Evidence map›Paper›PMID 36765559›Full record

ArticleCancers2023

Prognostic Implications of the Residual Tumor Microenvironment after Neoadjuvant Chemotherapy in Triple-Negative Breast Cancer Patients without Pathological Complete Response.

Marylène Lejeune, Laia Reverté, Esther Sauras, Noèlia Gallardo, Ramon Bosch, Albert Roso, Anna Petit, Vicente Peg, Francisco Riu, Joan García-Fontgivell and 13 more

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Association of tumor-infiltrating lymphocytes with clinical outcomes in patients with triple-negative breast cancer receiving neoadjuvant chemotherapy: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
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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

23 authors.

Marylène LejeuneOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.ORCID 0000-0001-8441-9404
Laia RevertéOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.ORCID 0000-0003-4690-2387
Esther SaurasOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.
Noèlia GallardoOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.ORCID 0000-0001-8537-4586
Ramon BoschOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.ORCID 0000-0003-4104-5515
Albert RosoInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes, 587, 08007 Barcelona, Spain.
Anna PetitPathology Department, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Vicente PegPathology Department, Hospital Universitari de Vall Hebron, 08035 Barcelona, Spain.
Francisco RiuPathology Department, Hospital Universitari Sant Joan de Reus, 43204 Reus, Spain.
Joan García-FontgivellPathology Department, Hospital Universitari Joan XXIII, IISPV, 43005 Tarragona, Spain.
José IbáñezPathology Department, Hospital Universitario Virgen Macarena, 41009 Seville, Spain.
Fernanda ReleaPathology Department, Hospital General de Ciudad Real, 13005 Ciudad Real, Spain.
Begoña VieitesPathology Department, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Catherine BorPath-Image/BioTiCla, University of Caen, François Baclesse Comprehensive Cancer Center, 14000 Caen, France.
Luis de la Cruz-MerinoOncology Department, Hospital Universitario Virgen Macarena, 41009 Seville, Spain.ORCID 0000-0002-5333-0535
Meritxell ArenasRadiation Oncology Department, Hospital Universitari Sant Joan de Reus, IISPV, Universitat Rovira I Virgili, 43204 Reus, Spain.ORCID 0000-0003-0815-2570
Valerie RodriguezOncology Department, Hospital de Tortosa Verge de la Cinta, IISPV, 43500 Tortosa, Spain.
Juana GaleraGynaecology Department, Hospital Universitari Joan XXIII, IISPV, 43005 Tarragona, Spain.
Anna KorzynskaLaboratory of Processing Systems of Microscopic Image Information, Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, 02-109 Warsaw, Poland.ORCID 0000-0002-6488-4832
Philippe BelhommePath-Image/BioTiCla, University of Caen, François Baclesse Comprehensive Cancer Center, 14000 Caen, France.
Benoît PlancoulaineANTICIPE, INSERM, François Baclesse Comprehensive Cancer Center, University Caen Normandy, 14000 Caen, France.
Tomás ÁlvaroOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.
Carlos LópezOncological Pathology and Bioinformatics Research Group, Molecular Biology and Research Section, Pathology Department, Hospital de Tortosa Verge de la Cinta, IISPV, URV, 43500 Tortosa, Spain.

Funding

Instituto de Salud Carlos III PI11/0488Instituto de Salud Carlos III PI13/02501
6 · The paper itself

Abstract

With a high risk of relapse and death, and a poor or absent response to therapeutics, the triple-negative breast cancer (TNBC) subtype is particularly challenging, especially in patients who cannot achieve a pathological complete response (pCR) after neoadjuvant chemotherapy (NAC). Although the tumor microenvironment (TME) is known to influence disease progression and the effectiveness of therapeutics, its predictive and prognostic potential remains uncertain. This work aimed to define the residual TME profile after NAC of a retrospective cohort with 96 TNBC patients by immunohistochemical staining (cell markers) and chromogenic in situ hybridization (genetic markers). Kaplan-Meier curves were used to estimate the influence of the selected TME markers on five-year overall survival (OS) and relapse-free survival (RFS) probabilities. The risks of each variable being associated with relapse and death were determined through univariate and multivariate Cox analyses. We describe a unique tumor-infiltrating immune profile with high levels of lymphocytes (CD4, FOXP3) and dendritic cells (CD21, CD1a and CD83) that are valuable prognostic factors in post-NAC TNBC patients. Our study also demonstrates the value of considering not only cellular but also genetic TME markers such as MUC-1 and CXCL13 in routine clinical diagnosis to refine prognosis modelling.

Indexed as

genetic markersimmune markersneoadjuvant therapyrelapsesurvivaltriple-negative breast cancertumor microenvironment

Identifiers

PMID36765559
PMCPMC9913578

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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.