Immune heterogeneity and therapeutic resistance in gynecological malignancies - Summary - MDSpire

Immune heterogeneity and therapeutic resistance in gynecological malignancies

  • By

  • Mengyi Zhang

  • Binhan Guo

  • June 22, 2026

  • 0 min

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Objective:

To summarize recent advances in single-cell sequencing across cervical, ovarian, and endometrial cancers, focusing on immune heterogeneity, tumor–microenvironment interactions, therapeutic resistance, and opportunities for precision immunotherapy.

Approach:
    Key Findings:
    • Cervical cancer shows HPV-associated immune suppression, exhausted T/NK-cell populations, and macrophage polarization linked to chemoradiotherapy resistance.
    • Ovarian cancer reveals insights into fallopian tube origin, molecular subtypes, ascites-associated immune suppression, and platinum resistance.
    • Endometrial cancer profiling uncovers heterogeneous cancer-associated fibroblast populations, epithelial biomarkers, and stromal–immune interactions with prognostic relevance.
    Interpretation:

    Single-cell sequencing provides insights into the immune microenvironment and therapeutic resistance mechanisms in gynecological cancers.

    Limitations:
    • The study may not encompass all aspects of immune response variability and treatment resistance across all gynecological malignancies.
    • Findings are based on specific cancer types and may not be generalizable to all gynecological cancers.
    Conclusion:

    Single-cell sequencing is a valuable tool for understanding immune heterogeneity and resistance mechanisms in gynecological cancers.

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