在人类表皮生长因子受体2-阳性乳腺癌的新辅助设置中,分子景观,基因组转变和预测
Laura Pons1, Laura Hernandez1, Aintzane Urbizu1
1University Hospital Germans Trias i Pujol, Barcelona, Spain.
概括
与HER2过度表达相结合的TP53基因突变预测乳腺癌残留负担. 这一发现可以改善对HER2阳性乳腺癌患者的治疗决策.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 乳腺癌研究研究 乳腺癌研究
背景情况:
- HER2阳性乳腺癌是一种独特的亚型.
- 针对HER2的疗法是有效的,但至少有40%的患者失败.
- 确定治疗反应的预测因素至关重要.
研究的目的:
- 确定对HER2阳性乳腺癌中新辅助HER2向治疗的新型基因组预测反应的新型基因组预测因子.
- 为了将基因组变化与临床病理学参数相关联.
- 为了比较治疗后的原发性和残留性瘤的基因组资料.
主要方法:
- 下一代测序用于分析64名HER2阳性乳腺癌患者的基因组变化.
- 临床病理学参数与基因组发现相关.
- 免疫组织化学被用来评估p53和HER2的表达.
主要成果:
- 最常发生突变的基因是TP53.
- TP53突变和ERBB2过度表达一起预测了残留癌症负担 (P = .001).
- 结合的p53 (突变) 和HER2 (得分3+) 预测了完整的病理反应 (P = .038) 和反应等级 (P = .031).
结论:
- TP53突变和HER2状态是HER2阳性乳腺癌治疗反应的重要预测因素.
- 除了HER2之外,p53的状态也可以纳入初始生物标志物板.
- 这可能有助于 HER2 阳性乳腺癌患者的治疗决策.
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