Tertiary lymphoid structures in breast cancer: formation, immune functions and clinical implications - Takeaways - MDSpire

Tertiary lymphoid structures in breast cancer: formation, immune functions and clinical implications

  • By

  • Wenting Dong

  • Shichao Ai

  • Xiaofei Shen

  • Yongzhong Yao

  • June 2, 2026

  • 0 min

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  • 1

    Tertiary lymphoid structures (TLS) are ectopic lymphoid aggregates that develop in non-lymphoid tissues during chronic inflammation and tumor development.

  • 2

    TLS exhibit significant heterogeneity in breast cancer, influenced by maturity, spatial location, molecular subtype, and immune cellular composition.

  • 3

    TLS maturation stages include early TLS (eTLS), primary follicle-like TLS (pTLS), and mature TLS (mTLS), each with distinct histological and functional characteristics.

  • 4

    TLS are associated with local adaptive immune responses, supporting antigen presentation, T-cell priming, and B-cell activation in the tumor microenvironment.

  • 5

    The clinical significance of TLS in breast cancer is complex and context-dependent, with varying associations to prognosis and treatment response.

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