Evidence map›Paper›PMID 39579248›Full record

ArticleBreast cancer research and treatment2025

High tumor glucocorticoid receptor expression in early-stage, triple-negative breast cancer is associated with increased T-regulatory cell infiltration.

Margarite D Matossian, Christine Shiang, Deniz Nesli Dolcen, Marie Dreyer, Ken Hatogai, Katie Hall, Poornima Saha, Anna Biernacka, Randy F Sweis, Theodore Karrison and 3 more

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Foods (Basel, Switzerland) · 2026
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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

13 authors.

Margarite D Matossian *Section of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Christine Shiang *Division of Hematology and Oncology, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Deniz Nesli Dolcen *Section of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Marie Dreyer *Section of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Ken HatogaiSection of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Katie HallDepartment of Pathology, The University of Chicago, Chicago, IL, 60637, USA.
Poornima Saha *Division of Hematology and Oncology, Department of Medicine, Endeavor Health, Evanston, IL, 60201, USA.
Anna BiernackaDepartment of Pathology, The University of Chicago, Chicago, IL, 60637, USA.
Randy F SweisSection of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Theodore KarrisonDepartment of Public Health Sciences, The University of Chicago, Chicago, IL, 60637, USA.
Nan ChenSection of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Rita NandaSection of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA. rnanda@bsd.uchicago.edu.
Suzanne D ConzenSection of Hematology and Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA. Suzanne.Conzen@UTSouthwestern.edu.

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI KUNLE ODUNSI · 1985 to 2026
$122.1M
BASIC RESEARCH TRAINING IN MEDICAL ONCOLOGYT32CA009566 · NCI · UNIVERSITY OF CHICAGO · PI OLUFUNMILAYO F. OLOPADE · 1987 to 2026
$10.5M
Cancer Prevention and Research Institute of Texas RR190037NCI NIH HHS P30 CA014599NCI NIH HHS T32 CA009566NIH HHS P30CA014599-42S2
6 · The paper itself

Abstract

purposeIn early-stage, triple-negative breast cancer (TNBC), immune cell infiltration contributes to cancer cell survival, tumor invasion, and metastasis. High TNBC glucocorticoid receptor (GR) expression in early-stage TNBC is associated with poor long-term outcomes; it is unknown if high GR expression is associated with an immunosuppressed tumor microenvironment. We hypothesized that high tumor GR expression would be associated with an immune-suppressed tumor microenvironment, which could thus account for the poor prognosis observed in GR-positive TNBC.

methodsFormalin fixed-paraffin embedded tissue (n = 47) from patients diagnosed with early-stage TNBC from The University of Chicago (2002-2014) were evaluated for both tumor cell anti-GR immunohistochemistry and for infiltrating immune cells by immunofluorescence. Multiplexed antibodies were used to enumerate CD8+, FOXP3+, and BATF3+ immune cells infiltrating within pan-cytokeratin positive tumor cell regions of interest, and nonparametric tests compared absolute counts of each of these tumor-infiltrating immune cell types.

resultsThe average age of patients represented in this study was 52 years, and 63% self-identified as Black. There was no significant association between tumor GR expression and age, race, or clinical stage at diagnosis. Compared to GR-low tumors, high GR expression in early-stage, treatment-naïve TNBC was associated with relatively increased numbers of immunosuppressive FOXP3 + regulatory T cells (p = 0.046) and BATF3+immune cells (p = 0.021). While there was a positive correlation with high GR expression and CD8+ cell infiltration, it was not significant (p = 0.068). The ratio of CD8+/FOXP3+cells was also not significant (p = 0.24).

conclusionsThese data support the hypothesis that in early-stage TNBC, high GR expression is significantly associated with infiltration of immunosuppressive regulatory T cells, suggesting a tumor-intrinsic role in shaping the immunosuppressive immune cell milieu. Furthermore, suppression of GR activity may regulate the tumor immune microenvironment and improve long-term outcomes in GR-high TNBC.

Indexed as

Lymphocytes, Tumor-InfiltratingReceptors, GlucocorticoidT-Lymphocytes, RegulatoryTriple Negative Breast NeoplasmsAdultAgedBiomarkers, TumorFemaleHumansImmunohistochemistryMiddle AgedNeoplasm StagingPrognosisTumor MicroenvironmentBiomarkers, TumorReceptors, GlucocorticoidBATF3+CD8+cytotoxic T-cellsDendritic cellsFOXP3+Glucocorticoid receptor (GR)T-regulatory cellsTriple-negative breast cancer (TNBC)Tumor immune microenvironment

Identifiers

PMID39579248
PMCPMC11785596

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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.