Evidence map›Paper›PMID 40512776›Full record

ArticlePloS one2025

Prognostic impact of HER2-low expression in triple-negative breast cancer of high-grade special histological type and no special type.

Claudia Grosse, Petar Noack, Alexandra Grosse, Heike Kathleen Schwarz, Peter Schrenk, Heike Frauchiger-Heuer, Rupert Langer, Zsuzsanna Varga

Abstract read
In one paragraph

Article in PloS one, 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. Investigation of the prevalence of HER2-ultralow and the effects of HER2 status (HER2-null vs. HER2-ultralow) on survival in HER2-negative early-stage breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  2. Review
  3. 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

8 authors.

Claudia GrosseDepartment of Pathology and Molecular Pathology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria.ORCID 0000-0002-2409-7834
Petar NoackDepartment of Pathology and Molecular Pathology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria.
Alexandra GrossePathology Institute Enge, Zurich, Switzerland.
Heike Kathleen SchwarzDepartment of Hematology and Oncology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria.
Peter SchrenkDepartment of General and Visceral Surgery, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria.
Heike Frauchiger-HeuerDepartment of Gynecology, University Hospital Zurich, Zurich, Switzerland.
Rupert LangerDepartment of Pathology and Molecular Pathology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria.
Zsuzsanna VargaDepartment of Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interest in HER2-low breast cancer has grown in recent years due to advancements in novel anti-HER2 antibody-drug conjugates. This study examined the impact of HER2-low expression on survival outcomes in triple-negative breast cancer (TNBC) of high-grade special histological type (ST) and no special type (NST) and investigated the prognostic significance of TNBC subtype (high-grade ST vs. NST) within HER2 0 and HER2-low expression subgroups. Clinicopathological and survival data of 504 patients with stage I-III TNBC, with or without neoadjuvant chemotherapy (NAC), were analyzed, including 400 patients with TNBC NST and 104 patients with high-grade TNBC ST. HER2-low status was not identified as an independent prognostic factor for survival in the overall cohort, nor within the high-grade TNBC ST and TNBC NST subgroups. Among patients who did not receive NAC, TNBC subtype (high-grade ST vs. NST) was independently associated with DDFS and DFS in the HER2 0 subgroup, but not in the HER2-low subgroup. Patients with HER2 0 high-grade TNBC ST exhibited significantly worse OS (p = 0.008), DDFS (p < 0.001), and DFS (p < 0.001) compared to those with HER2 0 TNBC NST. Among patients with either HER2 0 or HER2-low tumors treated with NAC, no significant survival difference was observed between high-grade TNBC ST and TNBC NST. These findings suggest that the prognostic impact of TNBC subtype (high-grade ST vs. NST) on survival outcomes may be modulated by HER2 status in a subset of TNBC patients.

Indexed as

Erb-b2 Receptor Tyrosine KinasesTriple Negative Breast NeoplasmsAdultAgedFemaleHumansMiddle AgedNeoadjuvant TherapyNeoplasm GradingPrognosisERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID40512776
PMCPMC12165359

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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.