Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication

Abstract The level of stromal tumor-infiltrating lymphocytes (sTILs) in triple-negative (TNBC) and HER2-positive breast cancers convey prognostic information. The importance of systemic immunity to local immunity is unknown in breast cancer. We previously demonstrated that histological alterations i...

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Autores principales: Fangfang Liu, Thomas Hardiman, Kailiang Wu, Jelmar Quist, Patrycja Gazinska, Tony Ng, Arnie Purushotham, Roberto Salgado, Xiaojing Guo, Sarah E. Pinder, Anita Grigoriadis
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/fa6779f79a31447c9a8b4c88579bba41
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spelling oai:doaj.org-article:fa6779f79a31447c9a8b4c88579bba412021-12-02T15:39:42ZSystemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication10.1038/s41523-021-00292-y2374-4677https://doaj.org/article/fa6779f79a31447c9a8b4c88579bba412021-07-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00292-yhttps://doaj.org/toc/2374-4677Abstract The level of stromal tumor-infiltrating lymphocytes (sTILs) in triple-negative (TNBC) and HER2-positive breast cancers convey prognostic information. The importance of systemic immunity to local immunity is unknown in breast cancer. We previously demonstrated that histological alterations in axillary lymph nodes (LNs) carry clinical relevance. Here, we capture local immune responses by scoring TILs at the primary tumor and systemic immune responses by recording the formation of secondary follicles, also known as germinal centers, in 2,857 cancer-free and involved axillary LNs on haematoxylin and eosin (H&E) stained sections from a retrospective cohort of 161 LN-positive triple-negative and HER2-positive breast cancer patients. Our data demonstrate that the number of germinal center formations across all cancer-free LNs, similar to high levels of TILs, is associated with a good prognosis in low TILs TNBC. This highlights the importance of assessing both primary and LN immune responses for prognostication and for future breast cancer research.Fangfang LiuThomas HardimanKailiang WuJelmar QuistPatrycja GazinskaTony NgArnie PurushothamRoberto SalgadoXiaojing GuoSarah E. PinderAnita GrigoriadisNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Fangfang Liu
Thomas Hardiman
Kailiang Wu
Jelmar Quist
Patrycja Gazinska
Tony Ng
Arnie Purushotham
Roberto Salgado
Xiaojing Guo
Sarah E. Pinder
Anita Grigoriadis
Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
description Abstract The level of stromal tumor-infiltrating lymphocytes (sTILs) in triple-negative (TNBC) and HER2-positive breast cancers convey prognostic information. The importance of systemic immunity to local immunity is unknown in breast cancer. We previously demonstrated that histological alterations in axillary lymph nodes (LNs) carry clinical relevance. Here, we capture local immune responses by scoring TILs at the primary tumor and systemic immune responses by recording the formation of secondary follicles, also known as germinal centers, in 2,857 cancer-free and involved axillary LNs on haematoxylin and eosin (H&E) stained sections from a retrospective cohort of 161 LN-positive triple-negative and HER2-positive breast cancer patients. Our data demonstrate that the number of germinal center formations across all cancer-free LNs, similar to high levels of TILs, is associated with a good prognosis in low TILs TNBC. This highlights the importance of assessing both primary and LN immune responses for prognostication and for future breast cancer research.
format article
author Fangfang Liu
Thomas Hardiman
Kailiang Wu
Jelmar Quist
Patrycja Gazinska
Tony Ng
Arnie Purushotham
Roberto Salgado
Xiaojing Guo
Sarah E. Pinder
Anita Grigoriadis
author_facet Fangfang Liu
Thomas Hardiman
Kailiang Wu
Jelmar Quist
Patrycja Gazinska
Tony Ng
Arnie Purushotham
Roberto Salgado
Xiaojing Guo
Sarah E. Pinder
Anita Grigoriadis
author_sort Fangfang Liu
title Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
title_short Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
title_full Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
title_fullStr Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
title_full_unstemmed Systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
title_sort systemic immune reaction in axillary lymph nodes adds to tumor-infiltrating lymphocytes in triple-negative breast cancer prognostication
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/fa6779f79a31447c9a8b4c88579bba41
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