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Abstract
Triple-negative inflammatory breast cancer (TN-IBC) is the most aggressive type of breast cancer, yet its defining genomic, molecular, and immunological features remain largely unknown. In this study, we performed the largest and most comprehensive genomic and transcriptomic analyses of prospectively collected TN-IBC patient samples from a phase II clinical trial (ClinicalTrials.gov, NCT02876107, registered on August 22, 2016) and compared them to similarly analyzed stage III TN-non-IBC patient samples (ClinicalTrials.gov, NCT02276443, registered on October 21, 2014). We found that TN-IBC tumors have distinctive genomic, molecular, and immunological characteristics, including a lower tumor mutation load than TN-non-IBC, and an association of immunosuppressive tumor-infiltrating immune components with an unfavorable response to neoadjuvant chemotherapy. To our knowledge, this is the only study in which TN-IBC and TN-non-IBC samples were collected prospectively. Our analysis improves the understanding of the molecular landscape of the most aggressive subtype of breast cancer. Further studies are needed to discover novel prognostic biomarkers and druggable targets for TN-IBC.
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Details
; Coffer, Larry W. 4 ; Alexander, Angela 4
; Vines, Anita 4 ; Bopparaju, Swetha 4 ; Woodward, Wendy A. 5 ; Chu, Randy 2 ; Zhang, Jianhua 2 ; Yam, Clinton 6 ; Loo, Lenora W. M. 7 ; Nasrazadani, Azadeh 4 ; Huong, Le-Petross 8 ; Woodman, Scott E. 2 ; Futreal, Andrew 2
; Rawi, Ahmed N. Al 2 ; Arrechedera, Claudio A. 2 ; Ayers, Kimberly S. 2 ; Bedoya, Claudia Alvarez 2 ; Burton, Elizabeth 2 ; Chon, Connie A. 2 ; Chu, Randy Aaron 2 ; Crosby, Shadarra D. 2 ; Do, Jonathan 2 ; Lima, Cibelle Freitas Pinto 2 ; Fu, Szu-Chin 2 ; Futreal, Andy 2 ; Garcia, Ana L. 2 ; Garcia-Prieto, Celia 2 ; Gite, Swati 2 ; Gumbs, Curtis 2 ; Hargraves, Kristin J. 2 ; He, Meng 2 ; Horombe, Chacha 2 ; Ibarguen, Heladio P. 2 ; Jackson, Stacy 2 ; Jacob, Jeena 2 ; Jiang, Mei 2 ; Khanduri, Isha 2 ; Kinyua, Walter K. 2 ; Lang, Wenhua 2 ; Little, Latasha D. 2 ; Lu, Wei 2 ; Mallampati, Saradhi 2 ; Mendoza, Mary Gertrude T. 2 ; Meric-Bernstam, Funda 2 ; Mohammad, Mohammad Moustaf 2 ; Piubelli, Mario Luiz Marques 2 ; Prabhakaran, Sabitha 2 ; Shaw, Kenna R. 2 ; Song, Ping 2 ; Song, Xiaofei 2 ; Subramanya, Sandesh 2 ; Sun, Baohua 2 ; Virani, Shumaila 2 ; Wang, Wanlin 2 ; Wistuba, Ignacio 2 ; Xu, Mingchu 2 ; Zhang, Qingxiu C. 2 ; Zhang, Shanyu 2 ; Tripathy, Debu 6
; Ueno, Naoto T. 1
1 The University of Texas MD Anderson Cancer Center, Morgan Welch Inflammatory Breast Cancer Research Program and Clinic, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776); The University of Texas MD Anderson Cancer Center, Department of Breast Medical Oncology, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776); University of Hawai’i Cancer Center, Honolulu, USA (GRID:grid.240145.6)
2 The University of Texas MD Anderson Cancer Center, Department of Genomic Medicine, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776)
3 The University of Texas MD Anderson Cancer Center, Morgan Welch Inflammatory Breast Cancer Research Program and Clinic, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776); The University of Texas MD Anderson Cancer Center, Department of Pathology, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776)
4 The University of Texas MD Anderson Cancer Center, Morgan Welch Inflammatory Breast Cancer Research Program and Clinic, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776); The University of Texas MD Anderson Cancer Center, Department of Breast Medical Oncology, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776)
5 The University of Texas MD Anderson Cancer Center, Morgan Welch Inflammatory Breast Cancer Research Program and Clinic, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776); The University of Texas MD Anderson Cancer Center, Department of Breast Radiation Oncology, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776)
6 The University of Texas MD Anderson Cancer Center, Department of Breast Medical Oncology, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776)
7 University of Hawai’i Cancer Center, Honolulu, USA (GRID:grid.240145.6)
8 The University of Texas MD Anderson Cancer Center, Morgan Welch Inflammatory Breast Cancer Research Program and Clinic, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776); The University of Texas MD Anderson Cancer Center, Department of Breast Imaging, Houston, USA (GRID:grid.240145.6) (ISNI:0000 0001 2291 4776)





