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Multi-omics investigation of perineural invasion in head and neck squamous cell carcinoma: neuroimmune mechanisms and clinical implications.

Overview

Authors: Muling Deng1, Yuhao Lin1, Chenyu Fang2, Jiaqi Cai2, Chuanben Chen1, Jianming Ding1
  1. Department of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian, China
  2. Department of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, National Health Commission (NHC) Key Laboratory of Cancer and Metabolism, Fuzhou, China
Journal: Frontiers in immunology, volume 17, article 1792836
Dates: received 21 January 2026; accepted 27 April 2026; published online 12 May 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.3389/fimmu.2026.1792836 · PMID 42206060 · PMCID PMC13201498 · OpenAlex W7160936422
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: genetics / omics (modality), human (organism), other condition (population)
Methods: Statistics, Smoothing, state filtering, decompositions, Machine learning, Connectivity
Keywords: head and neck squamous cell carcinoma, immune microenvironment, multi-omics analysis, perineural invasion, super-enhancers
MeSH: Head and Neck Neoplasms*, Neuroimmunomodulation*, Peripheral Nerves*, Squamous Cell Carcinoma of Head and Neck*, Biomarkers, Tumor, Gene Expression Profiling, Gene Expression Regulation, Neoplastic, Humans, Multiomics, Neoplasm Invasiveness, Proteomics, Signal Transduction, Super Enhancers, Toll-Like Receptor 2, Transcriptome, Tumor Microenvironment (* major topic)
Topic: Ferroptosis and cancer prognosis (Pulmonary and Respiratory Medicine, Medicine), according to OpenAlex
Citations: not cited yet (Europe PMC); 45 references in the paper

Abstract

Background: Perineural invasion (PNI) is an aggressive feature in head and neck squamous cell carcinoma (HNSCC), but its molecular basis and neuroimmune implications, including potential links to immunotherapy response, remain unclear.

Methods: We performed an integrative multi-omics analysis using public datasets and an independent clinical cohort. Transcriptomic, proteomic, single-cell, and spatial transcriptomic data were jointly analyzed to identify PNI-associated molecular patterns, construct prognostic signatures, and characterize immune infiltration and cell-cell communication. Regulatory elements were further explored by super-enhancer mapping and target-gene prediction. Pharmacologic inhibition experiments using the TLR2 inhibitor C29 were performed in FaDu cells for functional validation.

Results: PNI was associated with extracellular matrix and neuroactive signaling changes. A protein-based signature (ADIPOQ, MB, PLIN1, ADH1B) stratified survival risk. PNI-positive/high-risk tumors showed an immune-suppressed phenotype with lower predicted immunotherapy sensitivity and reduced CD8+ T-cell, B-cell, and Tfh-cell infiltration. Spatial analysis showed higher PNI scores at the invasive front, positive correlations with neural programs, and enrichment of TLR2-related signaling. TLR2 expression was associated with the PNI score, neural markers, and immune exclusion. In FaDu cells, C29 suppressed proliferation, migration, and invasion. Super-enhancer analysis identified candidate SE-target genes, including MYL4, CMYA5, and TNNT3, linked to PNI-associated biology.

Conclusions: PNI in HNSCC is associated with coordinated extracellular-matrix, neuroimmune, and immune-suppressive remodeling. These findings support PNI-related molecular signatures for risk stratification and identify TLR2-related signaling and SE-associated programs as candidate mechanisms for further study.

Reproduced under the paper's license (CC BY), from the paper cited above.

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Data

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Data availability statement

The original contributions presented in the study are included in the article/Supplementary Material. Further inquiries can be directed to the corresponding author.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 28 September 2026: the first record

Recorded: type, language, journal, volume, pages, dates, 6 authors, 5 keywords, 16 MeSH terms, 45 references.

Cite

This paper

Deng, M., Lin, Y., Fang, C., Cai, J., Chen, C., & Ding, J. (2026). Multi-omics investigation of perineural invasion in head and neck squamous cell carcinoma: neuroimmune mechanisms and clinical implications. Frontiers in immunology, 17, 1792836. https://doi.org/10.3389/fimmu.2026.1792836

BibTeX

@article{deng2026multi,
author = {Deng, Muling and Lin, Yuhao and Fang, Chenyu and Cai, Jiaqi and Chen, Chuanben and Ding, Jianming},
title = {{Multi-omics investigation of perineural invasion in head and neck squamous cell carcinoma: neuroimmune mechanisms and clinical implications}},
journal = {Frontiers in immunology},
year = {2026},
month = may,
volume = {17},
pages = {1792836},
publisher = {Frontiers Media SA},
issn = {1664-3224},
doi = {10.3389/fimmu.2026.1792836},
url = {https://doi.org/10.3389/fimmu.2026.1792836},
pmid = {42206060},
pmcid = {PMC13201498}
}

RIS

TY - JOUR
AU - Deng, Muling
AU - Lin, Yuhao
AU - Fang, Chenyu
AU - Cai, Jiaqi
AU - Chen, Chuanben
AU - Ding, Jianming
TI - Multi-omics investigation of perineural invasion in head and neck squamous cell carcinoma: neuroimmune mechanisms and clinical implications
T2 - Frontiers in immunology
J2 - Front Immunol
PY - 2026
DA - 2026/05/12
VL - 17
SP - 1792836
SN - 1664-3224
PB - Frontiers Media SA
DO - 10.3389/fimmu.2026.1792836
UR - https://doi.org/10.3389/fimmu.2026.1792836
LA - en
ER -

CSL-JSON

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