Mismatch repair protein deficiency in triple-negative breast carcinomas

Bayan Maraqa1, Maxim Al-Ashhab1, Hamza Zughaier1

  • 1Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, Amman, Jordan.

Abstract

Insights

Approximately 9% of triple-negative breast cancer (TNBC) patients have deficient mismatch repair protein (dMMR). This deficiency may help predict outcomes and identify TNBC patients who could benefit from immunotherapy.

Area of Science:

  • Oncology
  • Cancer Research
  • Immunotherapy

Background:

  • Triple-negative breast cancer (TNBC) is a significant global health challenge.
  • Mismatch repair protein (MMRP) deficiency occurs in 0.2%–18.6% of TNBC cases.
  • Immunotherapy shows promise for MMRP-deficient metastatic breast cancer.

Purpose of the Study:

  • To identify MMRP deficiency in TNBC patients.
  • To evaluate the potential of MMRP deficiency as a predictive biomarker in TNBC.

Main Methods:

  • Retrospective cohort study of TNBC patients (2015–2021).
  • Immunohistochemistry used to assess MMRP expression.
  • Analysis of 152 TNBC patients.

Main Results:

  • 14 out of 152 patients (9.2%) had deficient MMR (dMMR).
  • PMS2 loss was the most common deficiency, followed by MLH1, MSH6, and MSH2.
  • dMMR patients had a higher 5-year survival rate (80.8%) than proficient MMR patients (62.3%), though overall survival did not significantly differ.

Conclusions:

  • Around 9% of TNBC patients exhibit dMMR.
  • MMRP deficiency can potentially predict outcomes in TNBC.
  • dMMR status may identify TNBC patients suitable for immunotherapy.

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