Tumor microenvironment characterization in triple-negative breast cancer identifies prognostic gene signature

Aging (Albany NY). 2021 Feb 1;13(4):5485-5505. doi: 10.18632/aging.202478. Epub 2021 Feb 1.

Abstract

We aimed to elucidate the landscape of tumor microenvironment (TME) in triple-negative breast cancer (TNBC). Cohorts from Gene Expression Omnibus database (N = 107) and METABRIC (N = 299) were used as the training set and validation set, respectively. TME was evaluated via single-sample gene set enrichment analysis, and unsupervised clustering was used for cluster identification. Consequently, TNBC was classified into two distinct TME clusters (Cluster 1 and Cluster 2) according to predefined immune-related terms. Cluster 1 was characterized by low immune infiltration with poor prognosis; whereas, Cluster 2 was characterized by high immune infiltration with better survival probability. Further, Cluster 1 had larger tumor volumes, while Cluster 2 had smaller tumor volumes. Finally, a TME signature for prognosis stratification in TNBC was developed and validated. In summary, we comprehensively evaluated the TME of TNBC and constructed a TME signature that correlated with prognosis. Our results provide new insights for the immunotherapy of TNBC.

Keywords: immune checkpoint; triple-negative breast cancer; tumor microenvironment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cluster Analysis
  • Female
  • Gene Expression Profiling
  • Humans
  • Lymphocytes, Tumor-Infiltrating
  • Middle Aged
  • Neoplasm Staging
  • Prognosis
  • Reproducibility of Results
  • Transcriptome*
  • Triple Negative Breast Neoplasms / genetics*
  • Triple Negative Breast Neoplasms / pathology
  • Tumor Burden
  • Tumor Microenvironment / genetics*
  • Unsupervised Machine Learning