Divergent Schwann cell-immune cell trajectories across vestibular schwannoma subtypes mirror nerve injury-repair programs.
14 affiliations
- 1Department of Pediatric Neurosurgery, Beijing Key Laboratory of Drug Innovation for Neuro-Oncology, Beijing Neurosurgical Institute, Capital Medical University, 119 South 4th Ring West Road, Fengtai District, Beijing, 100070, PR China.
- 2Department of Neuro-Oncology, Sanbo Brain Hospital, Capital Medical University, Beijing, PR China.
- 3Department of Neurosurgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian province, 350005, PR China.
- 4Department of Neurosurgery, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, Fujian Province, 361000, China.
- 5Beijing Engineering Research Center of Targeted Drugs and Cell Therapy for CNS Tumors, Beijing, 102600, P.R. China.
- 6Department of Research and Development, Santo Therapeutic co., Xiaoshan District, Hang Zhou, PR China.
- 7Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
- 8Department of Nuclear Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China.
- 9Department of Pathology, Xuanwu Hospital, Capital Medical University, Beijing, PR China.
- 10Department of Neurosurgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian province, 350005, PR China. [email protected].
- 11Department of Pediatric Neurosurgery, Beijing Key Laboratory of Drug Innovation for Neuro-Oncology, Beijing Neurosurgical Institute, Capital Medical University, 119 South 4th Ring West Road, Fengtai District, Beijing, 100070, PR China. [email protected].
- 12Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China. [email protected].
- 13Department of Pediatric Neurosurgery, Beijing Key Laboratory of Drug Innovation for Neuro-Oncology, Beijing Neurosurgical Institute, Capital Medical University, 119 South 4th Ring West Road, Fengtai District, Beijing, 100070, PR China. [email protected].
- 14Beijing Engineering Research Center of Targeted Drugs and Cell Therapy for CNS Tumors, Beijing, 102600, P.R. China. [email protected].
Abstract
Although Schwann cells (SCs) are increasingly recognised as active contributors to cancer progression, their cell-autonomous oncogenic mechanisms underlying vestibular schwannoma (VS) development remain poorly defined. Moreover, the roles of heterogeneity within the tumour microenvironment (TME) in VS pathogenesis remain unclear. In this study, we performed integrative multi-omic analyses of sporadic VSs and NF2-related schwannomatosis (NF2-SWN) VSs, using bulk RNA-sequencing, single-nucleus RNA-sequencing (snRNA-seq), DNA methylation profiling, and immunohistochemistry (IHC). Transcriptomic and DNA methylation profiling analyses identified two distinct molecular subgroups, immune-enriched schwannoma (IES) and immune-depleted schwannoma (IDS), independent of syndromic status. We developed multigene and IHC-based classifiers that robustly distinguish the two molecular subgroups. Notably, we found significant differences in clinical characteristics and prognostic outcomes across VS subgroups. Furthermore, snRNA-seq revealed cellular heterogeneity within the VS microenvironment, with phenotypic transitions in SCs and immune cells that closely recapitulated the sequential stages of nerve injury and repair. Collectively, our study reveals that SC plasticity and immune cell dynamics within the tumor microenvironment contribute to intertumoral heterogeneity in vestibular schwannomas, offering insights into the biological processes underlying tumor progression and nerve injury-repair programs.
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BibTeX
@article{zhao2026divergent,
title = {{Divergent Schwann cell-immune cell trajectories across vestibular schwannoma subtypes mirror nerve injury-repair programs.}},
author = {Han-Guang Zhao and Xiao-Ping Wang and Jing Zhang and Si-Kang Ren and Yu-Chao Liang and Hui Li and Jiang-Ming Li and Xiao-Bin Zhao and Lei-Ming Wang and Yuan-Xiang Lin and Zhi Li and Fu Zhao},
journal = {Journal of neuroinflammation},
year = {2026},
month = aug,
doi = {10.1186/s12974-026-03995-w},
url = {https://europepmc.org/article/MED/42958385},
note = {CC BY},
}
RIS
TY - JOUR
TI - Divergent Schwann cell-immune cell trajectories across vestibular schwannoma subtypes mirror nerve injury-repair programs.
AU - Han-Guang Zhao
AU - Xiao-Ping Wang
AU - Jing Zhang
AU - Si-Kang Ren
AU - Yu-Chao Liang
AU - Hui Li
AU - Jiang-Ming Li
AU - Xiao-Bin Zhao
AU - Lei-Ming Wang
AU - Yuan-Xiang Lin
AU - Zhi Li
AU - Fu Zhao
PY - 2026
DA - 2026/08/03
JO - Journal of neuroinflammation
DO - 10.1186/s12974-026-03995-w
UR - https://europepmc.org/article/MED/42958385
AB - Although Schwann cells (SCs) are increasingly recognised as active contributors to cancer progression, their cell-autonomous oncogenic mechanisms underlying vestibular schwannoma (VS) development remain poorly defined. Moreover, the roles of heterogeneity within the tumour microenvironment (TME) in VS pathogenesis remain unclear. In this study, we performed integrative multi-omic analyses of sporadic VSs and NF2-related schwannomatosis (NF2-SWN) VSs, using bulk RNA-sequencing, single-nucleus RNA-sequencing (snRNA-seq), DNA methylation profiling, and immunohistochemistry (IHC). Transcriptomic and DNA methylation profiling analyses identified two distinct molecular subgroups, immune-enriched schwannoma (IES) and immune-depleted schwannoma (IDS), independent of syndromic status. We developed multigene and IHC-based classifiers that robustly distinguish the two molecular subgroups. Notably, we found significant differences in clinical characteristics and prognostic outcomes across VS subgroups. Furthermore, snRNA-seq revealed cellular heterogeneity within the VS microenvironment, with phenotypic transitions in SCs and immune cells that closely recapitulated the sequential stages of nerve injury and repair. Collectively, our study reveals that SC plasticity and immune cell dynamics within the tumor microenvironment contribute to intertumoral heterogeneity in vestibular schwannomas, offering insights into the biological processes underlying tumor progression and nerve injury-repair programs.
SN - 1742-2094
ER -