Evidence map›Paper›PMID 29996881›Full record

ArticleBreast cancer research : BCR2018

The association of genomic lesions and PD-1/PD-L1 expression in resected triple-negative breast cancers.

Michael T Barrett, Elizabeth Lenkiewicz, Smriti Malasi, Anamika Basu, Jennifer Holmes Yearley, Lakshmanan Annamalai, Ann E McCullough, Heidi E Kosiorek, Pooja Narang, Melissa A Wilson Sayres and 3 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 83 citations in OpenAlex.

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  10. Narrative review on the role of immunotherapy in early triple negative breast cancer: unveiling opportunities and overcoming challenges.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Michael T BarrettDivision of Hematology and Medical Oncology, Mayo Clinic in Arizona, Scottsdale, AZ, USA. barrett.michael@mayo.edu.ORCID 0000-0002-5646-1530
Elizabeth LenkiewiczDivision of Hematology and Medical Oncology, Mayo Clinic in Arizona, Scottsdale, AZ, USA.
Smriti MalasiDivision of Hematology and Medical Oncology, Mayo Clinic in Arizona, Scottsdale, AZ, USA.
Anamika BasuDivision of Hematology and Medical Oncology, Mayo Clinic in Arizona, Scottsdale, AZ, USA.
Jennifer Holmes YearleyMerck Research Laboratories, Palo Alto, CA, USA.
Lakshmanan AnnamalaiMerck Research Laboratories, Palo Alto, CA, USA.
Ann E McCulloughDepartment of Pathology and Laboratory Medicine, Mayo Clinic in Arizona, Scottsdale, AZ, USA.
Heidi E KosiorekDivision of Hematology and Medical Oncology, Mayo Clinic in Arizona, Scottsdale, AZ, USA.
Pooja NarangSchool of Life Sciences, Arizona State University, Tempe, AZ, USA.
Melissa A Wilson SayresSchool of Life Sciences, Arizona State University, Tempe, AZ, USA.
Meixuan ChenBiodesign Institute, Arizona State University, Tempe, AZ, USA.
Karen S AndersonBiodesign Institute, Arizona State University, Tempe, AZ, USA.
Barbara A PockajDivision of General Surgery, Section of Surgical Oncology, Mayo Clinic in Arizona, Phoenix, AZ, USA.
WinnMed · USArizona State University · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USMayo Clinic Hospital · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElevated PD-L1 expression on tumor cells, a context associated with an adaptive immune response, has been linked to the total burden of copy number variants (CNVs) in aneuploid tumors, to microsatellite instability (MSI), and to specific genomic driver lesions, including loss of PTEN, MYC amplification, and activating mutations in driver oncogenes such as KRAS and PIK3CA. Triple-negative breast cancers (TNBCs) typically have high levels of CNVs and diverse driver lesions in their genomes. Thus, there is significant interest in exploiting genomic data to develop predictive immunotherapy biomarkers for patients with TNBC.

methodsWhole tissue samples from 55 resected TNBCs were screened by immunohistochemistry (IHC) for PD-1 and PD-L1 by using validated antibodies and established scoring methods for staining of tumor and non-tumor cells. In parallel, we interrogated biopsies from each resection with DNA content flow cytometry and sorted the nuclei of diploid, tetraploid, and aneuploid cell populations. CNVs were mapped with CNV oligonucleotide arrays by using purified (>95%) tumor populations. We generated whole exome data for 12 sorted tumor samples to increase the resolution within loci of interest and to incorporate somatic mutations into our genomic signatures. RESULTS AND

conclusionsPD-L1 staining was detected on tumor cells in 29 out of 54 (54%) evaluable cases and was associated with increased overall survival (P = 0.0024). High levels of PD-1 and PD-L1 (IHC ≥4) were present in 11 out of 54 (20%) and 20 out of 54 (37%) cases with staining of PD-L1 primarily on tumor cells for 17 out of 20 (85%) cases. The latter included tumors with both high (>50) and low (<20) numbers of CNVs. Notably, homozygous deletion of PTEN (n = 6) or activating mutation in PIK3CA (n = 1) was not associated with increased expression of either immune checkpoint activator in TNBC. In contrast, two treatment-naïve cases with EGFR driver amplicons had high PD-L1 tumor staining. High mutational load and predicted neoepitopes were observed in MSI

Indexed as

AgedAneuploidyB7-H1 AntigenBiomarkers, TumorClass I Phosphatidylinositol 3-KinasesDNA Copy Number VariationsExome SequencingFemaleGene Expression Regulation, NeoplasticGenome, HumanHumansKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMicrosatellite InstabilityMiddle AgedMutationB7-H1 AntigenBiomarkers, TumorCD274 protein, humanClass I Phosphatidylinositol 3-KinasesKRAS protein, humanMYC protein, humanPDCD1 protein, humanPIK3CA protein, humanProgrammed Cell Death 1 ReceptorProto-Oncogene Proteins c-mycProto-Oncogene Proteins p21(ras)PTEN PhosphohydrolasePTEN protein, humanCopy numberFlow sortingIHCPD-1PD-L1Somatic mutationsTriple-negative breast cancer

Identifiers

PMID29996881
PMCPMC6042255
OpenAlexW2866714190

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.