Association of B7-H4, PD-L1, and tumor infiltrating lymphocytes with outcomes in breast cancer
dc.contributor.author | Altan, Mehmet | |
dc.contributor.author | Kidwell, Kelley M. | |
dc.contributor.author | Pelekanou, Vasiliki | |
dc.contributor.author | Schalper, Kurt A. | |
dc.contributor.author | Toki, María I. | |
dc.contributor.author | Thomas, Dafydd G. | |
dc.contributor.author | Sabel, Michael S. | |
dc.contributor.author | Hayes, Daniel F. | |
dc.contributor.author | Rimm, David L. | |
dc.contributor.author | Carvajal-Hausdorf, Daniel | |
dc.date.accessioned | 2022-05-02T20:11:13Z | |
dc.date.available | 2022-05-02T20:11:13Z | |
dc.date.issued | 2018 | |
dc.description.abstract | B7-H4 (VTCN1) is a member of the CD28/B7 family of immune co-inhibitory molecules. The relationship of tumor and stromal B7-H4 protein expression with PD-L1, tumor infiltrating lymphocytes (TILs) and its association with clinico-pathological variables are not well defined. Herein, we explore the expression level of B7-H4 protein in breast cancer and evaluate its association with TILs, levels of PD-L1 expression, and clinico-pathological characteristics in two independent populations. In this study, we used multiplexed automated quantitative immunofluorescence (QIF) to measure the levels of B7-H4 and PD-L1 protein and determined TILs through pathologist assessment of H&E-stained preparations in over a thousand breast cancer cases from two institutions represented in tissue microarray format. Associations between the marker levels, major clinico-pathological variables, and survival were analyzed. We detected B7-H4 protein was highly expressed in both breast cancer and stromal cells. Its expression was independent of breast cancer intrinsic subtypes. PD-L1 expression was higher in triple negative breast cancers. Neither B7-H4 nor PD-L1 were associated with survival in breast cancer. Our study shows there is a mutually exclusive pattern of B7-H4 with both tumor PD-L1 expression and TILs in all breast cancers, independent of breast cancer intrinsic subtype. This exclusive pattern suggests that some breast tumors may preferentially use one B7-related immune evasion mechanism/pathway. This could explain the clinical benefit that is seen only in a fraction of patients with immune checkpoint inhibitors directed exclusively towards PD-L1 in breast cancer. | es |
dc.description.version | Versión Publicada | es |
dc.identifier.citation | Altan, M., Kidwell, K.M., Pelekanou, V. et al. Association of B7-H4, PD-L1, and tumor infiltrating lymphocytes with outcomes in breast cancer. npj Breast Cancer 4, 40 (2018). https://doi.org/10.1038/s41523-018-0095-1 | es |
dc.identifier.uri | https://doi.org/10.1038/s41523-018-0095-1 | es |
dc.identifier.uri | http://hdl.handle.net/11447/6040 | |
dc.language.iso | en | es |
dc.subject | Breast cancer | es |
dc.subject | Tumour immunology | es |
dc.title | Association of B7-H4, PD-L1, and tumor infiltrating lymphocytes with outcomes in breast cancer | es |
dc.type | Article | es |
dcterms.source | npj Breast Cancer | es |
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