Table 1:
Cluster | Risk/Outcome | TME Characterization | MYCN Amplification | Pro-Tumor TME Elements | Anti-Tumor TME Elements |
---|---|---|---|---|---|
1 | Ultra-high-risk/Very Poor | Cold, immune excluded | MYCN-A >>> MYCN-NA | Low MHC | Low infiltrate |
2 | Low-risk/Favorable | Immune irrelevant (Stage 4S) | MYCN-NA | N/A | N/A |
3 | High-risk/Moderate | Hot, cytotoxic | MYCN-NA >> MYCN-A | Low suppressive and stromal; immune checkpoints | High infiltrate, high MHC |
4a | High-risk/Poor | Intermediate cytotoxic | MYCN-NA >> MYCN-A | MDSCs, high stromal; immune checkpoints | Higher than 4b |
4b | High-risk/Poor | Immunosuppressive | MYCN-NA >> MYCN-A | MDSCs, high stromal | Lower than 4a |