Evidence map›Paper›PMID 41785670›Full record

ArticleESMO open2026

Genomic landscape, immune microenvironment and survival in male versus female breast cancer.

D Trapani, S K Deshmukh, T Samec, S Wu, J Xiu, P Walker, D L Abravanel, P Advani, P M Spanheimer, N U Lin and 6 more

Abstract read
In one paragraph

Article in ESMO open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

D TrapaniMedical Oncology, Dana-Farber Cancer Institute, Boston, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, USA; European Institute of Oncology, IRCCS, Milan, Italy; University of Milano, Department of Oncology and Hematology, Milan, Italy.
S K DeshmukhCaris Life Sciences, Phoenix, USA.
T SamecCaris Life Sciences, Phoenix, USA.
S WuCaris Life Sciences, Phoenix, USA.
J XiuCaris Life Sciences, Phoenix, USA.
P WalkerCaris Life Sciences, Phoenix, USA.
D L AbravanelMedical Oncology, Dana-Farber Cancer Institute, Boston, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, USA; Harvard Medical School, Boston, USA.
P AdvaniDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, USA.
P M SpanheimerUniversity of North Carolina, Chapel Hill, USA.
N U LinMedical Oncology, Dana-Farber Cancer Institute, Boston, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, USA; Harvard Medical School, Boston, USA.
G CuriglianoEuropean Institute of Oncology, IRCCS, Milan, Italy; University of Milano, Department of Oncology and Hematology, Milan, Italy.
S L GraffBrown University Health, Lifespan Cancer Institute, Legorreta Cancer Center, Providence, USA.
M LustbergCenter for Breast Cancer, Yale School of Medicine, New Haven, USA.
G W SledgeCaris Life Sciences, Phoenix, USA.
S M TolaneyMedical Oncology, Dana-Farber Cancer Institute, Boston, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, USA; Harvard Medical School, Boston, USA.
J P LeoneMedical Oncology, Dana-Farber Cancer Institute, Boston, USA; Breast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, USA; Harvard Medical School, Boston, USA. Electronic address: josep_leone@dfci.harvard.edu.

Funding

Predicting Endocrine Therapy Response In Male Breast TumorsR37CA292075 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jose P. Leone, Philip M. Spanheimer · 2024 to 2026
$1.8M
NCI NIH HHS R37 CA292075
6 · The paper itself

Abstract

backgroundMale breast cancer (MaBC) represents ∼1% of breast malignancies and may have significant differences to female BC (FeBC) that impact prognosis and treatment response. In this work, we sought to characterize the molecular and immune landscape of MaBC. MATERIALS AND

methodsWe analyzed whole-transcriptome (WTS) and whole exome sequencing from 19 697 deidentified tumor samples provided to Caris Life Sciences.

resultsOur study found significant sex-based differences in the molecular and immunological landscape within each tumor subtype between MaBC and FeBC, including increased M2 Mϕ, and decreased dendritic cells and immune-related gene expression. Genetic amplifications and mutation frequency differences between MaBC and FeBC across molecular subtypes included significant differences in TP53 and ESR1 mutation [2.4% versus 31.2%; 5.8% versus 13.3%, hormone receptor (HR)-positive/HER2-negative], and BRCA2 and CDH1 mutation [6.7% versus 2.1%, HER2-positive; 16.7% versus 5.6%, triple-negative breast cancer (TNBC)]. Immunologically, MaBC exhibited increased tumor-promoting M2 Mϕ (5.8% versus 3.0%, TNBC), decreased dendritic cell infiltration (2.2% versus 2.6%, HR-positive/HER2-negative) and decreased PDCD1 and LAG3 immune checkpoint gene expression (0.3% versus 0.4%; 2.3% versus 2.9%, HR-positive/HER2-negative) against FeBC.

conclusionsOur findings suggest a unique genomic and immunologic landscape in MaBC requiring a sex-informed approach and provide candidate therapeutic targets and mechanisms of resistance.

Indexed as

Breast NeoplasmsBreast Neoplasms, MaleTumor MicroenvironmentFemaleHumansMaleMutationPrognosisHER2hormone receptormale breast cancermolecular oncologytriple-negative breast cancer

Identifiers

PMID41785670
PMCPMC12972996

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.