, leading to TLSs disassembly. Clinically, blocking IGLL5 preserves TLSs and enhances immunotherapy efficacy in patient-derived xenograft (PDX) and pan-cancer models. Our findings suggest that targeting IGLL5+ B cells offers a promising strategy to boost TLS-dependent Cancer Immunotherapy.

Keywords

IGLL5(+) B cells; LTβR; bladder cancer; high endothelial venules; immunotherapy; tertiary lymphoid structures.

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