Evidence map›Paper›PMID 37813891›Full record

ArticleCell death discovery2023

A BRCA2 germline mutation and high expression of immune checkpoints in a TNBC patient.

Yuyi Han, Valentina Rovella, Artem Smirnov, Oreste Claudio Buonomo, Alessandro Mauriello, Tommaso Perretta, Yufang Shi, Jonathan Woodmsith, Julia Bischof, TOR CENTRE and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cell death discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. PAX Family, Master Regulator in Cancer.Diagnostics (Basel, Switzerland) · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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 6 institutions in 3 countries.

Yuyi Han *Department of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.
Valentina Rovella *Department of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.
Artem SmirnovDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.ORCID http://orcid.org/0000-0002-1575-8725
Oreste Claudio BuonomoDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.
Alessandro MaurielloDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.
Tommaso PerrettaDepartment of Diagnostic Imaging and Interventional Radiology, Policlinico Tor Vergata University, Rome, 00133, Italy.
Yufang ShiThe Third Affiliated Hospital of Soochow University, Institutes for Translational Medicine, Soochow University, Suzhou, 215000, China.
Jonathan WoodmsithIndivumed GmbH, Falkenried, 88 Building D, 20251, Hamburg, Germany.
Julia BischofIndivumed GmbH, Falkenried, 88 Building D, 20251, Hamburg, Germany.
TOR CENTRE
Gerry MelinoDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy. melino@uniroma2.it.
Eleonora CandiDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy. candi@uniroma2.it.ORCID http://orcid.org/0000-0001-8332-4825
Francesca BernassolaDepartment of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy. bernasso@uniroma2.it.ORCID http://orcid.org/0000-0002-8883-8654
University of Rome Tor Vergata · ITDermatologikum Hamburg · DEPoliclinico Tor Vergata · ITJiangnan University · CNShanghai Institute of Nutrition and Health · CNSoochow University · CN

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) 2022 - ID. 27366Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) G 2019 - ID. 22206Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) IG 2019 - 23232Regione Lazio (Region of Lazio) LazioInnova Progetto Gruppo di Ricerca n 85-2017-14986; n 33 & 55-2021-T0002E0001
6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) is the most aggressive subtype of mammary carcinoma. Here, we describe a case of an 81-year-old female diagnosed with ductal triple negative breast cancer with a germline pathogenic variant in BReast CAncer gene2 (BRCA2). Genetic testing also revealed the presence of four somatic mutations in the ephrin type-A receptor 3 (EphA3), TP53, BRCA1-associated protein (BAP1), and MYB genes. The BRCA2, TP53, and BAP1 gene mutations are highly predictive of a defective homologous recombination repair system and subsequent chromosomal instability in this patient. Coherently, the patient displayed a strong homologous recombination deficiency signature and high tumor mutational burden status, which are generally associated with increased probability of immune neoantigens formation and presentation, and with tumor immunogenicity. Analysis of immune checkpoint revealed high expression of programmed cell death ligand 1 (PD-L1), programmed cell death ligand 2 (PD-L2), programmed death 1 (PD1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA 4), suggesting that the patient might likely benefit from immunotherapies. Altogether, these findings support an unveiled link between BRCA2 inactivation, HR deficiency and increased expression of immune checkpoints in TNBC. This clinical case highlights the importance of screening TNBC patients for genetic mutations and TMB biomarkers in order to predict the potential efficacy of immunotherapy.

Identifiers

PMID37813891
PMCPMC10562433
OpenAlexW4387451568

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.