Comparison of the Predictive and Prognostic Capacities of Neutrophil, Lymphocyte and Platelet Counts and Tumor-infiltrating Lymphocytes in Triple-negative Breast Cancer: Preliminary Results of the PERCEPTION Study.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Nov 2024
Historique:
received: 03 09 2024
revised: 23 09 2024
accepted: 24 09 2024
medline: 31 10 2024
pubmed: 31 10 2024
entrez: 30 10 2024
Statut: ppublish

Résumé

Triple-negative breast cancer (TNBC) is the most heterogeneous breast cancer subtype, posing numerous challenges in clinical decision-making. Biomarkers are essential to personalize management of TNBC patients. While tumor infiltrating lymphocytes (TILs) are validated prognostic biomarkers, the requirement for tumor biopsy limits their routine use. Therefore, more accessible and reliable quantitative biomarkers are needed. Given the significant role of systemic inflammatory response in tumor onset and progression, assessing inflammatory cells via liquid biopsies emerges as a promising alternative. The PERCEPTION study, conducted at Centre Jean Perrin in France, aims to determine the correlation between TILs and peripheral blood components at diagnosis. An interim analysis was conducted after enrolling 50% of the estimated population, to evaluate study feasibility and preliminary correlations between blood cell counts and TILs. Sixty-one patients were enrolled over 4.5 years, demonstrating a good inclusion rate with minimal missing data. Preliminary results for 36 analyzable patients showed no correlation between the neutrophil-to-lymphocyte ratio (NLR) and TILs (r The interim analysis of the PERCEPTION study confirms the feasibility of correlating blood cell counts with TILs in TNBC. Although no significant correlation was observed between NLR and TILs, the moderate positive correlation between the CD8/FoxP3 ratio and TILs suggests a potential link between systemic inflammation and local immune response. These findings underscore the potential of blood-based markers as non-invasive surrogates for TILs, encouraging further research to enhance prognosis and guide treatment strategies in TNBC.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
Triple-negative breast cancer (TNBC) is the most heterogeneous breast cancer subtype, posing numerous challenges in clinical decision-making. Biomarkers are essential to personalize management of TNBC patients. While tumor infiltrating lymphocytes (TILs) are validated prognostic biomarkers, the requirement for tumor biopsy limits their routine use. Therefore, more accessible and reliable quantitative biomarkers are needed. Given the significant role of systemic inflammatory response in tumor onset and progression, assessing inflammatory cells via liquid biopsies emerges as a promising alternative.
PATIENTS AND METHODS METHODS
The PERCEPTION study, conducted at Centre Jean Perrin in France, aims to determine the correlation between TILs and peripheral blood components at diagnosis. An interim analysis was conducted after enrolling 50% of the estimated population, to evaluate study feasibility and preliminary correlations between blood cell counts and TILs.
RESULTS RESULTS
Sixty-one patients were enrolled over 4.5 years, demonstrating a good inclusion rate with minimal missing data. Preliminary results for 36 analyzable patients showed no correlation between the neutrophil-to-lymphocyte ratio (NLR) and TILs (r
CONCLUSION CONCLUSIONS
The interim analysis of the PERCEPTION study confirms the feasibility of correlating blood cell counts with TILs in TNBC. Although no significant correlation was observed between NLR and TILs, the moderate positive correlation between the CD8/FoxP3 ratio and TILs suggests a potential link between systemic inflammation and local immune response. These findings underscore the potential of blood-based markers as non-invasive surrogates for TILs, encouraging further research to enhance prognosis and guide treatment strategies in TNBC.

Identifiants

pubmed: 39477319
pii: 44/11/4983
doi: 10.21873/anticanres.17323
doi:

Substances chimiques

Biomarkers, Tumor 0

Types de publication

Journal Article Comparative Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

4983-4994

Informations de copyright

Copyright © 2024 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Alexia Giro (A)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France; Alexia.Giro@clermont.unicancer.fr.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
UMR 501, Clinical Investigation Centre, Clermont-Ferrand, France.

Judith Passildas-Jahanmohan (J)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
UMR 501, Clinical Investigation Centre, Clermont-Ferrand, France.

Myriam Kossai (M)

INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
Department of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.

Yannick Bidet (Y)

INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
Molecular Oncology Laboratory, Centre Jean Perrin, Clermont-Ferrand, France.

Ioana Molnar (I)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
UMR 501, Clinical Investigation Centre, Clermont-Ferrand, France.

Maureen Bernadach (M)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.

Frederique Penault-Llorca (F)

INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
Department of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.

Catherine Abrial (C)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
UMR 501, Clinical Investigation Centre, Clermont-Ferrand, France.

Xavier Durando (X)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
UMR 501, Clinical Investigation Centre, Clermont-Ferrand, France.

Nina Radosevic-Robin (N)

Clinical Research and Innovation Department, Centre Jean Perrin, Clermont-Ferrand, France.
INSERM U1240 (IMoST), University of Clermont Auvergne, Clermont-Ferrand, France.
Department of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.
Platform for Advanced and/or Novel Tissue Analyses (TANYA), Department of Pathology, Centre Jean Perrin, Clermont-Ferrand, France.

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