❌

Reading view

↗️

Advancing cancer detection and treatment using longitudinal routine clinical data

✇Cell
By: Fei Liu · Kai Wang · Hui Xu · Cheng Tang · Xian Shen · Meihao Wang · Lei Yang · Li Yang · Li Liu · Changxi Hu · Gen Li · Wei Wu · Zixing Zou · Bingzhou Li · Sian Liu · Jin Kang · Jungho Kong · Ting Li · Io Nam Wong · Xiaoying Huang · Gang Chen · Wenyang Lu · Ian Ziyar · Charlotte L. Zhang · Yiwen Sun · Weihong Lin · Caiwen Ou · Manson Fok · Taiwa Hou · Winston Wang · Kanmin Xue · Yun Yin · Hao Zhu · Jonathan Gootenberg · Omar O. Abudayyeh · Michael Karin · Alexandre Loupy · John E.J. Rasko · Trey Ideker · Huiyan Luo · Eric Oermann · Kang Zhang · International Consortium of Digital Twins in Healthcare and Medicine
Liu et al. develop Oncoformer, a multimodal transformer that reads routine laboratory tests and chest X-rays already collected in everyday care. Across more than 3.6 million individuals, it detects cancer, infers tumor stage, and stratifies treatment response and recurrence risk, pointing toward risk-adapted cancer care built on data already in hand.
  •  
  • ↗️
↗️

Digitally Adapting LGBTQ-Affirmative Cognitive Behavioral Therapy for Chinese Men Who Have Sex With Men Living With HIV: User-Centered Design Approach

✇Journal of Medical Internet Research
By: Weizi Wu · Xiaohan Song · John Pachankis · Mengyao Yi · Mengshu Li · Si Pan · Ying He · Fei Li · Yang Xiong · Xianhong Li
Background: Chinese men who have sex with men living with HIV (MSMLWH) experience substantial psychological distress driven by minority stress and HIV-related challenges. However, culturally tailored digital mental health interventions that address HIV-specific maladaptive cognitive schemas and culturally specific psychosocial stressors remain scarce in China. Objective: This study aimed to systematically adapt an evidence-based cognitive behavioral therapy (CBT) intervention Effective Skills to Empower Effective Men (ESTEEM) into a WeChat (Tencent) Mini-Program–based intervention (iESTEEM) specifically for Chinese MSMLWH and to evaluate its preliminary feasibility and usability. Methods: We used a three-phase user-centered design approach guided by the Assessment, Decision, Adaptation, Production, Topical Experts, Integration, Training, and Testing (ADAPT-ITT) framework. The study proceeded in three phases: (1) a qualitative needs assessment using semistructured interviews with 20 MSMLWH (mean age 23.25, SD 3.08 years); (2) systematic intervention adaptation and platform development, including theater testing (n=5); and (3) a 2-week pilot study involving 10 MSMLWH and five counselors to evaluate feasibility, usability, and acceptability through focus groups and objective platform analytics. Results: Phase 1 identified 3 major themes of psychological distress: persistent health anxiety fueled by catastrophizing, intersectional stigma internalization, the disclosure dilemma, and intimacy barriers rooted in defectiveness and shame schemas. Participants also prioritized anonymity and bite-sized learning. Guided by these findings, iESTEEM was developed as a counselor-assisted, privacy-preserving WeChat Mini-Program incorporating HIV-specific scenarios, multimodal learning modules, and a back-end risk-alert system. During the 2-week pilot, participants logged into the platform 14.1 (SD 6.7) times per person and completed 134.3 (SD 103.1) minutes of learning activities; all participants accessed module 1, and 90% (9/10) accessed modules 2‐5. Anxiety scores decreased from 8.9 (SD 2.3) to 7.2 (SD 3.0), whereas depression scores remained stable. All participants expressed a willingness to continue using the program and to recommend it to peers. Participants and counselors endorsed its contextual relevance, privacy protections, and clinical utility. Conclusions: This study provides a theory- and evidence-informed model for culturally adapting digital mental health interventions for highly stigmatized populations. By integrating lesbian, gay, bisexual, transgender, and queer (LGBTQ)-affirmative CBT principles, HIV-specific adaptations, and a privacy-preserving, counselor-assisted WeChat Mini-Program, iESTEEM demonstrated promising preliminary feasibility, acceptability, and engagement among Chinese MSMLWH. These findings support the potential of culturally tailored digital interventions to expand access to psychological support for this stigmatized population in resource-constrained settings. Ongoing randomized controlled trials will further evaluate its efficacy, implementation outcomes, and mechanism of action. Trial Registration: Chinese Clinical Trial Registry ChiCTR2400080263; https://www.chictr.org.cn/showproj.html?proj=216926
  •  
  • ↗️
↗️

MedRoundsQA: A Persona and Difficulty Aware Evaluation for Multi-Turn Medical Consultations

✇cs.AI, q-bio.NC updates on arXiv.org
By: Youssef Mohamed · Ahmed Heakl · Qinrong Cui · Junhong Liang · Rafiq Ali · Bdour Babillie · Nazira Dunbayeva · Lang Gao · Omar Hussein · Ahmed Nada · Ahmed Mohamed Magdy Mohamed · Jinghui Liu · Salman Khan · Imran Razzak · Yuxia Wang · Xiuying Chen
arXiv:2609.12851v1 Announce Type: new Abstract: Medical benchmarks are dominated by single-turn, multiple-choice clinical cases that poorly reflect real consultations. Practically, clinicians elicit evidence interactively and patient communication varies widely. We introduce MedRoundsQA, a multi-turn diagnostic benchmark derived from 1,387 board-exam cases across 17 specialties. Each case is converted into a structured 24-slot clinical record, and then instantiated as controlled doctor-patient dual-agent dialogues under varying patient personas, with the underlying clinical content held fixed. We further classify cases by difficulty using model-based uncertainty to enable easy-to-hard analysis. Evaluations of fifteen LLM doctor agents show that (i) moving from a single-turn diagnosis on the standardized records to multi-turn consultations causes large degradations of roughly 13-39 points; (ii) more turns reliably improves question relevance, but diagnostic accuracy exhibits diminishing returns and typically plateaus after 6-12 turns; and (iii) patient persona differences can shift diagnosis accuracy by about 7-8 points (lowest to highest education), highlighting equity risks that single-turn benchmarks miss.
  •  
  • ↗️
↗️

Show-Harness: Just a VLM Agent Can Play Robots

✇cs.AI, q-bio.NC updates on arXiv.org
By: Yanzhe Chen · Zechen Bai · Zhijun Cao · Wenzheng Zeng · Kevin Qinghong Lin · Yiqi Lin · Guoqiang Liang · Kevin Yuchen Ma · Qiming Huang · Mike Zheng Shou
arXiv:2609.10522v1 Announce Type: cross Abstract: Foundation vision-language models (VLMs) exhibit broad intelligence about the world, yet translating this intelligence into robot control remains challenging. We present Show-Harness, an Embodied Harness that enables VLMs to "play" robots through a compact semantic interface linking intent to action. Show-Harness exposes discrete semantic action units that VLMs can naturally reason over, while embodiment-specific interpreters deterministically ground them into local robot actions, keeping the VLM directly responsible for fine-grained physical decisions. Through the same interface, Show-Harness demonstrates the feasibility of (1) directly unlocking closed-source frontier VLMs for zero-shot robot control, and (2) adapting small-scale open-source VLMs for low-cost deployment with just a few GPU-hours of fine-tuning. We further develop GUMI (GUI Manipulation Interface), which extends the same semantic action space to GUI-based demonstration collection, allowing humans and agents to "play" robots across embodiments without specialized teleoperation hardware. Extensive experiments show that Show-Harness-equipped VLM agents generalize robustly across tasks, embodiments, and environments, outperforming representative agentic and VLA paradigms. These results suggest that the right interface can unlock substantial embodied capability from foundation VLMs, without requiring additional model capacity or costly embodiment-specific pretraining.
  •  
  • ↗️
↗️

Towards trustworthy agentic AI: a comprehensive survey of safety, robustness, privacy, and system security

✇cs.AI, q-bio.NC updates on arXiv.org
By: Jinhu Qi · Muzhi Li · Jiahong Liu · Yuqin Shu · Dianzhi Yu · Shicheng Ma · Wenqian Cui · Yiyang Zhao · Yiyi Chen · Ruoxi Jiang · Irwin King · Zenglin Xu
arXiv:2605.23989v1 Announce Type: new Abstract: Agentic AI systems -- Large Language Models (LLMs) augmented with planning, tool use, memory, and long-horizon interactions -- can execute complex tasks autonomously, but their multi-step trajectories introduce new failure modes that challenge trustworthiness. This survey provides a focused examination of trustworthy agentic AI through two core dimensions that are critical for high-risk deployments: Safety and Robustness, and Privacy and System Security. For each dimension, we clarify key concepts, identify where risks emerge along the agent workflow, and summarize stage-targeted mitigation strategies. Other trustworthiness aspects (value alignment, transparency, fairness, and accountability) are discussed as relevant context rather than parallel chapters. To support consistent comparison and deployment decisions, we consolidate evaluation into a unified metrics-and-benchmarks hub, emphasizing both outcome and process signals (e.g., constraint violations, trace completeness, and adversarial success rates) and offering scenario-to-metric guidance for release gating. We conclude by outlining open challenges such as self-evolving agents, runtime monitoring and verification, privacy-preserving personalization, and the trust-utility trade-off, and present a case study of real-world security failures in open-source agentic systems. Our goal is to serve as a practical reference for researchers and practitioners building trustworthy agentic systems in high-stakes environments.
  •  
  • ↗️
↗️

LC-ERD: Mining Latent Logic for Self-Evolving Reasoning via Consistency-Regulated Reward Decomposition

✇cs.AI, q-bio.NC updates on arXiv.org
By: Yanyu Chen · Jiyue Jiang · Dianzhi Yu · Zheng Wu · Jiahong Liu · Jiaming Han · Xiao Guo · Jinhu Qi · Yu Li · Yifei Zhang · Irwin King
arXiv:2605.24005v1 Announce Type: new Abstract: The evolution of Large Language Model (LLM) reasoning is bottlenecked by the scarcity of high-quality process data. While self-alignment via endogenous rewards offers a solution, mining valid supervision faces three challenges: (1) Label Noise via Mimetic Bias, where rewards prioritize statistical likelihood over logical truth, creating a "correctness illusion" that masks compounding errors; (2) Coarse-Grained Supervision, where sparse global outcomes (e.g., in GRPO) fail to provide granular guidance, treating reasoning chains as monolithic; and (3) Distributional Collapse, where signals fail to generalize without amplifying pre-training biases. To address these, we introduce LC-ERD (Logic-Consistent Endogenous Reward Decomposition), a framework framing self-alignment as latent structure mining. We derive a Variational Logic Potential by aggregating consensus from the model's Latent Logic Expertise (LLE) to denoise the reasoning manifold, and introduce a Multi-Agent Value Decomposition protocol based on the IGM principle to quantify individual step utility. Experiments show LC-ERD delivers a robust self-evolution path, uncovering trade-offs between logic consistency and accuracy while identifying high-value reasoning patterns missed by standard rewards. Our code is available at https://github.com/Reinhardmannn/LC-ERD.
  •  
  • ↗️
↗️

SimuWoB: Simulating Real-World Mobile Apps for Fast and Faithful GUI Agent Benchmarking

✇cs.AI, q-bio.NC updates on arXiv.org
By: Guohong Liu · Jialei Ye · Pengzhi Gao · Wei Liu · Jian Luan · Yunxin Liu · Yuanchun Li
arXiv:2605.25160v1 Announce Type: new Abstract: Mobile GUI agents powered by large language models have progressed rapidly, creating urgent needs for realistic and comprehensive evaluation. Existing benchmarks prioritize reproducibility but are often limited to open-source apps or file-operation tasks for the difficulty of constructing rewards on real applications, leaving a gap between benchmark settings and real-world usage. Moreover, most benchmarks focus on basic grounding and navigation, with limited coverage of complex, long-horizon interactions. To address these limitations, we introduce SimuWoB, a fully synthetic benchmark for mobile GUI agents with 120 challenging tasks spanning diverse types and difficulty levels. We build a robust virtual environment generation framework that synthesizes high-fidelity tasks and environments, and automatically provides valid rewards for each task. Each environment is deployed as a backend-free webpage accessible via URL, enabling efficient and reproducible evaluation. We conduct comprehensive experiments on several state-of-the-art mobile GUI agents. The average success rate is only 27.92%, dropping to 17.82% on long-horizon tasks, which reveals substantial weaknesses in current agents under complex scenarios. Evaluation result comparison with real-world sample tasks demonstrate that agent assessments based on our synthetic environment generalize well. We further provide diagnostic insights across key capability dimensions and discuss implications for future mobile GUI agent development.
  •  
  • ↗️
↗️

MobileGym: A Verifiable and Highly Parallel Simulation Platform for Mobile GUI Agent Research

✇cs.AI, q-bio.NC updates on arXiv.org
By: Dingbang Wu · Rui Hao · Haiyang Wang · Shuzhe Wu · Han Xiao · Zhenghong Li · Bojiang Zhou · Zheng Ju · Zichen Liu · Lue Fan · Zhaoxiang Zhang
arXiv:2605.26114v1 Announce Type: new Abstract: We present MobileGym, a browser-hosted, lightweight, fully controllable environment for everyday mobile use, targeting interaction fidelity without replicating proprietary backends. It enables two capabilities previously out of reach for everyday apps: verifiable outcome signals through deterministic state-based judging over structured JSON state, and scalable online RL through low-cost parallel rollouts. The full environment state is captured, configured, forked, and compared as structured JSON, and a single server can host hundreds of parallel instances, with about 400 MB memory per instance and about 3 s cold start. A layered state model and a declarative task-definition framework keep state programmability and task creation practical at scale, and a single programmatic judging mechanism delivers both deterministic evaluation verdicts and dense RL rewards. The accompanying MobileGym-Bench provides 416 parameterized task templates, including 256 test and 160 train templates, over 28 apps, with deterministic judges and a structured AnswerSheet protocol that avoids free-text matching failures. In a Sim-to-Real case study, GRPO on Qwen3-VL-4B-Instruct gains +12.8 percentage points on the 256-task test set, and on a 59-task real-device signal subset, real-device execution retains 95.1% of the simulation-side training gain. Project page: https://mobilegym.github.io.
  •  
  • ↗️
↗️

Unlocking the Potential of Continual Model Merging: An ODE Perspective

✇cs.AI, q-bio.NC updates on arXiv.org
By: Lihong Lin · Haidong Kang
arXiv:2605.19409v3 Announce Type: replace-cross Abstract: Continual Model Merging (CMM) enables rapid customization of foundation models by sequentially incorporating task-adapted models without repeated retraining. However, existing merging rules usually update the deployed model through fixed algebraic or projection-based operations, providing limited control over how much previously accumulated knowledge should be retained relative to the incoming task model. This limitation leads to unstable retention and performance degradation in long task streams, and becomes more pronounced when tasks have heterogeneous utilities. We propose ODE-driven Merging (ODE-M), a controllable framework that formulates each continual merge as a trajectory in parameter space rather than a one-step endpoint update. Motivated by mode connectivity, ODE-M constructs a barrier-aware trajectory using a rectified time-dependent velocity field, where lightweight first-order feedback from a small calibration set suppresses loss-increasing motion while preserving progress toward the incoming model. The next merged model is then obtained by selecting an operating point along this trajectory through a utility-aware time schedule, providing an explicit mechanism for balancing retained historical knowledge and incoming task expertise. Extensive experiments on standard CMM benchmarks show that ODE-M consistently improves over strong continual merging baselines across CLIP ViT backbones, stream lengths, and heterogeneous task-utility settings.
  •  
  • ↗️
↗️

AnyMo: Geometry-Aware Setup-Agnostic Modeling of Human Motion in the Wild

✇cs.AI, q-bio.NC updates on arXiv.org
By: Baiyu Chen · Zechen Li · Wilson Wongso · Lihuan Li · Xiachong Lin · Hao Xue · Benjamin Tag · Flora Salim
arXiv:2605.22715v2 Announce Type: replace-cross Abstract: As wearable and mobile devices become increasingly embedded in daily life, they offer a practical way to continuously sense human motion in the wild. But inertial signals are highly dependent on the sensing setup, including body location, mounting position, sensor orientation, device hardware, and sampling protocol. This setup dependence makes it difficult to learn motion representations that transfer across devices and datasets, and limits the broader use of wearable IMUs beyond closed-set recognition. We introduce AnyMo, a geometry-aware framework for setup-agnostic human motion modeling. AnyMo uses physics-grounded IMU simulation over dense body-surface placements to generate diverse and plausible synthetic signals, pre-trains a graph encoder from paired synthetic placement views and masked partial observations, tokenizes multi-position IMU into full-body motion tokens, and aligns these tokens with an LLM for motion-language understanding. We evaluate AnyMo on three complementary tasks: zero-shot activity recognition across 14 unseen downstream datasets, cross-modal retrieval, and wearable IMU motion captioning, where it improves average Accuracy/F1/R@2 by 11.7\%/11.6\%/22.6\% on HAR, increases zero-shot IMU-to-text and text-to-IMU retrieval MRR by 15.9\% and 28.6\%, respectively, and improves zero-shot captioning BERT-F1 by 18.8\%. These results support AnyMo as a generalist model for wearable motion understanding in the wild. Project page: https://baiyuchen.com/project/AnyMo.
  •  
  • ↗️
↗️

Molecular basis for methylation-sensitive editing by Cas9

✇Nature - Issue - nature.com science feeds
By: Mitchell O. Roth · Yuerong Shu · Yu Zhao · Despoina Trasanidou · Renee D. Hoffman · Christian Südfeld · Eugenios Bouzetos · Nikolaos Trasanidis · Michael Zawrotny · Mary K. Gelasco · Megan L. Medina · Anuska Das · Jay Rai · Hemant N. Goswami · Bing Wang · John van der Oost · Hong Li

Nature, Published online: 15 April 2026; doi:10.1038/s41586-026-10384-z

ThermoCas9, a genome-editing enzyme that is sensitive to the DNA methylation status of the target locus, is characterized and shows promise for targeting hypomethylated DNA regions in cancer cells.
  •  
  • ↗️
↗️

EBV strain interacts with host HLA to drive nasopharyngeal carcinoma risk

✇Nature - Issue - nature.com science feeds
By: Yanhong Chen · Jingtong Liang · Wanlin Zhang · Xinyu Zhang · Xinyi Zhang · Ching-Yuan Wang · Fei Yao · Shanshan Zhang · Xiang Zhou · Weimin Ye · Ruimei Feng · Yonglin Cai · Zhe Zhang · Mingfang Ji · Qian Cui · Xihong Lin · Jiesen Li · Jialei Xu · Qiuting Zhang · Qinyao Huang · Yingying Cheng · Yanran Luo · Xiaoping Ye · Qisheng Feng · Minzhong Tang · Mu-Sheng Zeng · Yi-Xin Zeng · Zhonghua Liu · Weiwei Zhai · Jianjun Liu · Miao Xu

Nature, Published online: 15 April 2026; doi:10.1038/s41586-026-10416-8

A genome-to-genome association study identifies host and viral risk factors that interact to drive nasopharyngeal carcinoma endemicity in southern China.
  •  
  • ↗️
↗️

Transplantation of encapsulated mitochondria alleviates dysfunction in mitochondrial and Parkinson’s disease models

✇Cell
By: Shiwei Du · Qi Long · Yanshuang Zhou · Jiangqin Fu · Hao Wu · Liang Yang · Yaohang Xie · Yingzhe Ding · Maolei Zhang · Jingyi Guo · Mengfei Wang · Jiajun Lin · Mingli Hu · Jian Zhang · Deyang Yao · Wei Li · Feixiang Bao · Ge Xiang · Yi Wu · Yile Huang · Haozhao Liang · Rui Wang · Heying Li · Baodan Chen · Chong Li · Junwei Wang · Jiwei Zhang · Dajiang Qin · Jianwei Sun · Yun Zhu · Fei Sun · Wuming Wang · Gang Lu · Wai-Yee Chan · Hui Zhao · Chenli Liu · Xingguo Liu
A mitochondrial transplantation approach rescues mitochondrial deficiency and prevents mitochondrial DNA depletion syndrome, Leigh syndrome, and Parkinson’s disease in cellular and mouse models.
  •  
  • ↗️
↗️

Beyond Static Vision: Scene Dynamic Field Unlocks Intuitive Physics Understanding in Multi-modal Large Language Models

✇cs.AI, q-bio.NC updates on arXiv.org
By: Nanxi Li · Xiang Wang · Yuanjie Chen · Haode Zhang · Hong Li · Yong-Lu Li
arXiv:2604.03302v1 Announce Type: cross Abstract: While Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in image and video understanding, their ability to comprehend the physical world has become an increasingly important research focus. Despite their improvements, current MLLMs struggle significantly with high-level physics reasoning. In this work, we investigate the first step of physical reasoning, i.e., intuitive physics understanding, revealing substantial limitations in understanding the dynamics of continuum objects. To isolate and evaluate this specific capability, we introduce two fundamental benchmark tasks: Next Frame Selection (NFS) and Temporal Coherence Verification (TCV). Our experiments demonstrate that even state-of-the-art MLLMs perform poorly on these foundational tasks. To address this limitation, we propose Scene Dynamic Field (SDF), a concise approach that leverages physics simulators within a multi-task fine-tuning framework. SDF substantially improves performance, achieving up to 20.7% gains on fluid tasks while showing strong generalization to unseen physical domains. This work not only highlights a critical gap in current MLLMs but also presents a promising cost-efficient approach for developing more physically grounded MLLMs. Our code and data are available at https://github.com/andylinx/Scene-Dynamic-Field.
  •  
  • ↗️
↗️

DP-OPD: Differentially Private On-Policy Distillation for Language Models

✇cs.AI, q-bio.NC updates on arXiv.org
By: Fatemeh Khadem · Sajad Mousavi · Yi Fang · Yuhong Liu
arXiv:2604.04461v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly adapted to proprietary and domain-specific corpora that contain sensitive information, creating a tension between formal privacy guarantees and efficient deployment through model compression. Differential privacy (DP), typically enforced via DP-SGD, provides record-level protection but often incurs substantial utility loss in autoregressive generation, where optimization noise can amplify exposure bias and compounding errors along long rollouts. Existing approaches to private distillation either apply DP-SGD to both teacher and student, worsening computation and the privacy--utility tradeoff, or rely on DP synthetic text generation from a DP-trained teacher, avoiding DP on the student at the cost of DP-optimizing a large teacher and introducing an offline generation pipeline. We propose \textbf{Differentially Private On-Policy Distillation (DP-OPD)}, a synthesis-free framework that enforces privacy solely through DP-SGD on the student while leveraging a frozen teacher to provide dense token-level targets on \emph{student-generated} trajectories. DP-OPD instantiates this idea via \emph{private generalized knowledge distillation} on continuation tokens. Under a strict privacy budget ($\varepsilon=2.0$), DP-OPD improves perplexity over DP fine-tuning and off-policy DP distillation, and outperforms synthesis-based DP distillation (Yelp: 44.15$\rightarrow$41.68; BigPatent: 32.43$\rightarrow$30.63), while substantially simplifying the training pipeline. In particular, \textbf{DP-OPD collapses private compression into a single DP student-training loop} by eliminating DP teacher training and offline synthetic text generation. Code will be released upon publication at https://github.com/khademfatemeh/dp_opd.
  •  
  • ↗️
↗️

Parallel Universes, Parallel Languages: A Comprehensive Study on LLM-based Multilingual Counterfactual Example Generation

✇cs.AI, q-bio.NC updates on arXiv.org
By: Qianli Wang, Van Bach Nguyen, Yihong Liu, Fedor Splitt, Nils Feldhus, Christin Seifert, Hinrich Sch\"utze, Sebastian M\"oller, Vera Schmitt
arXiv:2601.00263v2 Announce Type: replace-cross Abstract: Counterfactuals refer to minimally edited inputs that cause a model's prediction to change, serving as a promising approach to explaining the model's behavior. Large language models (LLMs) excel at generating English counterfactuals and demonstrate multilingual proficiency. However, their effectiveness in generating multilingual counterfactuals remains unclear. To this end, we conduct a comprehensive study on multilingual counterfactuals. We first conduct automatic evaluations on both directly generated counterfactuals in the target languages and those derived via English translation across six languages. Although translation-based counterfactuals offer higher validity than their directly generated counterparts, they demand substantially more modifications and still fall short of matching the quality of the original English counterfactuals. Second, we find the patterns of edits applied to high-resource European-language counterfactuals to be remarkably similar, suggesting that cross-lingual perturbations follow common strategic principles. Third, we identify and categorize four main types of errors that consistently appear in the generated counterfactuals across languages. Finally, we reveal that multilingual counterfactual data augmentation (CDA) yields larger model performance improvements than cross-lingual CDA, especially for lower-resource languages. Yet, the imperfections of the generated counterfactuals limit gains in model performance and robustness.
  •  
  • ↗️
↗️

Decoding macrophage heterogeneity in the pulmonary fibrosis lung cancer transition

✇(Multiomics OR Omics) AND (Lung OR gastric OR Hepatocellular)
By: Hanming Yu · Mengmeng Zhao · Qiuhong Li · Yuan Zhang

Front Immunol. 2026 Mar 20;17:1787094. doi: 10.3389/fimmu.2026.1787094. eCollection 2026.

ABSTRACT

Pulmonary fibrosis (PF) significantly increases the risk of lung cancer (LC), but the mechanisms underlying this transition remain unclear. This overview positions macrophage heterogeneity as a central node within the PF-LC continuum. First, we describe important subpopulations of profibrotic and pro-tumor macrophages, including SPP1+, MERTK+, TREM2+, and MARCO+ cells, using high-resolution spatial and single-cell omics technologies. Next, we analyze the fundamental mechanisms that determine their function: the fibrotic microenvironment (e.g., extracellular matrix stiffness, hypoxia) induces profound metabolic reprogramming (e.g., Warburg effect, lipid peroxidation) and stabilizes epigenetic memory (e.g., DNA methylation, histone modifications), locking them into a pathogenic state. This reprogramming occurs through two main pathways: (1) metabolic reprogramming, characterized by aerobic glycolytic conversion and dysregulated lipid metabolism, which stimulates both pathogenic functions and suppression of T cell activity; (2) Epigenetic modifications, including stabilized alterations in DNA methylation, histone modifications, and superactivator patterns, which maintain cells in a tumor-promoting phenotype. As central nodes of communication, these macrophages interact pathologically with fibroblasts and epithelial cells through secreted factors and extracellular vesicles, forming self-reinforcing feedback loops that promote disease progression. We are studying the crucial role of new technologies, particularly multi-omic spatial models and high-precision organoids, in fostering mechanistic discoveries. These discoveries pave the way for new macrophage-focused therapeutic strategies, including the precise stratification of patients using biomarkers from liquid biopsies (such as soluble SPP1 and MARCO) and the development of targeted drug delivery systems for the selective modulation of macrophage function, thus establishing a new paradigm for therapeutic interventions in pulmonary fibrosis with concomitant lung cancer.

PMID:41939908 | PMC:PMC13046558 | DOI:10.3389/fimmu.2026.1787094

  •  
  • ↗️
↗️

Decoding macrophage heterogeneity in the pulmonary fibrosis lung cancer transition

✇Omics In Lung
By: Hanming Yu · Mengmeng Zhao · Qiuhong Li · Yuan Zhang

Front Immunol. 2026 Mar 20;17:1787094. doi: 10.3389/fimmu.2026.1787094. eCollection 2026.

ABSTRACT

Pulmonary fibrosis (PF) significantly increases the risk of lung cancer (LC), but the mechanisms underlying this transition remain unclear. This overview positions macrophage heterogeneity as a central node within the PF-LC continuum. First, we describe important subpopulations of profibrotic and pro-tumor macrophages, including SPP1+, MERTK+, TREM2+, and MARCO+ cells, using high-resolution spatial and single-cell omics technologies. Next, we analyze the fundamental mechanisms that determine their function: the fibrotic microenvironment (e.g., extracellular matrix stiffness, hypoxia) induces profound metabolic reprogramming (e.g., Warburg effect, lipid peroxidation) and stabilizes epigenetic memory (e.g., DNA methylation, histone modifications), locking them into a pathogenic state. This reprogramming occurs through two main pathways: (1) metabolic reprogramming, characterized by aerobic glycolytic conversion and dysregulated lipid metabolism, which stimulates both pathogenic functions and suppression of T cell activity; (2) Epigenetic modifications, including stabilized alterations in DNA methylation, histone modifications, and superactivator patterns, which maintain cells in a tumor-promoting phenotype. As central nodes of communication, these macrophages interact pathologically with fibroblasts and epithelial cells through secreted factors and extracellular vesicles, forming self-reinforcing feedback loops that promote disease progression. We are studying the crucial role of new technologies, particularly multi-omic spatial models and high-precision organoids, in fostering mechanistic discoveries. These discoveries pave the way for new macrophage-focused therapeutic strategies, including the precise stratification of patients using biomarkers from liquid biopsies (such as soluble SPP1 and MARCO) and the development of targeted drug delivery systems for the selective modulation of macrophage function, thus establishing a new paradigm for therapeutic interventions in pulmonary fibrosis with concomitant lung cancer.

PMID:41939908 | PMC:PMC13046558 | DOI:10.3389/fimmu.2026.1787094

  •  
  • ↗️
❌