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Fibronectin 1 mediated histone lactylation promotes malignant progression of GIST regulated by m<sup>6</sup>A modification

Cell Death Discovery, Published online: 11 September 2026; doi:10.1038/s41420-026-03338-x

Fibronectin 1 mediated histone lactylation promotes malignant progression of GIST regulated by m6A modification

Macrophage spatiotemporal plasticity in pulmonary diseases: decoding the niche at single-cell resolution

Front Immunol. 2026 Jun 18;17:1855906. doi: 10.3389/fimmu.2026.1855906. eCollection 2026.

ABSTRACT

Pulmonary gas exchange and host defense depend on the dynamic coordination of resident and recruited macrophage populations. Historically, macrophage functions have often been interpreted through the classic M1/M2 dichotomy; however, this binary framework does not capture the heterogeneity and context-dependent plasticity of macrophage states within the lung microenvironment. Advances in single-cell RNA sequencing and spatial multi-omics have substantially refined our understanding of this complex macrophage network. Here, we synthesize evidence from human studies and experimental models to summarize macrophage functional states in homeostasis and across chronic obstructive pulmonary disease, asthma, idiopathic pulmonary fibrosis, pulmonary hypertension, acute lung injury/acute respiratory distress syndrome, and lung cancer. We highlight how macrophage transcriptional programs are shaped by ontogeny, tissue niche, and epigenetic-metabolic regulation, and how these programs are linked to disease-specific remodeling of the pulmonary microenvironment. Across diverse respiratory diseases, persistent tissue injury and microenvironmental stress remodel resident macrophage programs and are frequently accompanied by the expansion and context-dependent differentiation of recruited monocyte-derived macrophages. These macrophage states are associated with inflammatory amplification, epithelial and endothelial barrier dysfunction, extracellular matrix remodeling, and tumor immune evasion. Ligand-receptor and spatial analyses further identify candidate communication axes linking macrophages with stromal, epithelial, endothelial, and immune cells, some of which appear partially conserved across disease contexts. Emerging macrophage-targeted strategies are increasingly being explored beyond broad depletion, with growing interest in context-specific reprogramming and niche modulation, including antibody-based, nanocarrier-mediated, and engineered-cell approaches. Decoding the spatiotemporal trajectories and cell-cell communication networks of specific macrophage subsets, while considering tissue context, species differences, and levels of experimental support, may help clarify mechanisms of tissue remodeling, therapeutic resistance, and macrophage-targeted intervention in complex pulmonary diseases.

PMID:42396453 | PMC:PMC13322945 | DOI:10.3389/fimmu.2026.1855906

Test-Time Self-Adaptive Conditioning for Stable Audio-Driven Talking-Head Generation

arXiv:2605.25488v1 Announce Type: cross Abstract: Audio-driven talking-head generation has achieved remarkable progress with recent models such as AniTalker, FLOAT, and Sonic. Despite their success, most existing approaches rely on a single static reference image to condition the entire video generation process at inference stage. This static conditioning paradigm often creates a mismatch between fixed identity features and dynamically evolving facial motion, leading to identity drift, temporal inconsistency, and degraded perceptual quality. We introduce Test-Time Self-Adaptive Conditioning (TT-SAC), a parameter-free inference framework that enables pretrained talking-head generators to adapt their conditioning representations during inference without retraining, gradient updates, or additional supervision. Instead of treating the reference portrait as immutable, TT-SAC composes the generator with its encoder in a feedback loop: the generator's own outputs are re-encoded to construct a refined conditioning representation that better aligns with the temporal dynamics of the synthesized sequence. A single adaptation step approximates a self-consistent equilibrium of the generative process, stabilizing identity and motion across time. We further provide theoretical analysis showing that test-time conditioning adaptation reduces feature variance and improves generative stability under mild Lipschitz assumptions, while exhibiting a principled bias-variance tradeoff that governs the optimal strength of adaptation. Extensive experiments on state-of-the-art talking-head generators and benchmark datasets demonstrate consistent improvements in lip-sync accuracy, temporal coherence, identity preservation, and perceptual fidelity. TT-SAC offers a model-agnostic and training-free strategy for enhancing generative video models, establishing test-time conditioning adaptation as an effective mechanism for stabilizing audio-driven portrait animation.

SAMark: A Self-Anchored Text Watermarking with Paragraph-Level Paraphrase Robustness

arXiv:2605.25796v1 Announce Type: cross Abstract: Semantic-level watermarking (SWM) improves robustness against text modifications by treating sentences as the basic unit. However, robustness to paragraph-level paraphrasing remains difficult because such attacks globally disrupt watermark signals by changing sentence order. In this work, we propose SAMark, a self-anchored watermarking framework that removes the dependency on sentence order by establishing a step-independent green region in semantic space. To improve detectability, we introduce a multi-channel hyperbolic scoring mechanism that amplifies watermark signals while suppressing noise from weakly aligned candidates. We further propose a diversity-aware filtering strategy that combines hard filtering with soft regularization, extending beyond simple n-gram repetition filters to address semantic redundancy. Experimental results show that SAMark achieves up to 90.2% TP@FP1% under typical paragraph-level paraphrasing attacks, outperforming the strongest prior baseline by more than 30% on average, while maintaining generation quality competitive with unwatermarked text and breaking the robustness-quality trade-off that limits prior methods.

Dynamic Dual-Granularity Skill Bank for Agentic RL

arXiv:2603.28716v2 Announce Type: replace Abstract: Agentic RL can benefit substantially from reusable experience, yet existing skill-based methods mainly extract trajectory-level guidance and often lack principled mechanisms for maintaining an evolving skill memory. We propose D2Skill, a dynamic dual-granularity skill bank for agentic RL that organizes reusable experience into task skills for high-level guidance and step skills for fine-grained decision support and error correction. D2Skill jointly trains the policy and skill bank through paired baseline and skill-injected rollouts under the same policy, using their performance gap to derive hindsight utility signals for both skill updating and policy optimization. Built entirely from training-time experience, the skill bank is continuously expanded through reflection and maintained with utility-aware retrieval and pruning. Experiments on ALFWorld, WebShop, and Search-Augmented QA tasks show that D2Skill substantially improves performance over skill-free baselines across models of different scales. Further ablations and analyses show that both dual-granularity skill modeling and dynamic skill maintenance are critical to these gains, while the learned skills exhibit higher utility, transfer across evaluation settings, and introduce only modest training overhead.

AutoResearchClaw: Self-Reinforcing Autonomous Research with Human-AI Collaboration

arXiv:2605.20025v2 Announce Type: replace Abstract: Automating scientific discovery requires more than generating papers from ideas. Real research is iterative: hypotheses are challenged from multiple perspectives, experiments fail and inform the next attempt, and lessons accumulate across cycles. Existing autonomous research systems often model this process as a linear pipeline: they rely on single-agent reasoning, stop when execution fails, and do not carry experience across runs. We present AutoResearchClaw, a multi-agent autonomous research pipeline built on five mechanisms: structured multi-agent debate for hypothesis generation and result analysis, a self-healing executor with a \textsc{Pivot}/\textsc{Refine} decision loop that transforms failures into information, verifiable result reporting that prevents fabricated numbers and hallucinated citations, human-in-the-loop collaboration with seven intervention modes spanning full autonomy to step-by-step oversight, and cross-run evolution that converts past mistakes into future safeguards. On ARC-Bench, a 25-topic experiment-stage benchmark, AutoResearchClaw outperforms AI Scientist v2 by 54.7%. A human-in-the-loop ablation across seven intervention modes reveals that precise, targeted collaboration at high-leverage decision points consistently outperforms both full autonomy and exhaustive step-by-step oversight. We position AutoResearchClaw as a research amplifier that augments rather than replaces human scientific judgment. Code is available at https://github.com/aiming-lab/AutoResearchClaw.

Kolmogorov-Arnold Fourier Networks

arXiv:2502.06018v3 Announce Type: replace-cross Abstract: Although Kolmogorov-Arnold-based interpretable networks (KANs) possess strong theoretical expressiveness, they suffer from severe parameter explosion and limited ability to capture high-frequency features in high-dimensional tasks. To address these issues, we propose the Kolmogorov-Arnold Fourier Network (KAF), which fundamentally redefines the KAN paradigm through spectral reparameterization. Our key contributions include: (1) proposing a fundamental basis transformation from the local, grid-based B-spline representation to a global, adaptive spectral representation. This shift changes the network's inductive bias, reducing parameter complexity from $O(G)$ to $O(1)$ while preserving expressiveness; (2) introducing trainable Random Fourier Features (RFF) initialized via a spectral alignment strategy, which allows the model to break the smoothness limitation of fixed kernels and accurately capture high-frequency components; and (3) implementing an adaptive hybrid GELU-Fourier activation mechanism that progressively enhances frequency representation during training. Comprehensive experiments demonstrate the superiority of KAF across computer vision (CV), natural language processing (NLP), audio, and partial differential equation (PDE) solving tasks, achieving state-of-the-art performance with improved efficiency. The code is available at https://github.com/kolmogorovArnoldFourierNetwork/KAF.

Social Media Intervention Based on the Information-Motivation-Behavioral Skills Model Promotes HIV Testing and Reduces High-Risk Behaviors Among Men Who Have Sex With Men in Resource-Limited Settings in China: Randomized Controlled Trial

Background: Social media intervention may enhance HIV prevention among men who have sex with men, but the effect of this intervention in resource-limited settings remains unclear. Objective: This randomized controlled trial evaluated whether a social media intervention grounded in the information-motivation-behavioral skills (IMB) model could be beneficial for HIV prevention among men who have sex with men in resource-limited settings. Methods: Participants were recruited in Nanning, China, between April 2023 and April 2024. Eligible participants were randomly assigned to either the social media intervention group or the routine HIV prevention services control group. Participants in the intervention group received a 3-month social media intervention, which included completing video-based tasks. Baseline surveys were conducted, followed by follow-up surveys every 3 months, for a total of 2 follow-ups. Outcomes included HIV testing uptake, high-risk behavior, AIDS-related knowledge, safe sex self-efficacy, and attitude. Results: A total of 180 eligible men who have sex with men were enrolled (90 per group). Follow-up rates were 97.8% (88/90) and 95.5% (86/90) for the intervention and control groups, respectively. At the follow-ups, the intervention group demonstrated significantly higher uptake of HIV testing, a lower proportion of participants reporting high-risk sexual behaviors, and higher condom use self-efficacy compared to the control group (all

Combee: Scaling Prompt Learning for Self-Improving Language Model Agents

arXiv:2604.04247v1 Announce Type: new Abstract: Recent advances in prompt learning allow large language model agents to acquire task-relevant knowledge from inference-time context without parameter changes. For example, existing methods (like ACE or GEPA) can learn system prompts to improve accuracy based on previous agent runs. However, these methods primarily focus on single-agent or low-parallelism settings. This fundamentally limits their ability to efficiently learn from a large set of collected agentic traces. It would be efficient and beneficial to run prompt learning in parallel to accommodate the growing trend of learning from many agentic traces or parallel agent executions. Yet without a principled strategy for scaling, current methods suffer from quality degradation with high parallelism. To improve both the efficiency and quality of prompt learning, we propose Combee, a novel framework to scale parallel prompt learning for self-improving agents. Combee speeds up learning and enables running many agents in parallel while learning from their aggregate traces without quality degradation. To achieve this, Combee leverages parallel scans and employs an augmented shuffle mechanism; Combee also introduces a dynamic batch size controller to balance quality and delay. Evaluations on AppWorld, Terminal-Bench, Formula, and FiNER demonstrate that Combee achieves up to 17x speedup over previous methods with comparable or better accuracy and equivalent cost.

TreeGaussian: Tree-Guided Cascaded Contrastive Learning for Hierarchical Consistent 3D Gaussian Scene Segmentation and Understanding

arXiv:2604.03309v1 Announce Type: cross Abstract: 3D Gaussian Splatting (3DGS) has emerged as a real-time, differentiable representation for neural scene understanding. However, existing 3DGS-based methods struggle to represent hierarchical 3D semantic structures and capture whole-part relationships in complex scenes. Moreover, dense pairwise comparisons and inconsistent hierarchical labels from 2D priors hinder feature learning, resulting in suboptimal segmentation. To address these limitations, we introduce TreeGaussian, a tree-guided cascaded contrastive learning framework that explicitly models hierarchical semantic relationships and reduces redundancy in contrastive supervision. By constructing a multi-level object tree, TreeGaussian enables structured learning across object-part hierarchies. In addition, we propose a two-stage cascaded contrastive learning strategy that progressively refines feature representations from global to local, mitigating saturation and stabilizing training. A Consistent Segmentation Detection (CSD) mechanism and a graph-based denoising module are further introduced to align segmentation modes across views while suppressing unstable Gaussian points, enhancing segmentation consistency and quality. Extensive experiments, including open-vocabulary 3D object selection, 3D point cloud understanding, and ablation studies, demonstrate the effectiveness and robustness of our approach.

Learning Additively Compositional Latent Actions for Embodied AI

arXiv:2604.03340v1 Announce Type: cross Abstract: Latent action learning infers pseudo-action labels from visual transitions, providing an approach to leverage internet-scale video for embodied AI. However, most methods learn latent actions without structural priors that encode the additive, compositional structure of physical motion. As a result, latents often entangle irrelevant scene details or information about future observations with true state changes and miscalibrate motion magnitude. We introduce Additively Compositional Latent Action Model (AC-LAM), which enforces scene-wise additive composition structure over short horizons on the latent action space. These AC constraints encourage simple algebraic structure in the latent action space~(identity, inverse, cycle consistency) and suppress information that does not compose additively. Empirically, AC-LAM learns more structured, motion-specific, and displacement-calibrated latent actions and provides stronger supervision for downstream policy learning, outperforming state-of-the-art LAMs across simulated and real-world tabletop tasks.

Persistent Cross-Attempt State Optimization for Repository-Level Code Generation

arXiv:2604.03632v1 Announce Type: cross Abstract: Large language models (LLMs) have achieved substantial progress in repository-level code generation. However, solving the same repository-level task often requires multiple attempts, while existing methods still optimize each attempt in isolation and do not preserve or reuse task-specific state across attempts. In this paper, we propose LiveCoder, a novel framework for repository-level code generation based on cross-attempt knowledge optimization. LiveCoder maintains persistent task-specific state from prior attempts to guide subsequent generation. This state includes success knowledge, which captures reusable signals from previously strong repositories, failure knowledge, which records unsuccessful outcomes and their diagnostic signals, and a historical-best repository, which preserves the strongest result found so far and prevents regression. These components collectively transform repeated repository generation into a persistent, knowledge-driven optimization process. We evaluate LiveCoder using four frontier LLMs on two representative repository-level code generation benchmarks. Extensive experimental results demonstrate the effectiveness and efficiency of LiveCoder, improving the functional score by up to 22.94 percentage points, increasing repository reuse to 81.58%, and reducing cost by up to 53.63% on RAL-Bench while maintaining broadly stable non-functional quality.

Agentization of Digital Assets for the Agentic Web: Concepts, Techniques, and Benchmark

arXiv:2604.04226v1 Announce Type: cross Abstract: Agentic Web, as a new paradigm that redefines the internet through autonomous, goal-driven interactions, plays an important role in group intelligence. As the foundational semantic primitives of the Agentic Web, digital assets encapsulate interactive web elements into agents, which expand the capacities and coverage of agents in agentic web. The lack of automated methodologies for agent generation limits the wider usage of digital assets and the advancement of the Agentic Web. In this paper, we first formalize these challenges by strictly defining the A2A-Agentization process, decomposing it into critical stages and identifying key technical hurdles on top of the A2A protocol. Based on this framework, we develop an Agentization Agent to agentize digital assets for the Agentic Web. To rigorously evaluate this capability, we propose A2A-Agentization Bench, the first benchmark explicitly designed to evaluate agentization quality in terms of fidelity and interoperability. Our experiments demonstrate that our approach effectively activates the functional capabilities of digital assets and enables interoperable A2A multi-agent collaboration. We believe this work will further facilitate scalable and standardized integration of digital assets into the Agentic Web ecosystem.

KLong: Training LLM Agent for Extremely Long-horizon Tasks

arXiv:2602.17547v2 Announce Type: replace Abstract: This paper introduces KLong, an open-source LLM agent trained to solve extremely long-horizon tasks. The principle is to first cold-start the model via trajectory-splitting SFT, then scale it via progressive RL training. Specifically, we first activate basic agentic abilities of a base model with a comprehensive SFT recipe. Then, we introduce Research-Factory, an automated pipeline that generates high-quality training data by collecting research papers and constructing evaluation rubrics. Using this pipeline, we build thousands of long-horizon trajectories distilled from Claude 4.5 Sonnet (Thinking). To train with these extremely long trajectories, we propose a new trajectory-splitting SFT, which preserves early context, progressively truncates later context, and maintains overlap between sub-trajectories. In addition, to further improve long-horizon task-solving capability, we propose a novel progressive RL, which schedules training into multiple stages with progressively extended timeouts. Experiments demonstrate the superiority and generalization of KLong, as shown in Figure 1. Notably, our proposed KLong (106B) surpasses Kimi K2 Thinking (1T) by 11.28% on PaperBench, and the performance improvement generalizes to other coding benchmarks like SWE-bench Verified and MLE-bench.

ToG-Bench: Task-Oriented Spatio-Temporal Grounding in Egocentric Videos

arXiv:2512.03666v2 Announce Type: replace-cross Abstract: A core capability towards general embodied intelligence lies in localizing task-relevant objects from an egocentric perspective, formulated as Spatio-Temporal Video Grounding (STVG). Despite recent progress, existing STVG studies remain largely confined to object-centric and descriptive instructions, neglecting the task-oriented reasoning that is crucial for embodied agents to accomplish goal-directed interactions. To bridge this gap, we introduce \textbf{ToG-Bench}, the first task-oriented spatio-temporal video grounding benchmark for egocentric videos. ToG-Bench is characterized by three key features: (1) \textbf{Task-oriented Grounding}, which requires identifying and localizing objects based on intended tasks rather than straightforward descriptions; (2) \textbf{Explicit-Implicit Dual Grounding}, where target objects can be either explicitly mentioned or implicitly inferred by contextual reasoning; (3) \textbf{One-to-Many Grounding}, where a single instruction may correspond to multiple objects involved in task execution. Built upon videos sourced from ScanNet, ToG-Bench comprises 100 annotated clips with 2,704 task-oriented grounding instructions, constructed via a semi-automated pipeline that combines foundation model annotation and human refinement. In addition, we introduce a set of task-level evaluation metrics tailored for multi-object and explicit-implicit object grounding, and systematically benchmark seven state-of-the-art MLLMs. Extensive experiments reveal the intrinsic challenges of task-oriented STVG and substantial performance gaps across explicit-implicit and multi-object grounding, highlighting the difficulty of bridging perception and interaction in embodied scenarios. Data and code will be released at: \href{https://github.com/qaxuDev/ToG-Bench}{https://github.com/qaxuDev/ToG-Bench}..

CogBias: Measuring and Mitigating Cognitive Bias in Large Language Models

arXiv:2604.01366v1 Announce Type: new Abstract: Large Language Models (LLMs) are increasingly deployed in high-stakes decision-making contexts. While prior work has shown that LLMs exhibit cognitive biases behaviorally, whether these biases correspond to identifiable internal representations and can be mitigated through targeted intervention remains an open question. We define LLM cognitive bias as systematic, reproducible deviations from correct answers in tasks with computable ground-truth baselines, and introduce LLM CogBias, a benchmark organized around four families of cognitive biases: Judgment, Information Processing, Social, and Response. We evaluate three LLMs and find that cognitive biases emerge systematically across all four families, with magnitudes and debiasing responses that are strongly family-dependent: prompt-level debiasing substantially reduces Response biases but backfires for Judgment biases. Using linear probes under a contrastive design, we show that these biases are encoded as linearly separable directions in model activation space. Finally, we apply activation steering to modulate biased behavior, achieving 26--32\% reduction in bias score (fraction of biased responses) while preserving downstream capability on 25 benchmarks (Llama: negligible degradation; Qwen: up to $-$19.0pp for Judgment biases). Despite near-orthogonal bias representations across models (mean cosine similarity 0.01), steering reduces bias at similar rates across architectures ($r(246)$=.621, $p$

Predicting Neuromodulation Outcome for Parkinson's Disease with Generative Virtual Brain Model

arXiv:2603.29176v1 Announce Type: new Abstract: Parkinson's disease (PD) affects over ten million people worldwide. Although temporal interference (TI) and deep brain stimulation (DBS) are promising therapies, inter-individual variability limits empirical treatment selection, increasing non-negligible surgical risk and cost. Previous explorations either resort to limited statistical biomarkers that are insufficient to characterize variability, or employ AI-driven methods which is prone to overfitting and opacity. We bridge this gap with a pretraining-finetuning framework to predict outcomes directly from resting-state fMRI. Critically, a generative virtual brain foundation model, pretrained on a collective dataset (2707 subjects, 5621 sessions) to capture universal disorder patterns, was finetuned on PD cohorts receiving TI (n=51) or DBS (n=55) to yield individualized virtual brains with high fidelity to empirical functional connectivity (r=0.935). By constructing counterfactual estimations between pathological and healthy neural states within these personalized models, we predicted clinical responses (TI: AUPR=0.853; DBS: AUPR=0.915), substantially outperforming baselines. External and prospective validations (n=14, n=11) highlight the feasibility of clinical translation. Moreover, our framework provides state-dependent regional patterns linked to response, offering hypothesis-generating mechanistic insights.

AGFT: Alignment-Guided Fine-Tuning for Zero-Shot Adversarial Robustness of Vision-Language Models

arXiv:2603.29410v1 Announce Type: cross Abstract: Pre-trained vision-language models (VLMs) exhibit strong zero-shot generalization but remain vulnerable to adversarial perturbations. Existing classification-guided adversarial fine-tuning methods often disrupt pre-trained cross-modal alignment, weakening visual-textual correspondence and degrading zero-shot performance. In this paper, we propose an Alignment-Guided Fine-Tuning (AGFT) framework that enhances zero-shot adversarial robustness while preserving the cross-modal semantic structure. Unlike label-based methods that rely on hard labels and fail to maintain the relative relationships between image and text, AGFT leverages the probabilistic predictions of the original model for text-guided adversarial training, which aligns adversarial visual features with textual embeddings via soft alignment distributions, improving zero-shot adversarial robustness. To address structural discrepancies introduced by fine-tuning, we introduce a distribution consistency calibration mechanism that adjusts the robust model output to match a temperature-scaled version of the pre-trained model predictions. Extensive experiments across multiple zero-shot benchmarks demonstrate that AGFT outperforms state-of-the-art methods while significantly improving zero-shot adversarial robustness.

LaSM: Layer-wise Scaling Mechanism for Defending Pop-up Attack on GUI Agents

arXiv:2507.10610v2 Announce Type: replace-cross Abstract: Graphical user interface (GUI) agents built on multimodal large language models (MLLMs) have recently demonstrated strong decision-making abilities in screen-based interaction tasks. However, they remain highly vulnerable to pop-up-based environmental injection attacks, where malicious visual elements divert model attention and lead to unsafe or incorrect actions. Existing defense methods either require costly retraining or perform poorly under inductive interference. In this work, we systematically study how such attacks alter the attention behavior of GUI agents and uncover a layer-wise attention divergence pattern between correct and incorrect outputs. Based on this insight, we propose \textbf{LaSM}, a \textit{Layer-wise Scaling Mechanism} that selectively amplifies attention and MLP modules in critical layers. LaSM improves the alignment between model saliency and task-relevant regions without additional training. Extensive experiments across multiple datasets demonstrate that our method significantly improves the defense success rate and exhibits strong robustness, while having negligible impact on the model's general capabilities. Our findings reveal that attention misalignment is a core vulnerability in MLLM agents and can be effectively addressed through selective layer-wise modulation. Our code can be found in https://github.com/YANGTUOMAO/LaSM.

Robust transcriptomic hallmarks targeting intratumor heterogeneity in intrahepatic cholangiocarcinoma

Cell Rep Med. 2026 Mar 30:102708. doi: 10.1016/j.xcrm.2026.102708. Online ahead of print.

ABSTRACT

Intratumor heterogeneity (ITH) undermines transcriptome-based stratification in intrahepatic cholangiocarcinoma (iCCA). Here, we integrate multi-omics data from multi-region, single-region, and single-cell RNA sequencing cohorts to systematically characterize gene expression ITH. We uncover that immune and stromal heterogeneity are primary drivers of ITH, leading to misclassification of a median 27.8% of tumors by existing subtyping systems. To overcome this, we identify a low-intratumor-heterogeneity/high-intertumor-variability (LIHV) gene set and develop an ITH-insensitive classification system defining five subgroups: inflammatory (SI), metabolic (SII), atypical (SIII-1), immune-silent (SIII-2), and neurodegenerative (SIII-3). These subgroups exhibit distinct clinical outcomes, molecular features, immune landscapes, and therapeutic vulnerabilities. GPRC5A and VTCN1 serve as robust immunohistochemical biomarkers for SI and SIII tumors, while serum CEA and CA19-9 identify inflammatory iCCA. Therapeutically, HSP90 inhibition synergizes with anti-PD1 in inflammatory iCCA, whereas combined anti-PD1 and anti-TIM3 suppresses neurodegenerative iCCA. Collectively, our study provides a robust molecular framework and actionable therapeutic strategies for iCCA.

PMID:41916296 | DOI:10.1016/j.xcrm.2026.102708

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