Abstract |
To better understand the etiology of inflammatory breast cancer (IBC) and identify potential therapies, we studied genomic alterations in IBC patients. Targeted, next-generation sequencing (NGS) was performed on cell-free DNA ( cfDNA) (n = 33) and paired DNA from tumor tissues (n = 29) from 32 IBC patients. We confirmed complementarity between cfDNA and tumor tissue genetic profiles. We found a high incidence of germline variants in IBC patients that could be associated with an increased risk of developing the disease. Furthermore, 31% of IBC patients showed deficiencies in the homologous recombination repair (HRR) pathway (BRCA1, BRCA2, PALB2, RAD51C, ATM, BARD1) making them sensitive to poly (ADP-ribose) polymerase ( PARP) inhibitors. We also characterized the tumor-infiltrating lymphocytes (TILs) in tumor tissue biopsies by studying several markers (CD4, CD8, FoxP3, CD20, PD-1, and PD-L1) through immunohistochemistry (IHC) staining. In 7 of 24 (29%) patients, tumor biopsies were positive for PD-L1 and PD-1 expression on TILs, making them sensitive to PD-1/PD-L1 blocking therapies. Our results provide a rationale for considering PARP inhibitors and PD-1/PDL1 blocking immunotherapy in qualifying IBC patients.
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Authors | Yulan Gong, Rajeswari Nagarathinam, Maria F Arisi, Lorenzo Gerratana, Jennifer S Winn, Michael Slifker, Jianming Pei, Kathy Q Cai, Zachary Hasse, Elias Obeid, Julio Noriega, Christopher Sebastiano, Eric Ross, Katherine Alpaugh, Massimo Cristofanilli, Sandra V Fernandez |
Journal | International journal of molecular sciences
(Int J Mol Sci)
Vol. 22
Issue 16
(Aug 19 2021)
ISSN: 1422-0067 [Electronic] Switzerland |
PMID | 34445631
(Publication Type: Journal Article)
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Chemical References |
- B7-H1 Antigen
- Biomarkers, Tumor
- CD274 protein, human
- Cell-Free Nucleic Acids
- Receptors, Estrogen
- Receptors, Progesterone
- ERBB2 protein, human
- Receptor, ErbB-2
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Topics |
- Adult
- Aged
- B7-H1 Antigen
(genetics, metabolism)
- Biomarkers, Tumor
(genetics)
- Cell-Free Nucleic Acids
(analysis, genetics)
- Female
- Follow-Up Studies
- Gene Expression Regulation, Neoplastic
- High-Throughput Nucleotide Sequencing
- Humans
- Inflammatory Breast Neoplasms
(genetics, immunology, pathology)
- Lymphocytes, Tumor-Infiltrating
(immunology)
- Middle Aged
- Molecular Targeted Therapy
- Mutation
- Prognosis
- Receptor, ErbB-2
(metabolism)
- Receptors, Estrogen
(metabolism)
- Receptors, Progesterone
(metabolism)
- Retrospective Studies
- Survival Rate
- Tumor Microenvironment
(immunology)
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