Immune-Related Gene Signatures to Predict the Effectiveness of Chemoimmunotherapy in Triple-Negative Breast Cancer

Olha Kholod1, William I Basket1, Jonathan B Mitchem1,2,3,4

  • 1MU Institute for Data Science and Informatics, University of Missouri, Columbia, MO 65212, USA.

Cancers
|December 11, 2022
PubMed

Insights

Researchers identified immune gene signatures in triple-negative breast cancer (TNBC) to predict response to anti-PD-L1 plus chemotherapy. Specific T-cell populations, CD4-Tn-LEF1 and CD4-CXCL13, were linked to partial remission, aiding treatment selection.

Area of Science:

  • Oncology
  • Immunology
  • Bioinformatics

Background:

  • Triple-negative breast cancer (TNBC) is aggressive with limited treatment options.
  • Immunotherapy shows promise but modest response rates in TNBC patients.
  • Combination therapy with immunotherapy and chemotherapy requires further investigation.

Purpose of the Study:

  • Identify immune-related gene signatures in TNBC patients.
  • Predict patient outcomes following anti-PD-L1 plus chemotherapy treatment.
  • Uncover mechanisms of chemoimmunotherapy response and resistance.

Main Methods:

  • Exploratory subgroup discovery on a TNBC dataset (422 patients, 24 studies).
  • Analysis of twelve subgroups based on tumor mutational burden, relapse status, cellularity, menopausal status, and tumor stage.
  • Multinomial regression to identify genotypic patterns linked to partial remission.
  • Single-cell resolution analysis of immune cell populations.

Main Results:

  • Identified distinct immune cell populations associated with treatment outcomes.
  • Discovered CD4-Tn-LEF1 and CD4-CXCL13 T-cells linked to partial remission.
  • Uncovered immune-related gene signatures potentially explaining differential patient responses.

Conclusions:

  • An informatics pipeline can help select better responders to TNBC chemoimmunotherapy.
  • Identified biomarkers may guide personalized treatment strategies for TNBC.
  • Findings provide insights into mechanisms of drug resistance at a single-cell level.

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