Spatial immune archetypes in gastric and colorectal cancer: a proposed conceptual framework for immunotherapy resistance and therapeutic remodeling - Scorecard - MDSpire

Spatial immune archetypes in gastric and colorectal cancer: a proposed conceptual framework for immunotherapy resistance and therapeutic remodeling

  • By

  • Songlin Sun

  • Yicong Zeng

  • Jiahan Chen

  • Yang Zhong

  • Tong Zhou

  • June 11, 2026

  • 0 min

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Clinical Scorecard: Immune Spatial Patterns in Gastric and Colorectal Cancers: A Conceptual Framework Addressing Resistance to Immunotherapy and Opportunities for Therapeutic Modification

At a Glance

CategoryDetail
Condition
Key MechanismsSpatial immune archetypes govern immune exclusion, metabolic suppression, local activation, and epithelial-immune contact.
Target Population
Care Setting

Key Highlights

    Guideline-Based Recommendations

    Diagnosis

    • Utilize spatial transcriptomics and multiplexed proteomics for better understanding of immune microenvironments.

    Management

    • Consider archetype-guided strategies for microenvironment remodeling in MSS/pMMR cancers.

    Monitoring & Follow-up

    • Assess spatial immune archetypes to predict immunotherapy responses.

    Risks

    • Recognize that standard profiling may not capture the complexity of immune evasion mechanisms.

    Patient & Prescribing Data

    Current therapies show limited efficacy; spatial immune architecture may provide new targets.

    Clinical Best Practices

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