An independent poor-prognosis subtype of breast cancer defined by a distinct tumor immune microenvironment.

Abstract:

:How mixtures of immune cells associate with cancer cell phenotype and affect pathogenesis is still unclear. In 15 breast cancer gene expression datasets, we invariably identify three clusters of patients with gradual levels of immune infiltration. The intermediate immune infiltration cluster (Cluster B) is associated with a worse prognosis independently of known clinicopathological features. Furthermore, immune clusters are associated with response to neoadjuvant chemotherapy. In silico dissection of the immune contexture of the clusters identified Cluster A as immune cold, Cluster C as immune hot while Cluster B has a pro-tumorigenic immune infiltration. Through phenotypical analysis, we find epithelial mesenchymal transition and proliferation associated with the immune clusters and mutually exclusive in breast cancers. Here, we describe immune clusters which improve the prognostic accuracy of immune contexture in breast cancer. Our discovery of a novel independent prognostic factor in breast cancer highlights a correlation between tumor phenotype and immune contexture.

journal_name

Nat Commun

journal_title

Nature communications

authors

Tekpli X,Lien T,Røssevold AH,Nebdal D,Borgen E,Ohnstad HO,Kyte JA,Vallon-Christersson J,Fongaard M,Due EU,Svartdal LG,Sveli MAT,Garred Ø,OSBREAC.,Frigessi A,Sahlberg KK,Sørlie T,Russnes HG,Naume B,Kristensen VN

doi

10.1038/s41467-019-13329-5

subject

Has Abstract

pub_date

2019-12-03 00:00:00

pages

5499

issue

1

issn

2041-1723

pii

10.1038/s41467-019-13329-5

journal_volume

10

pub_type

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