Machine learning-based spatial characterization of tumor-immune microenvironment in the EORTC 10994/BIG 1-00 early breast cancer trialKarolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Pathol & Canc Diagnost, Stockholm, Sweden..
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden..
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Univ Hosp, Stockholm, Sweden.;Karolinska Comprehens Canc Ctr, Breast Ctr, Theme Canc, Stockholm, Sweden..
European Org Res & Treatment Canc Headquarters, Brussels, Belgium..
Inst Jules Bordet, Dept Med Oncol, Brussels, Belgium.;Univ Libre Bruxelles ULB, Brussels, Belgium.;Inst Jules Bordet, Acad Trials Promoting Team ATPT, Brussels, Belgium..
Yale Sch Med, Dept Pathol, New Haven, CT USA.;Yale Sch Med, Yale Canc Ctr, New Haven, CT USA..
Yale Sch Med, Dept Pathol, New Haven, CT USA.;Yale Sch Med, Yale Canc Ctr, New Haven, CT USA..
Univ Edinburgh, Inst Genet & Canc, Canc Ctr, Edinburgh, Scotland..
Univ Bordeaux, Inst Bergonie Unicanc, Dept Med Oncol, INSERM,U1218, Bordeaux, France..
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Univ Hosp, Stockholm, Sweden.;Karolinska Comprehens Canc Ctr, Breast Ctr, Theme Canc, Stockholm, Sweden..
Inst Bergonie Unicanc, Dept Biopathol, INSERM, U1312, Bordeaux, France..
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Univ Hosp, Stockholm, Sweden.;Karolinska Comprehens Canc Ctr, Breast Ctr, Theme Canc, Stockholm, Sweden..
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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
National Category
Cancer and Oncology
Identifiers
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 Foundations2025-03-282025-03-282025-03-28Bibliographically approved