High IRF8 expression correlates with CD8 T cell infiltration and is a predictive biomarker of therapy response in ER-negative breast cancer.

Background: Characterization of breast cancer (BC) through the determination of conventional markers such as ER, PR, HER2, and Ki67 has been useful as a predictive and therapeutic tool. Also, assessment of tumor-infiltrating lymphocytes has been proposed as an important prognostic aspect to be consi...

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Publicado en:Breast Cancer Research Vol. 23; no. 1; pp. 1 - 16
Autores principales: Gatti, Gerardo, Betts, Courtney, Rocha, Darío, Nicola, Maribel, Grupe, Verónica, Ditada, Cecilia, Nuñez, Nicolas G., Roselli, Emiliano, Araya, Paula, Dutto, Jeremías, Boffelli, Lucia, Fernández, Elmer, Coussens, Lisa M., Maccioni, Mariana
Formato: research Journal Article
Publicado: BioMed Central 4/22/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/22/2021
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      pub: BioMed Central
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        10.1186/s13058-021-01418-7
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        atl: High IRF8 expression correlates with CD8 T cell infiltration and is a predictive biomarker of therapy response in ER-negative breast cancer.
      aug:
        au:
          Gatti, Gerardo
          Betts, Courtney
          Rocha, Darío
          Nicola, Maribel
          Grupe, Verónica
          Ditada, Cecilia
          Nuñez, Nicolas G.
          Roselli, Emiliano
          Araya, Paula
          Dutto, Jeremías
          Boffelli, Lucia
          Fernández, Elmer
          Coussens, Lisa M.
          Maccioni, Mariana
        affil: Laboratorio de Investigación en Cáncer, Fundación para el progreso de la Medicina, X5000EMS, Córdoba, Argentina
      sug:
        subj:
          Proteins
          Proteins Metabolism
          Lymphocytes Pathology
          T Lymphocytes Pathology
          Breast Neoplasms Metabolism
          Prognosis
          Breast Neoplasms Therapy
          Treatment Outcomes
          Breast Neoplasms Pathology
          Cell Line, Tumor
          Human
          Female
          Disease Progression
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Clinical Assessment Tools
          Scales
          Female
      ab: Background: Characterization of breast cancer (BC) through the determination of conventional markers such as ER, PR, HER2, and Ki67 has been useful as a predictive and therapeutic tool. Also, assessment of tumor-infiltrating lymphocytes has been proposed as an important prognostic aspect to be considered in certain BC subtypes. However, there is still a need to identify additional biomarkers that could add precision in distinguishing therapeutic response of individual patients. To this end, we focused in the expression of interferon regulatory factor 8 (IRF8) in BC cells. IRF8 is a transcription factor which plays a well-determined role in myeloid cells and that seems to have multiple antitumoral roles: it has tumor suppressor functions; it acts downstream IFN/STAT1, required for the success of some therapeutic regimes, and its expression in neoplastic cells seems to depend on a cross talk between the immune contexture and the tumor cells. The goal of the present study was to examine the relationship between IRF8 with the therapeutic response and the immune contexture in BC, since its clinical significance in this type of cancer has not been thoroughly addressed.Methods: We identified the relationship between IRF8 expression and the clinical outcome of BC patients and validated IRF8 as predictive biomarker by using public databases and then performed in silico analysis. To correlate the expression of IRF8 with the immune infiltrate in BC samples, we performed quantitative multiplex immunohistochemistry.Results: IRF8 expression can precisely predict the complete pathological response to monoclonal antibody therapy or to select combinations of chemotherapy such as FAC (fluorouracil, adriamycin, and cytoxan) in ER-negative BC subtypes. Analysis of immune cell infiltration indicates there is a strong correlation between activated and effector CD8+ T cell infiltration and tumoral IRF8 expression.Conclusions: We propose IRF8 expression as a potent biomarker not only for prognosis, but also for predicting therapy response in ER-negative BC phenotypes. Its expression in neoplastic cells also correlates with CD8+ T cell activation and infiltration. Therefore, our results justify new efforts towards understanding mechanisms regulating IRF8 expression and how they can be therapeutically manipulated.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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