Evidence map›Paper›PMID 37449970›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2023

Poor Outcome in Postpartum Breast Cancer Patients Is Associated with Distinct Molecular and Immunologic Features.

Hanne Lefrère, Kat Moore, Giuseppe Floris, Joyce Sanders, Iris M Seignette, Tycho Bismeijer, Dennis Peters, Annegien Broeks, Erik Hooijberg, Kristel Van Calsteren and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Postpartum breast cancer: evidence for a distinct phenotype.Journal of the National Cancer Institute · 2026
    Article
  5. Article
  6. Article
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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 at 11 institutions in 7 countries.

Hanne LefrèreDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0003-3285-1427
Kat MooreDivision of Molecular Carcinogenesis, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0002-5746-4098
Giuseppe FlorisDepartment of Imaging and Pathology, Unit of Translational Cell & Tissue Research, KU Leuven, Leuven, Belgium.ORCID 0000-0003-2391-5425
Joyce SandersDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-0551-7813
Iris M SeignetteDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0009-0007-7757-698X
Tycho BismeijerDivision of Molecular Carcinogenesis, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0001-6514-4767
Dennis PetersDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0003-2931-3097
Annegien BroeksCore Facility Molecular Pathology and Biobanking, Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.ORCID 0000-0002-8699-5058
Erik HooijbergDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-4482-2191
Kristel Van CalsterenDepartement of Reproduction and regeneration, Division Women and Child, Feto-Maternal Medicine, KU Leuven, Leuven, Belgium.ORCID 0000-0002-2438-6783
Patrick NevenDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-1434-9460
Ellen WarnerDivision of Medical Oncology, Department of Medicine, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-7956-6845
Fedro Alessandro PeccatoriDivision of Gynaecological Oncology, Department of Gynaecology, IEO European Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0001-8227-8740
Sibylle LoiblGerman Breast Group, Neu-Isenburg, Hessen, Germany.ORCID 0000-0001-6488-4958
Charlotte MaggenDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-7485-0839
Sileny N HanDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-7476-3372
Katarzyna J JerzakDivision of Medical Oncology, Department of Medicine, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-3995-0308
Daniela AnnibaliDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0001-8413-7669
Diether LambrechtsCenter for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-3429-302X
Karin E de VisserOncode Institute, Utrecht, The Netherlands.ORCID 0000-0002-0293-868X
Lodewyk WesselsDivision of Molecular Carcinogenesis, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0002-1656-6995
Liesbeth LenaertsDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0003-3565-2319
Frédéric AmantDepartment of Oncology, Laboratory of Gynaecological Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-5452-4905
The European Academy of Gynaecological Surgery · BEDutch Cancer Society · NLOncode Institute · NLSunnybrook Health Science Centre · CAUtrecht University · NLVIB-KU Leuven Center for Cancer Biology · BECardiovascular Center Bethanien · DEErasmus Hospital · BEEuropean Institute of Oncology · ITEvangelical Theological Faculty · BENetherlands Cancer Institute-Antoni van Leeuwenhoek Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with postpartum breast cancer diagnosed after cessation of breastfeeding (postweaning, PP-BCPW) have a particularly poor prognosis compared with patients diagnosed during lactation (PP-BCDL), or to pregnant (Pr-BC) and nulliparous (NP-BC) patients, regardless of standard prognostic characteristics. Animal studies point to a role of the involution process in stimulation of tumor growth in the mammary gland. However, in women, the molecular mechanisms that underlie this poor prognosis of patients with PP-BCPW remain vastly underexplored, due to of lack of adequate patient numbers and outcome data. EXPERIMENTAL

designWe explored whether distinct prognostic features, common to all breast cancer molecular subtypes, exist in postpartum tumor tissue. Using detailed breastfeeding data, we delineated the postweaning period in PP-BC as a surrogate for mammary gland involution and performed whole transcriptome sequencing, immunohistochemical, and (multiplex) immunofluorescent analyses on tumor tissue of patients with PP-BCPW, PP-BCDL, Pr-BC, and NP-BC.

resultsWe found that patients with PP-BCPW having a low expression level of an immunoglobulin gene signature, but high infiltration of plasma B cells, have an increased risk for metastasis and death. Although PP-BCPW tumor tissue was also characterized by an increase in CD8+ cytotoxic T cells and reduced distance among these cell types, these parameters were not associated with differential clinical outcomes among groups.

conclusionsThese data point to the importance of plasma B cells in the postweaning mammary tumor microenvironment regarding the poor prognosis of PP-BCPW patients. Future prospective and in-depth research needs to further explore the role of B-cell immunobiology in this specific group of young patients with breast cancer.

Indexed as

Breast NeoplasmsPostpartum PeriodAnimalsFemaleHumansLactationPregnancyPrognosisTumor Microenvironment

Identifiers

PMID37449970
PMCPMC10502474
OpenAlexW4384338565

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.