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Prognostic and predictive impacts of tumor-infiltrating lymphocytes differ between Triple-negative and HER2-positive breast cancers treated with standard systemic therapies.

作者信息

Hida Akira I, Sagara Yasuaki, Yotsumoto Daisuke, Kanemitsu Shuichi, Kawano Junko, Baba Shinichi, Rai Yoshiaki, Oshiro Yumi, Aogi Kenjiro, Sagara Yoshiaki, Ohi Yasuyo

机构信息

Department of Pathology, Matsuyama Red Cross Hospital, 1 Bunkyo, Matsuyama, Ehime, 790-8524, Japan.

Department of Pathology, Hakuaikai Sagara Hospital, Kagoshima, Japan.

出版信息

Breast Cancer Res Treat. 2016 Jul;158(1):1-9. doi: 10.1007/s10549-016-3848-2. Epub 2016 Jun 3.


DOI:10.1007/s10549-016-3848-2
PMID:27260189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4937092/
Abstract

Tumor-infiltrating lymphocytes (TILs) have potential value for stratifying the treatment of breast cancer (BC), though their precise use remains unclear. We aimed to investigate the utility of TILs using an alternative approach in different settings. We reviewed patients with triple-negative (TN) or human epithelial growth factor receptor 2 (HER2)-positive invasive ductal carcinomas from a single institutional cohort and classified archived hematoxylin-eosin-stained samples in terms of TIL score as low (<10 %), intermediate, and high (>50 %). The prognostic and predictive values of TILs were analyzed retrospectively in both adjuvant and neo-adjuvant settings. In the adjuvant setting, the presence of TILs at primary surgery was a significant favorable prognostic factor among 154 TNBCs [relapse-free survival (RFS): p = 0.015], but not among 183 HER2+ BCs (RFS: p = 0.097). The TNBC low-TIL group tended to relapse earlier. In the neo-adjuvant setting, detection of TILs on biopsy before primary systemic therapy was associated with the ratio of patients achieving pathological complete response among 48 TNBCs (p = 0.024), but not among 58 HER2+ BCs (p = 0.30). The presence of TILs in surgical specimens after systemic therapy had prognostic value in HER2+ BC (RFS: p = 0.007). The impact of TILs differs between patients with TN and HER2+ BC treated with standard therapies. Our three-grade scale for TILs may contribute to our understanding of the importance of the tumor microenvironment in routine practice. TILs after primary systemic therapy may be useful for the further stratification of treatment of HER2+ BC.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/db92a45fd0e0/10549_2016_3848_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/2f38a82d3eea/10549_2016_3848_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/ac26f6acff18/10549_2016_3848_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/af01e2a18e9b/10549_2016_3848_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/71ebbdedd0da/10549_2016_3848_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/db92a45fd0e0/10549_2016_3848_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/2f38a82d3eea/10549_2016_3848_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/ac26f6acff18/10549_2016_3848_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/af01e2a18e9b/10549_2016_3848_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/71ebbdedd0da/10549_2016_3848_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ac/4937092/db92a45fd0e0/10549_2016_3848_Fig5_HTML.jpg

相似文献

[1]
Prognostic and predictive impacts of tumor-infiltrating lymphocytes differ between Triple-negative and HER2-positive breast cancers treated with standard systemic therapies.

Breast Cancer Res Treat. 2016-7

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
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[2]
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[3]
Clinical utility of tumor-infiltrating lymphocyte evaluation by two different methods in breast cancer patients treated with neoadjuvant chemotherapy.

Breast Cancer. 2025-3

[4]
Circulating CD3CD8 T Lymphocytes as Indicators of Disease Status in Patients With Early Breast Cancer.

Cancer Med. 2025-1

[5]
Predictive value of tumor-infiltrating lymphocytes for neoadjuvant therapy response in triple-negative breast cancer: A systematic review and meta-analysis.

World J Clin Oncol. 2024-7-24

[6]
Implications of tumor-infiltrating lymphocytes in early-stage triple-negative breast cancer: clinical oncologist perspectives.

Transl Breast Cancer Res. 2023-10-23

[7]
Tumor infiltrating lymphocytes (TILs) are a prognosis biomarker in Colombian patients with triple negative breast cancer.

Sci Rep. 2023-12-3

[8]
The Value of Tumor Infiltrating Lymphocytes (TIL) for Predicting the Response to Neoadjuvant Chemotherapy (NAC) in Breast Cancer according to the Molecular Subtypes.

Biomedicines. 2023-11-13

[9]
An increase in tumor-infiltrating lymphocytes after treatment is significantly associated with a poor response to neoadjuvant endocrine therapy for estrogen receptor-positive/HER2-negative breast cancers.

Breast Cancer. 2023-9

[10]
Expression patterns and prognostic implications of tumor-infiltrating lymphocytes dynamics in early breast cancer patients receiving neoadjuvant therapy: A systematic review and meta-analysis.

Front Oncol. 2022-11-30

本文引用的文献

[1]
Association of Stromal Tumor-Infiltrating Lymphocytes With Recurrence-Free Survival in the N9831 Adjuvant Trial in Patients With Early-Stage HER2-Positive Breast Cancer.

JAMA Oncol. 2016-1

[2]
Evaluation of tumor-infiltrating lymphocytes in breast cancer; proposal of a simpler method.

Ann Oncol. 2015-11

[3]
Prognostic significance of tumor-infiltrating CD8+ and FOXP3+ lymphocytes in residual tumors and alterations in these parameters after neoadjuvant chemotherapy in triple-negative breast cancer: a retrospective multicenter study.

Breast Cancer Res. 2015-9-4

[4]
Tumor-Infiltrating Lymphocytes and Associations With Pathological Complete Response and Event-Free Survival in HER2-Positive Early-Stage Breast Cancer Treated With Lapatinib and Trastuzumab: A Secondary Analysis of the NeoALTTO Trial.

JAMA Oncol. 2015-7

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Prognostic and predictive value of tumor-infiltrating lymphocytes in two phase III randomized adjuvant breast cancer trials.

Ann Oncol. 2015-8

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Ann Oncol. 2015-8

[7]
Immune Checkpoint Blockade in Cancer Therapy.

J Clin Oncol. 2015-6-10

[8]
Tumor-infiltrating lymphocytes and response to neoadjuvant chemotherapy with or without carboplatin in human epidermal growth factor receptor 2-positive and triple-negative primary breast cancers.

J Clin Oncol. 2014-12-22

[9]
The evaluation of tumor-infiltrating lymphocytes (TILs) in breast cancer: recommendations by an International TILs Working Group 2014.

Ann Oncol. 2015-2

[10]
Prognostic value of tumor-infiltrating lymphocytes in triple-negative breast cancers from two phase III randomized adjuvant breast cancer trials: ECOG 2197 and ECOG 1199.

J Clin Oncol. 2014-9-20

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