Recurrence biomarkers of triple negative breast cancer treated with neoadjuvant chemotherapy and anti-EGFR antibodies.


Journal

NPJ breast cancer
ISSN: 2374-4677
Titre abrégé: NPJ Breast Cancer
Pays: United States
ID NLM: 101674891

Informations de publication

Date de publication:
17 Sep 2021
Historique:
received: 24 01 2021
accepted: 20 08 2021
entrez: 18 9 2021
pubmed: 19 9 2021
medline: 19 9 2021
Statut: epublish

Résumé

To find metastatic recurrence biomarkers of triple-negative breast cancer (TNBC) treated by neoadjuvant chemotherapy and anti-EGFR antibodies (NAT), we evaluated tumor genomic, transcriptomic, and immune features, using MSK-IMPACT assay, gene arrays, Nanostring technology, and TIL assessment on H&E. Six patients experienced a rapid fatal recurrence (RR) and other 6 had later non-fatal recurrences (LR). Before NAT, RR had low expression of 6 MHC class I and 13 MHC class II genes but were enriched in upregulated genes involved in the cell cycle-related pathways. Their TIL number before NAT in RR was very low (<5%) and did not increase after treatment. In post-NAT residual tumors, RR cases showed high expression of SOX2 and CXCR4. Our results indicate that high expression of cell cycle genes, combined with cold immunological phenotype, may predict strong TNBC resistance to NAT and rapid progression after it. This biomarker combination is worth validation in larger studies.

Identifiants

pubmed: 34535679
doi: 10.1038/s41523-021-00334-5
pii: 10.1038/s41523-021-00334-5
pmc: PMC8448841
doi:

Types de publication

Journal Article

Langues

eng

Pagination

124

Subventions

Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States

Informations de copyright

© 2021. The Author(s).

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Auteurs

Nina Radosevic-Robin (N)

Department of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.
University Clermont Auvergne, INSERM U1240 "Molecular Imaging and Theragnostic Strategies (IMoST)", Clermont-Ferrand, France.

Pier Selenica (P)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Yingjie Zhu (Y)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Helen H Won (HH)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Michael F Berger (MF)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Human Oncology & Pathogenesis Program (HOPP), Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Lorenzo Ferrando (L)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Emiliano Cocco (E)

Human Oncology & Pathogenesis Program (HOPP), Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Maud Privat (M)

University Clermont Auvergne, INSERM U1240 "Molecular Imaging and Theragnostic Strategies (IMoST)", Clermont-Ferrand, France.
Department of Oncogenetics, Centre Jean Perrin, Clermont-Ferrand, France.

Flora Ponelle-Chachuat (F)

University Clermont Auvergne, INSERM U1240 "Molecular Imaging and Theragnostic Strategies (IMoST)", Clermont-Ferrand, France.
Department of Oncogenetics, Centre Jean Perrin, Clermont-Ferrand, France.

Catherine Abrial (C)

University Clermont Auvergne, INSERM U1240 "Molecular Imaging and Theragnostic Strategies (IMoST)", Clermont-Ferrand, France.
Department of Clinical Research, Centre Jean Perrin, Clermont-Ferrand, France.

Jean-Marc Nabholtz (JM)

Department of Clinical Research, Centre Jean Perrin, Clermont-Ferrand, France.
Department of Medical Oncology, Centre Jean Perrin, Clermont-Ferrand, France.
Division of Hematology/Oncology, Department of Medicine, King Khalid University Hospital/College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Frederique Penault-Llorca (F)

Department of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.
University Clermont Auvergne, INSERM U1240 "Molecular Imaging and Theragnostic Strategies (IMoST)", Clermont-Ferrand, France.

Jorge S Reis-Filho (JS)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA. reisfilj@mskcc.org.
Human Oncology & Pathogenesis Program (HOPP), Memorial Sloan Kettering Cancer Center, New York, NY, USA. reisfilj@mskcc.org.

Maurizio Scaltriti (M)

Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA. maurizio.scaltriti@astrazeneca.com.
Human Oncology & Pathogenesis Program (HOPP), Memorial Sloan Kettering Cancer Center, New York, NY, USA. maurizio.scaltriti@astrazeneca.com.
AstraZeneca, Waltham, MA, USA. maurizio.scaltriti@astrazeneca.com.

Classifications MeSH