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.

Cancers
|July 3, 2019
PubMed

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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