Evidence map›Paper›PMID 31101122›Full record

ArticleBreast cancer research : BCR2019

Identification of three subtypes of triple-negative breast cancer with potential therapeutic implications.

Pascal Jézéquel, Olivier Kerdraon, Hubert Hondermarck, Catherine Guérin-Charbonnel, Hamza Lasla, Wilfried Gouraud, Jean-Luc Canon, Andrea Gombos, Florence Dalenc, Suzette Delaloge and 4 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

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  17. Divide and Conquer-Targeted Therapy for Triple-Negative Breast Cancer.International journal of molecular sciences · 2025
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12 more citing papers are in PubMed but not listed here.

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

14 authors at 9 institutions in 3 countries.

Pascal JézéquelDépartement de Biopathologie, Unité Mixte de Génomique du Cancer, Institut de Cancérologie de l'Ouest - site René Gauducheau, Bd Jacques Monod, 44805, Saint Herblain Cedex, France. Pascal.jezequel@ico.unicancer.fr.
Olivier KerdraonLaboratoire d'Anatomie et Cytologie Pathologiques, Institut de Cancérologie de l'Ouest, Bd Jacques Monod, 44805, Saint Herblain Cedex, France.
Hubert HondermarckSchool of Biomedical Sciences and Pharmacy, Hunter Medical Research Institute, University of Newcastle, Callaghan, NSW, 2308, Australia.
Catherine Guérin-CharbonnelDépartement de Biopathologie, Unité Mixte de Génomique du Cancer, Institut de Cancérologie de l'Ouest - site René Gauducheau, Bd Jacques Monod, 44805, Saint Herblain Cedex, France.
Hamza LaslaUnité de Bioinfomique, Institut de Cancérologie de l'Ouest, Bd Jacques Monod, 44805, Saint Herblain Cedex, France.
Wilfried GouraudDépartement de Biopathologie, Unité Mixte de Génomique du Cancer, Institut de Cancérologie de l'Ouest - site René Gauducheau, Bd Jacques Monod, 44805, Saint Herblain Cedex, France.
Jean-Luc CanonOncologie-Hématologie, Grand Hôpital de Charleroi, 3 Grand'Rue, 6000, Charleroi, Belgium.
Andrea GombosOncologie Médicale, Institut Jules Bordet, 121 Bd de Waterloo, 1000, Bruxelles, Belgium.
Florence DalencOncologie Médicale, IUCT-Oncopole, 1 Av Irène Joliot-Curie, 31100, Toulouse, France.
Suzette DelalogeOncologie Médicale, Gustave Roussy, 114 rue Edouard Vaillant, 94800, Villejuif, France.
Jérôme LemonnierUCBG, R&D UNICANCER, Fédération Nationale des Centres de Lutte Contre le Cancer, 101 rue de Tolbiac, 75013, Paris Cedex 13, France.
Delphine LoussouarnDépartment d'Anatomie et Cytologie Pathologiques, Centre Hospitalo-Universitaire, 1 place Alexis Ricordeau, 44093, Nantes, France.
Véronique VerrièleLaboratoire d'Anatomie et Cytologie Pathologiques, Institut de Cancérologie de l'Ouest, Bd Jacques Monod, 44805, Saint Herblain Cedex, France.
Mario CamponeCRCINA, UMR 1232 INSERM, Université de Nantes, Université d'Angers, Institut de Recherche en Santé-Université de Nantes, 8 Quai Moncousu, BP 70721, 44007, Nantes Cedex 1, France.
Institut de Cancérologie de l'Ouest · FRCentre Hospitalier Universitaire de Nantes · FRGrand Charleroi Hospital · BEInstitut Gustave Roussy · FRInstitut Jules Bordet · BELaboratoire de Physique des 2 Infinis Irène Joliot-Curie · FRLa Ligue Contre le Cancer · FRUniversité d'Angers · FRUniversity of Newcastle Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeterogeneity and lack of targeted therapies represent the two main impediments to precision treatment of triple-negative breast cancer (TNBC), and therefore, molecular subtyping and identification of therapeutic pathways are required to optimize medical care. The aim of the present study was to define robust TNBC subtypes with clinical relevance.

methodsGene expression profiling by means of DNA chips was conducted in an internal TNBC cohort composed of 238 patients. In addition, external data (n = 257), obtained by using the same DNA chip, were used for validation. Fuzzy clustering was followed by functional annotation of the clusters. Immunohistochemistry was used to confirm transcriptomics results: CD138 and CD20 were used to test for plasma cell and B lymphocyte infiltrations, respectively; MECA79 and CD31 for tertiary lymphoid structures; and UCHL1/PGP9.5 and S100 for neurogenesis.

resultsWe identified three molecular clusters within TNBC: one molecular apocrine (C1) and two basal-like-enriched (C2 and C3). C2 presented pro-tumorigenic immune response (immune suppressive), high neurogenesis (nerve infiltration), and high biological aggressiveness. In contrast, C3 exhibited adaptive immune response associated with complete B cell differentiation that occurs in tertiary lymphoid structures, and immune checkpoint upregulation. External cohort subtyping by means of the same approach proved the robustness of these results. Furthermore, plasma cell and B lymphocyte infiltrates, tertiary lymphoid structures, and neurogenesis were validated at the protein levels by means of histological evaluation and immunohistochemistry.

conclusionOur work showed that TNBC can be subcategorized in three different subtypes characterized by marked biological features, some of which could be targeted by specific therapies.

Indexed as

Biomarkers, TumorCluster AnalysisComputational BiologyFemaleGene Expression ProfilingHumansImmunohistochemistryMetabolomicsMolecular Sequence AnnotationNeoplasm GradingNeoplasm StagingTranscriptomeTriple Negative Breast NeoplasmsTumor BurdenBiomarkers, TumorBreast cancerImmunomeMolecular subtypesNeurogenesisTertiary lymphoid structuresTranscriptomicsTriple-negative

Identifiers

PMID31101122
PMCPMC6525459
OpenAlexW2947053517

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.