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GABA promotes resistance to immunotherapy of patients with TLS-positive tumors [RNA-seq]

GSE273829 Homo sapiens Expression profiling by high throughput sequencing 92 samples Submitted 2026/07/08 Platform GPL24676
Summary
Tertiary lymphoid structures (TLS) correlate with favorable responses to immune checkpoint inhibitors (ICI) in various cancers, yet many patients with TLS-positive tumors are resistant to treatment. Multi-omic profiling of clear cell renal cell carcinoma (ccRCC) and soft tissue sarcoma tumors (STS) reveals an upregulation of gamma-aminobutyric acid (GABA)-related signatures in non-responders to ICI. In ccRCC, TLS from non-responders located near GABA-producing tumor cells, exhibit impaired B cell maturation, reduced IgG production, higher GABA receptor expression and tricarboxylic acid cycle activation. In vitro, exposure of human B cells to GABA reduces HLA-DR expression, proliferation and immunoglobulin secretion by receptor independent and dependent mechanisms. Pharmacological inhibition of GABA-synthesis increases ICI response and immune infiltration, particularly by B cells, in a TLS-positive STS mouse model. Our findings unravel GABA as an immunoregulatory metabolite and provide a rationale for its therapeutic targeting to overcome ICI resistance in patients with TLS-positive tumors.
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Direct links to NCBI, no account and no request form: the whole study as GSE273829_RAW.tar, processed values as the series matrix, the supplementary file directory, and per-sample supplementary files for any of the 92 samples. Raw sequencing reads are also available from ENA.

Also filed as BioProject PRJNA1143431 and SRA study SRP523884. Searching any of these in the dataset finder brings you back here.

Study design
36 conditions, each sampled once — no replicated groups
ccRCC tumor bulk RNA-seq ×4 ccRCC tumor bulk RNA-seq f ×2

Read from the first 40 of 92 sample titles: 36 distinct titles with little repetition. Check it against the sample list below before relying on it.

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