Association of tumor Schwann cells with epithelial-mesenchymal transition and immune-suppressive microenvironment in triple-negative breast cancer.
Overview
- Department of Surgical Oncology, Roswell Park Comprehensive Cancer Center,Buffalo, NY 14263 USA
- Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine,Yokohama, Kanagawa Japan
- Department of Breast and Endocrine Surgery, Yokohama City University Graduate School of Medicine,Yokohama, Kanagawa Japan
- Department of Breast and Thyroid Surgery, Yokohama City University Medical Center,Yokohama, Kanagawa Japan
- Department of Medicine, Winship Cancer Institute of Emory University,Atlanta, GA USA
- Department of Immunology, Roswell Park Comprehensive Cancer Center,Buffalo, NY USA
- Department of Breast Surgery and Oncology, Tokyo Medical University,Tokyo, Japan
- Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, The State of University New York,Buffalo, NY USA
- Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences,Niigata, Japan
- Department of Breast Surgery, Fukushima Medical University,Fukushima, Japan
- Department of Surgical Oncology, Roswell Park Comprehensive Cancer Center Elm & Carlton Streets,Buffalo, NY 14263 USA
Abstract
Purpose: Tumor-associated nerves have recently emerged as an understudied key regulator of cancer biology. However, its quantification using histological or transcriptomic approaches is challenging because their small diameters hinder reliable detection and their cell bodies that hold most mRNA reside outside the tumor. This study evaluated a Schwann cell (SC)-related transcriptomic score as a surrogate for tumor-associated nerves in tumors from triple-negative breast cancer (TNBC) patients.
Methods: Transcriptomic and clinical data from three independent TNBC cohorts, TCGA (n = 170), METABRIC (n = 335), and SCAN-B (n = 174) were analyzed. An SC score was calculated from SC-related gene signatures, and spatial transcriptomics was used to validate SC localization. In addition, seven independent neoadjuvant chemotherapy (NAC) cohorts were analyzed to evaluate the association between SC score and treatment response. Associations between the SC score and clinical features, genomic features, proliferation, treatment response, and the tumor microenvironment (TME) were evaluated.
Results: SC signature genes spatially localized to intratumoral nerve regions, confirming that the SC score reflects their presence within tumors. SC-high tumors were associated with lower mutation burden and with less cell proliferation in the TCGA, METABRIC, and SCAN-B cohorts. SC-high tumors were also associated with low immune activity and fewer infiltrating immune cells, along with enrichment of epithelial–mesenchymal transition (EMT), TGF-beta signaling and stromal remodeling pathways.
Conclusions: The SC score-high TNBC is associated with lower cell proliferation, enhanced stromal remodeling and EMT and suppressed immune activity, suggesting a role of neural-associated TME features in shaping TNBC biology.
Supplementary Information: The online version contains supplementary material available at 10.1007/
Reproduced under the paper's license (CC BY), from the paper cited above.
Code
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Data
Data links
- ncbi.nlm.nih.gov/
geo , NCBI; found in “Data availability”
Data availability
All data analyzed in this study are publicly available. The TCGA breast cancer datasets were obtained from cBioPortal (https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
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Version 3, 28 September 2026
- Publisher: n/a → Springer Science+Business Media
Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 10 authors, 5 keywords, 11 MeSH terms, 2 funders, 53 references.
Cite
This paper
Kawashima, K., Elsaedy, E. A., Oshi, M., Yamada, A., Narui, K., Gandhi, S., Repasky, E., Ishikawa, T., Endo, I., & Takabe, K. (2026). Association of tumor Schwann cells with epithelial-mesenchymal transition and immune-suppressive microenvironment in triple-negative breast cancer. Breast cancer research and treatment, 218(3), 37. https://
BibTeX
@article{kawashima2026as
author = {Kawashima, Kei and Elsaedy, Eslam A. and Oshi, Masanori and Yamada, Akimitsu and Narui, Kazutaka and Gandhi, Shipara and Repasky, Elizabeth and Ishikawa, Takashi and Endo, Itaru and Takabe, Kazuaki},
title = {{Association of tumor Schwann cells with epithelial-mesenchymal transition and immune-suppressive microenvironment in triple-negative breast cancer}},
journal = {Breast cancer research and treatment},
year = {2026},
month = aug,
volume = {218},
number = {3},
pages = {37},
publisher = {Springer Science+Business Media},
issn = {0167-6806},
doi = {10.1007/
url = {https://
pmid = {42573659},
pmcid = {PMC13457385}
}
RIS
TY - JOUR
AU - Kawashima, Kei
AU - Elsaedy, Eslam A.
AU - Oshi, Masanori
AU - Yamada, Akimitsu
AU - Narui, Kazutaka
AU - Gandhi, Shipara
AU - Repasky, Elizabeth
AU - Ishikawa, Takashi
AU - Endo, Itaru
AU - Takabe, Kazuaki
TI - Association of tumor Schwann cells with epithelial-mesenchymal transition and immune-suppressive microenvironment in triple-negative breast cancer
T2 - Breast cancer research and treatment
J2 - Breast Cancer Res Treat
PY - 2026
DA - 2026/
VL - 218
IS - 3
SP - 37
SN - 0167-6806
PB - Springer Science+Business Media
DO - 10.1007/
UR - https://
LA - en
ER -
CSL-JSON
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