Evidence map›Paper›PMID 35610143›Full record

ArticleClinical breast cancer2022

Tumor Immune Microenvironment and Response to Neoadjuvant Chemotherapy in Hormone Receptor/HER2+ Early Stage Breast Cancer.

Rami S Vanguri, Kathleen M Fenn, Matthew R Kearney, Qi Wang, Hua Guo, Douglas K Marks, Christine Chin, Claire F Alcus, Julia B Thompson, Cheng-Shiun Leu and 6 more

Open access · greenAbstract read
In one paragraph

Article in Clinical breast cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
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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

16 authors at 5 institutions in 1 country.

Rami S VanguriDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Kathleen M FennDivision of Medical Oncology, Columbia University Irving Medical Center, New York, NY.
Matthew R KearneyDivision of Medical Oncology, Columbia University Irving Medical Center, New York, NY.
Qi WangDivision of Radiation Oncology, Columbia University Irving Medical Center, New York, NY.
Hua GuoDepartment of Pathology and Cell Biology, College of Physicians and Surgeons, Columbia University, New York, NY.
Douglas K MarksPerlmutter Cancer Center, NYU Langone Health, New York, NY; NYU Long Island School of Medicine, NYU Langone Health, New York, NY.
Christine ChinDivision of Radiation Oncology, Columbia University Irving Medical Center, New York, NY.
Claire F AlcusSchool of General Studies, Columbia University, New York, NY.
Julia B ThompsonMailman School of Public Health, Department of Biostatistics, Columbia University Irving Medical Center, New York, NY.
Cheng-Shiun LeuMailman School of Public Health, Department of Biostatistics, Columbia University Irving Medical Center, New York, NY.
Hanina HibshooshDepartment of Pathology and Cell Biology, College of Physicians and Surgeons, Columbia University, New York, NY.
Kevin M KalinskyWinship Cancer Institute at Emory University, Atlanta, GA.
James C MathewsDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Saad NadeemDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Travis J HollmannDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY; Parker Institute for Cancer Immunotherapy, San Francisco, CA.
Eileen P ConnollyDivision of Radiation Oncology, Columbia University Irving Medical Center, New York, NY. Electronic address: epc2116@cumc.columbia.edu.
Columbia University Irving Medical Center · USMemorial Sloan Kettering Cancer Center · USColumbia University · USEmory University · USLong Island University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Clinical and Translational Science AwardKL2TR000081 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$3.3M
NCATS NIH HHS KL2 TR000081NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR001873NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundPathologic response at the time of surgery after neoadjuvant therapy for HER2 positive early breast cancer impacts both prognosis and subsequent adjuvant therapy. Comprehensive descriptions of the tumor microenvironment (TME) in patients with HER2 positive early breast cancer is not well described. We utilized standard stromal pathologist-assessed tumor infiltrating lymphocyte (TIL) quantification, quantitative multiplex immunofluorescence, and RNA-based gene pathway signatures to assess pretreatment TME characteristics associated pathologic complete response in patients with hormone receptor positive, HER2 positive early breast cancer treated in the neoadjuvant setting.

methodsWe utilized standard stromal pathologist-assessed TIL quantification, quantitative multiplex immunofluorescence, and RNA-based gene pathway signatures to assess pretreatment TME characteristics associated pathologic complete response in 28 patients with hormone receptor positive, HER2 positive early breast cancer treated in the neoadjuvant setting.

resultsPathologist-assessed stromal TILs were significantly associated with pathologic complete response (pCR). By quantitative multiplex immunofluorescence, univariate analysis revealed significant increases in CD3+, CD3+CD8-FOXP3-, CD8+ and FOXP3+ T-cell densities as well as increased immune cell aggregates in pCR patients. In subsets of paired pre/post-treatment samples, we observed significant changes in gene expression signatures in non-pCR patients and significant decreases in CD8+ densities after treatment in pCR patients. No RNA based pathway signature was associated with pCR.

conclusionTME characterization HER2 positive breast cancer patients revealed several stromal T-cell densities and immune cell aggregates associated with pCR. These results demonstrate the feasibility of these novel methods in TME evaluation and contribute to ongoing investigations of the TME in HER2+ early breast cancer to identify robust biomarkers to best identify patients eligible for systemic de-escalation strategies.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesFemaleForkhead Transcription FactorsHormonesHumansLymphocytes, Tumor-InfiltratingPrognosisTumor MicroenvironmentBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesForkhead Transcription FactorsHormonesBreast cancerGene expression signaturesHER2 positiveQuantitative multiplex immunofluorescenceTumor infiltrating lymphocytes

Identifiers

PMID35610143
PMCPMC10266131
OpenAlexW4224041510

What OpenQuestion holds

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Registered trials

None linked

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.