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Machine learning-based spatial characterization of tumor-immune microenvironment in the EORTC 10994/BIG 1-00 early breast cancer trial
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Karolinska Comprehens Canc Ctr, Theme Canc, Stockholm, Sweden.;Univ Hosp, Stockholm, Sweden..
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Univ Hosp, Stockholm, Sweden.;Karolinska Comprehens Canc Ctr, Breast Ctr, Theme Canc, Stockholm, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine. Vall dHebron Inst Oncol, Mol Oncol Grp, Barcelona, Spain..ORCID iD: 0000-0002-4394-2634
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Fdn Res & Technol Hellas FORTH, Computat Biomed Lab CBML, Iraklion, Greece..
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2025 (English)In: npj Breast Cancer, E-ISSN 2374-4677, Vol. 11, no 1, article id 23Article in journal (Refereed) Published
Abstract [en]

Breast cancer (BC) represents a heterogeneous ecosystem and elucidation of tumor microenvironment components remains essential. Our study aimed to depict the composition and prognostic correlates of immune infiltrate in early BC, at a multiplex and spatial resolution. Pretreatment tumor biopsies from patients enrolled in the EORTC 10994/BIG 1-00 randomized phase III neoadjuvant trial (NCT00017095) were used; the CNN11 classifier for H&E-based digital TILs (dTILs) quantification and multiplex immunofluorescence were applied, coupled with machine learning (ML)-based spatial features. dTILs were higher in the triple-negative (TN) subtype, and associated with pathological complete response (pCR) in the whole cohort. Total CD4+ and intra-tumoral CD8+ T-cells expression was associated with pCR. Higher immune-tumor cell colocalization was observed in TN tumors of patients achieving pCR. Immune cell subsets were enriched in TP53-mutated tumors. Our results indicate the feasibility of ML-based algorithms for immune infiltrate characterization and the prognostic implications of its abundance and tumor-host interactions.

Place, publisher, year, edition, pages
Springer Nature, 2025. Vol. 11, no 1, article id 23
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Cancer and Oncology
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URN: urn:nbn:se:uu:diva-553358DOI: 10.1038/s41523-025-00730-1ISI: 001439371400001PubMedID: 40055382Scopus ID: 2-s2.0-86000350905OAI: oai:DiVA.org:uu-553358DiVA, id: diva2:1948263
Funder
Region StockholmSwedish Cancer SocietySwedish Research CouncilSwedish Society of MedicineIris, Stig och Gerry Castenbäcks Stiftelse för CancerforskningBröstcancerförbundetThe Cancer Research Funds of RadiumhemmetWenner-Gren FoundationsAvailable from: 2025-03-28 Created: 2025-03-28 Last updated: 2025-03-28Bibliographically approved

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