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September 3, 2026CNS Neuroscience & TherapeuticsOpen Access

Integrated Genomic and Proteomic Analysis Reveals T‐B Lymphocyte Signatures in the MYCN Driven “Immune Desert” of Specific Neuroblastoma Subtypes

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Authors

JHJia‐jian HuWKWenjuan KangHJHU Jia-tong

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Overview

Multi-omics analysis reveals immunosuppressive lymphocyte networks in MYCN-amplified neuroblastoma, highlighting REL inhibition and specific cell axes as candidate therapeutic targets.

Key Points

  • To systematically determine how MYCN amplification induces an immunosuppressive tumor microenvironment and mediates immune evasion in high-risk neuroblastoma.
  • Conducted an integrated multi-omics analysis analyzing bulk RNA-seq (n = 721), single-cell RNA-seq (n = 9), proteomic profiling (n = 49), and spatial transcriptomics.
  • Performed unsupervised clustering, cellular communication inference, transcriptional network reconstruction, and spatial proximity evaluation.
  • Identified a MYCN-amplified poor-prognosis subtype (Class C) exhibiting an immune desert phenotype marked by severe depletion of infiltrating T and B lymphocytes.
  • Uncovered T-cell transcriptional dysregulation mediated by EOMES and REL, where REL inhibition restored cytotoxic T-cell activity in vitro and elevated REL protein was validated by proteomics.
  • Identified an immunosuppressive B-cell subset (B7) governed by a MYC-centric network that spatially co-localized with regulatory and exhausted T cells.

Cite This Study

Hu et al. (2026) studied this question.

synapsesocial.com/papers/6a99351f636c6408cfa7d15ahttps://doi.org/10.1002/cns.71054
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Abstract 639: Distinct microenvironments define subtypes of neuroblastoma.2026
  2. 2Single-cell transcriptomics reveals shared immunosuppressive landscapes of mouse and human neuroblastoma2022 · 58 citations
  3. 3Immune remodeling and myeloid signature in the bone marrow niche of MYCN-driven neuroblastoma2026
  4. 4Spatially resolved transcriptomics reveals immunosuppressive niches and clonal diversity in extramedullary disease in multiple myeloma refractory to immunotherapy2025
  5. 5Abstract B063: Unveiling the immune landscape of recurrent, MYC-driven medulloblastoma2024