دورية أكاديمية

Systemic immune mediators reflect tumour-infiltrating lymphocyte intensity and predict therapeutic response in triple-negative breast cancer.

التفاصيل البيبلوغرافية
العنوان: Systemic immune mediators reflect tumour-infiltrating lymphocyte intensity and predict therapeutic response in triple-negative breast cancer.
المؤلفون: Lopes AD; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; Translational Immuno-oncology Laboratory, Hospital Israelita Albert Einstein, São Paulo, Brazil., Galdino NAL; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; Translational Immuno-oncology Laboratory, Hospital Israelita Albert Einstein, São Paulo, Brazil., Figueiredo AB; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; Translational Immuno-oncology Laboratory, Hospital Israelita Albert Einstein, São Paulo, Brazil., Brianese RC; Laboratory of Genomics and Molecular Biology, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil., Morais KLP; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; Translational Immuno-oncology Laboratory, Hospital Israelita Albert Einstein, São Paulo, Brazil., De Brot M; Department of Pathology, A.C. Camargo Cancer Center, São Paulo, Brazil., Osório CABT; Department of Pathology, A.C. Camargo Cancer Center, São Paulo, Brazil., Teixeira-Carvalho A; Fundação Oswaldo Cruz (Fiocruz) - Instituto René Rachou, Belo Horizonte, Brazil., Calsavara VF; Laboratory of Epidemiology and Statistics, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil., Evangelista GFB; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; Translational Immuno-oncology Laboratory, Hospital Israelita Albert Einstein, São Paulo, Brazil., Alves NS; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil., Makdissi FB; Department of Mastology, A.C.Camargo Cancer Center, São Paulo, Brazil., Sanches SM; Department of Mastology, A.C.Camargo Cancer Center, São Paulo, Brazil., Cordeiro de Lima VC; Department of Clinical Oncology, A.C.Camargo Cancer Center, São Paulo, Brazil., Carraro DM; Laboratory of Genomics and Molecular Biology, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; INCT-INCITO, São Paulo, Brazil., Gollob KJ; Translational Immuno-oncology Group, International Research Center, A.C. Camargo Cancer Center, São Paulo, Brazil.; INCT-INCITO, São Paulo, Brazil.; Center for Research in Immuno-oncology, Hospital Israelita Albert Einstein, São Paulo, Brazil.
المصدر: Immunology [Immunology] 2023 Jun; Vol. 169 (2), pp. 229-241. Date of Electronic Publication: 2023 Feb 20.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 0374672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2567 (Electronic) Linking ISSN: 00192805 NLM ISO Abbreviation: Immunology Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Blackwell Scientific Publications
مواضيع طبية MeSH: Triple Negative Breast Neoplasms*/drug therapy , Breast Neoplasms*/therapy, Humans ; Female ; Lymphocytes, Tumor-Infiltrating ; Neoadjuvant Therapy ; Cytokines ; Prognosis
مستخلص: Triple-negative breast cancer (TNBC) is an aggressive form of breast cancer (BC). Neoadjuvant chemotherapy has proven efficacy in its treatment, and a pathological complete response (pCR) to therapy is predictive of improved long-term survival. The immune response is key to successful neoadjuvant chemotherapy, as indicated by the relation between the percentage of stromal tumour-infiltrating lymphocytes (TILs) in pre-treated tumour tissue samples and the likelihood of achieving pCR. Here we studied systemic immune mediators from volunteer TNBC patients before undergoing neoadjuvant chemotherapy to determine the systemic response association with TIL intensity, treatment response and survival. Patients were classified into pCR responder or non-responder at time of surgery. We found higher levels of immune mediators before treatment began in patients that went on to be pCR responders versus non-pCR, with area under the curve (AUC) values of 0.64-0.80. We also observed a positive correlation between inflammatory systemic immune mediators and the percentage of TILs in pCR responder patients. Combining TILs and systemic immune mediator levels provided stronger AUC values (range of 0.72-0.82). Last, performing a progression-free survival analysis with several of the systemic cytokines that predict pCR, segregated the patients into long- and short-survival groups based on high and low production of the cytokines, respectively. Our study demonstrates that circulating cytokines, before treatment begins, predict pCR in TNBC patients treated with neoadjuvant chemotherapy. Moreover, they may act as a surrogate marker of high TILs or together with TILs to better predict pCR and survival.
(© 2023 John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: TILs; cytokines; neoadjuvant therapy; triple-negative breast cancer; tumour immunology
المشرفين على المادة: 0 (Cytokines)
تواريخ الأحداث: Date Created: 20230126 Date Completed: 20230519 Latest Revision: 20230521
رمز التحديث: 20240628
DOI: 10.1111/imm.13627
PMID: 36703241
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2567
DOI:10.1111/imm.13627