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Updated: Jan 22, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Decoding Immune Heterogeneity of Triple Negative Breast Cancer and Its Association with Systemic Inflammation
Sandra Romero-Cordoba1,2, Elisabetta Meneghini3, Milena Sant3
1Biochemistry Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico.
Abstract:
Triple negative breast cancer (TNBC) is an aggressive subtype with limited therapeutic options. New opportunities are emerging from current comprehensive characterization of tumor immune infiltration and fitness. Therefore, effectiveness of current chemotherapies and novel immunotherapies are partially dictated by host inflammatory and immune profiles. However, further progress in breast cancer immuno-oncology is required to reach a detailed awareness of the immune infiltrate landscape and to determine additional reliable and easily detectable biomarkers. In this study, by analyzing gene expression profiles of 54 TNBC cases we identified three TNBC clusters displaying unique immune features. Deep molecular characterization of immune cells cytolytic-activity and tumor-inflammation status reveled variability in the local composition of the immune infiltrate in the TNBC clusters, reconciled by tumor-infiltrating lymphocytes counts. Platelet-to-lymphocyte ratio (PLR), a blood systemic parameter of inflammation evaluated using pre-surgical blood test data, resulted negatively correlated with local tumoral cytolytic activity and T cell-inflamed microenvironment, whereas tumor aggressiveness score signature positively correlated with PLR values. These data highlighted that systemic inflammation parameters may represent reliable and informative markers of the local immune tumor microenvironment in TNBC patients and could be exploited to decipher tumor infiltrate properties and consequently to select the most appropriate therapies.
Insights
Systemic inflammation markers, like the platelet-to-lymphocyte ratio (PLR), can reliably indicate the local immune microenvironment in triple-negative breast cancer (TNBC). This finding aids in understanding tumor characteristics and selecting optimal therapies for TNBC patients.
Area of Science:
- Oncology
- Immunology
- Genomics
Background:
- Triple-negative breast cancer (TNBC) is aggressive with limited treatment options.
- Immune profiles significantly influence chemotherapy and immunotherapy effectiveness.
- A deeper understanding of the immune infiltrate landscape and biomarkers is crucial for advancing TNBC immuno-oncology.
Purpose of the Study:
- To identify distinct immune features within TNBC subtypes.
- To explore the relationship between systemic inflammation markers and the local tumor immune microenvironment.
- To determine the utility of easily detectable biomarkers for TNBC patient stratification.
Main Methods:
- Analysis of gene expression profiles from 54 TNBC cases.
- Molecular characterization of immune cell cytolytic activity and tumor inflammation.
- Evaluation of platelet-to-lymphocyte ratio (PLR) from pre-surgical blood tests.
- Correlation analysis between PLR, immune activity, and tumor aggressiveness.
Main Results:
- Three TNBC clusters with unique immune characteristics were identified.
- Variability in local immune infiltrate composition was observed across clusters.
- PLR was negatively correlated with local immune cytolytic activity and T cell-inflamed microenvironment.
- Tumor aggressiveness positively correlated with PLR values.
Conclusions:
- Systemic inflammation parameters, such as PLR, serve as reliable indicators of the local immune tumor microenvironment in TNBC.
- These markers can help decipher tumor infiltrate properties.
- Exploiting systemic inflammation markers may lead to improved patient selection for targeted therapies in TNBC.
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