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Immunological Differences Between Immune-Rich Estrogen Receptor-Positive and Immune-Rich Triple-Negative Breast Cancers.

作者信息

O'Meara Tess, Marczyk Michal, Qing Tao, Yaghoobi Vesal, Blenman Kim, Cole Kimberly, Pelekanou Vasiliki, Rimm David L, Pusztai Lajos

机构信息

Department of Medical Oncology, Yale School of Medicine, New Haven, CT.

Data Mining Division, Silesian University of Technology, Gliwice, Poland.

出版信息

JCO Precis Oncol. 2020 Jun 26;4. doi: 10.1200/PO.19.00350. eCollection 2020.


DOI:10.1200/PO.19.00350
PMID:32923897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7446500/
Abstract

PURPOSE: A subset of estrogen receptor-positive (ER-positive) breast cancer (BC) contains high levels of tumor-infiltrating lymphocytes (TILs), similar to triple-negative BC (TNBC). The majority of immuno-oncology trials target TNBCs because of the greater proportion of TIL-rich TNBCs. The extent to which the immune microenvironments of immune-rich ER-positive BC and TNBC differ is unknown. PATIENTS AND METHODS: RNA sequencing data from The Cancer Genome Atlas (TCGA; n = 697 ER-positive BCs; n = 191 TNBCs) were used for discovery; microarray expression data from Molecular Taxonomy of Breast Cancer International Consortium (METABRIC; n = 1,186 ER-positive BCs; n = 297 TNBCs) was used for validation. Patients in the top 25th percentile of a previously published total TIL metagene score distribution were considered immune rich. We compared expression of immune cell markers, immune function metagenes, and immuno-oncology therapeutic targets among immune-rich subtypes. RESULTS: Relative fractions of resting mast cells (TCGA = .009; METABRIC = 4.09E-15), CD8 T cells (TCGA = .015; METABRIC = 0.390), and M2-like macrophages (TCGA = 4.68E-05; METABRIC = .435) were higher in immune-rich ER-positive BCs, but M0-like macrophages (TCGA = 0.015; METABRIC = .004) and M1-like macrophages (TCGA = 9.39E-08; METABRIC = 6.24E-11) were higher in immune-rich TNBCs. Ninety-one immune-related genes (eg, , , , , ) and a transforming growth factor β (TGF-β) response metagene were significantly overexpressed in immune-rich ER-positive BCs, whereas 41 immune-related genes (eg, , , , ) were overexpressed in immune-rich TNBCs in both discovery and validation data sets. TGF-β pathway member genes correlated negatively with expression of immune activation markers (, granzyme-B, perforin) and positively with M2-like macrophages (, , and and regulatory T-cell () markers in both subtypes. CONCLUSION: Different immunotherapy strategies may be optimal in immune-rich ER-positive BC and TNBC. Drugs targeting the TGF-β pathway and M2-like macrophages are promising strategies in immune-rich ER-positive BCs to augment antitumor immunity.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/169b34a8b14e/PO.19.00350f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/c5036002acfd/PO.19.00350f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/c25a1d78387b/PO.19.00350f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/6590a5caef65/PO.19.00350f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/d04217c55412/PO.19.00350f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/169b34a8b14e/PO.19.00350f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/c5036002acfd/PO.19.00350f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/c25a1d78387b/PO.19.00350f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/6590a5caef65/PO.19.00350f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/d04217c55412/PO.19.00350f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4555/7446500/169b34a8b14e/PO.19.00350f5.jpg

相似文献

[1]
Immunological Differences Between Immune-Rich Estrogen Receptor-Positive and Immune-Rich Triple-Negative Breast Cancers.

JCO Precis Oncol. 2020-6-26

[2]
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[3]
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引用本文的文献

[1]
Immune Subtyping Identifies Patients With Hormone Receptor-Positive Early-Stage Breast Cancer Who Respond to Neoadjuvant Immunotherapy (IO): Results From Five IO Arms of the I-SPY2 Trial.

JCO Precis Oncol. 2025-6

[2]
Pathological complete response, histologic grade, and level of stromal tumor-infiltrating lymphocytes in ER + HER2- breast cancer.

Breast Cancer Res. 2025-3-20

[3]
Exploring the role and mechanisms of MAGEA4 in tumorigenesis, regulation, and immunotherapy.

Mol Med. 2025-2-4

[4]
Neoadjuvant nivolumab and chemotherapy in early estrogen receptor-positive breast cancer: a randomized phase 3 trial.

Nat Med. 2025-2

[5]
Regulation of Stromal Cells by Sex Steroid Hormones in the Breast Cancer Microenvironment.

Cancers (Basel). 2024-12-2

[6]
Human Leukocyte Antigen Class I Expression and Natural Killer Cell Infiltration and Its Correlation with Prognostic Features in Luminal Breast Cancers.

Breast Cancer (Dove Med Press). 2024-10-5

[7]
Shifting the Paradigm: The Transformative Role of Neoadjuvant Therapy in Early Breast Cancer.

Cancers (Basel). 2024-9-23

[8]
Role of sex and sex hormones in PD-L1 expression in NSCLC: clinical and therapeutic implications.

Front Oncol. 2023-10-24

[9]
Breast cancers with high proliferation and low ER-related signalling have poor prognosis and unique molecular features with implications for therapy.

Br J Cancer. 2023-12

[10]
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

本文引用的文献

[1]
Transforming Growth Factor-β Signaling in Immunity and Cancer.

Immunity. 2019-4-16

[2]
Immunotherapy and targeted therapy combinations in metastatic breast cancer.

Lancet Oncol. 2019-3

[3]
The neoepitope landscape of breast cancer: implications for immunotherapy.

BMC Cancer. 2019-3-4

[4]
CD68, CD163, and matrix metalloproteinase 9 (MMP-9) co-localization in breast tumor microenvironment predicts survival differently in ER-positive and -negative cancers.

Breast Cancer Res. 2018-12-17

[5]
Tumor mutational burden is a determinant of immune-mediated survival in breast cancer.

Oncoimmunology. 2018-7-30

[6]
Ten-year recurrence rates for breast cancer subtypes in the Netherlands: A large population-based study.

Int J Cancer. 2018-11-28

[7]
Human monocytes and macrophages regulate immune tolerance via integrin αvβ8-mediated TGFβ activation.

J Exp Med. 2018-10-24

[8]
Atezolizumab Plus nab-Paclitaxel in the Treatment of Metastatic Triple-Negative Breast Cancer With 2-Year Survival Follow-up: A Phase 1b Clinical Trial.

JAMA Oncol. 2019-3-1

[9]
Atezolizumab and Nab-Paclitaxel in Advanced Triple-Negative Breast Cancer.

N Engl J Med. 2018-10-20

[10]
Trends in the global immuno-oncology landscape.

Nat Rev Drug Discov. 2018-11

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