Yıl: 2023 Cilt: 53 Sayı: 1 Sayfa Aralığı: 142 - 148 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5567 İndeks Tarihi: 24-03-2023

LAG-3 expression in tumor microenvironment of triple-negative breast cancer

Öz:
Background/aim: This study aimed to evaluate the expression of lymphocyte activation gene-3 (LAG-3) and its relationship with programmed cell death ligand-1 (PD-L1) in triple-negative breast cancer (TNBC). Materials and methods: LAG-3 and PD-L1 was evaluated in tumor-infiltrating lymphocytes (TILs) using immunohistochemistry (IHC). The chi-square test was used to estimate the associations between LAG-3, PD-L1 and clinicopathological characteristics. Correlation between LAG-3 stromal TIL (sTIL), LAG-3 intraepitelial TIL (iTIL) and PD-L1 was assessed with using the Spearman’s correlation coefficient. Survival analysis was performed using the Kaplan-Meier method. Results: The percentages of LAG-3 sTIL+, LAG-3 iTIL+, PD-L1+ tumor cells and PD-L1+ inflammatory cells were 52%, 42%, 14% and 70%, respectively. A strong positive correlation between LAG-3 sTIL and LAG-3 iTIL (r = 0.874, p < 0.001) and a moderate positive correlation between LAG-3 sTIL and PD-L1 (r = 0.584, p < 0.001) were found. LAG-3 and PD-L1 status did not significantly affect overall survival (OS) (HR: 0.56 (95% CI: 0.15–2.11) (p = 0.397), HR: 2.70 (95% CI: 0.56–13.02) (p = 0.215), respectively). Conclusion: High levels of LAG-3 and PD-L1 expression were detected in patients with TNBC. Although their contribution to survival could not be determined, the high expression rates of PD-L1 and LAG-3 may help identify the subgroup of TNBC that would benefit from immunotherapy.
Anahtar Kelime: Breast cancer LAG-3 PD-L1 tumor infiltrating lymphocytes triple-negative

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer Statistics. CA: A Cancer Journal for Clinicians 2021; 71 (1): 7-33. https://doi. org/10.3322/caac.21654
  • 2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians 2021; 71 (3): 209-249. https://doi.org/10.3322/caac.21660
  • 3. Lin NU, Vanderplas A, Hughes ME, Theriault RL, Edge SB et al. Clinicopathologic features, patterns of recurrence, and survival among women with triple-negative breast cancer in the National Comprehensive Cancer Network. Cancer 2012; 15; 118 (22): 5463-5472. https://doi.org/10.1002/cncr.27581
  • 4. Liu Z, Li M, Jiang Z, Wang X. A Comprehensive Immunologic Portrait of Triple-Negative Breast Cancer. Translational Oncology 2018; 11 (2): 311-329. https://doi.org/10.1016/j. tranon.2018.01.011
  • 5. Adams S, Goldstein LJ, Sparano JA, Demaria S, Badve SS. Tumor infiltrating lymphocytes (TILs) improve prognosis in patients with triple negative breast cancer (TNBC). Oncoimmunology 2015; 27; 4 (9): e985930. https://doi.org/10. 4161/2162402X.2014.985930
  • 6. Loi S, Sirtaine N, Piette F, Salgado R, Viale G et al. Prognostic and predictive value of tumor-infiltrating lymphocytes in a phase III randomized adjuvant breast cancer trial in node- positive breast cancer comparing the addition of docetaxel to doxorubicin with doxorubicin-based chemotherapy: BIG 02- 98. Journal of Clinical Oncology 2013; 31 (7): 860-867. https:// doi.org/10.1200/JCO.2011.41.0902
  • 7. Keir ME, Butte MJ, Freeman GJ, Sharpe AH. PD-1 and its ligands in tolerance and immunity. Annual Review of Immunology 2008; 26: 677-704. https://doi.org/10.1146/ annurev.immunol.26.021607.090331
  • 8. Francisco LM, Salinas VH, Brown KE, Vanguri VK, Freeman GJ et al. PD-L1 regulates the development, maintenance, and function of induced regulatory T cells. Journal of Experimental Medicine 2009; 206 (13): 3015-3029. https://doi.org/10.1084/ jem.20090847
  • 9. Li Z, Dong P, Ren M, Song Y, Qian X et al. PD-L1 Expression Is Associated with Tumor FOXP3(+) Regulatory T-Cell Infiltration of Breast Cancer and Poor Prognosis of Patient. Journal of Cancer 2016; 7 (7): 784-793. https://doi.org/10.7150/ jca.14549
  • 10. Kitano A, Ono M, Yoshida M, Noguchi E, Shimomura A et al. Tumour-infiltrating lymphocytes are correlated with higher expression levels of PD-1 and PD-L1 in early breast cancer. ESMO Open 2017; 2 (2): e000150. https://doi.org/10.1136/ esmoopen-2016-000150
  • 11. Chocarro L, Blanco E, Zuazo M, Arasanz H, Bocanegra A et al. Understanding LAG-3 Signaling. International Journal of Molecular Sciences 2021; 22 (10): 5282. https://doi. org/10.3390/ijms22105282
  • 12. Ruffo E, Wu RC, Bruno TC, Workman CJ, Vignali DAA. Lymphocyte-activation gene 3 (LAG3): The next immune checkpoint receptor. Seminars in Immunology 2019; 42: 101305. https://doi.org/10.1016/j.smim.2019.101305
  • 13. Burugu S, Gao D, Leung S, Chia SK, Nielsen TO. LAG-3+ tumor infiltrating lymphocytes in breast cancer: clinical correlates and association with PD-1/PD-L1+ tumors. Annals of Oncology 2017; 28 (12): 2977-2984. https://doi.org/10.1093/ annonc/mdx557
  • 14. Bottai G, Raschioni C, Losurdo A, Di Tommaso L, Tinterri C et al. An immune stratification reveals a subset of PD-1/LAG-3 double- positive triple- negative breast cancers. Breast Cancer Research 2016; 18 (1): 121. https://doi.org/10.1186/s13058- 016-0783-4
  • 15. Solinas C, Garaud S, De Silva P, Boisson A, Van den Eynden G et al. Immune Checkpoint Molecules on Tumor-Infiltrating Lymphocytes and Their Association with Tertiary Lymphoid Structures in Human Breast Cancer. Frontiers in Immunology 2017; 8: 1412. https://doi.org/10.3389/fimmu.2017.01412
  • 16. Emens LA, Cruz C, Eder JP, Braiteh F, Chung C et al. Long-term Clinical Outcomes and Biomarker Analyses of Atezolizumab Therapy for Patients With Metastatic Triple-Negative Breast Cancer: A Phase 1 Study. JAMA Oncology 2019; 5 (1): 74-82. https://doi.org/10.1001/jamaoncol.2018.4224
  • 17. Schmid P, Adams S, Rugo HS, Schneeweiss A, Barrios CH et al. Atezolizumab and Nab-Paclitaxel in Advanced Triple-Negative Breast Cancer. The New England Journal of Medicine 2018; 379 (22): 2108-2121. https://doi.org/10.1056/NEJMoa1809615
  • 18. Cappello P, Triebel F, Iezzi M, Caorsi C, Quaglino E et al. LAG- 3 enables DNA vaccination to persistently prevent mammary carcinogenesis in HER-2/neu transgenic BALB/c mice. Cancer Research 2003; 63 (10): 2518-2525.
  • 19. Woo SR, Turnis ME, Goldberg MV, Bankoti J, Selby M et al. Immune inhibitory molecules LAG-3 and PD-1 synergistically regulate T-cell function to promote tumoral immune escape. Cancer Research 2012; 72 (4): 917-927. https://doi. org/10.1158/0008-5472.CAN-11-1620
  • 20. Stovgaard ES, Kümler I, List-Jensen K, Roslind A, Christensen IJ et al. Prognostic and Clinicopathologic Associations of LAG-3 Expression in Triple-negative Breast Cancer. Applied Immunohistochemistry & Molecular Morphology 2022; 30 (1): 62-71. https://doi.org/10.1097/PAI.0000000000000954
  • 21. Wang Y, Dong T, Xuan Q, Zhao H, Qin L et al. Lymphocyte- Activation Gene-3 Expression and Prognostic Value in Neoadjuvant-Treated Triple-Negative Breast Cancer. Journal of Breast Cancer 2018; 21 (2): 124-133. https://doi.org/10.4048/ jbc.2018.21.2.124
  • 22. Long L, Zhang X, Chen F, Pan Q, Phiphatwatchara P et al. The promising immune checkpoint LAG-3: from tumor microenvironment to cancer immunotherapy. Genes & Cancer 2018; 9 (5-6): 176-189. https://doi.org/10.18632/ genesandcancer.180
  • 23. Brignone C, Escudier B, Grygar C, Marcu M, Triebel F. A phase I pharmacokinetic and biological correlative study of IMP321, a novel MHC class II agonist, in patients with advanced renal cell carcinoma. Clinical Cancer Research 2009; 15 (19): 6225- 6231. https://doi.org/10.1158/1078-0432.CCR-09-0068
  • 24. Schmid P, Cortes J, Dent R, Pusztai L, McArthur H et al. KEYNOTE-522 Investigators. Event-free Survival with Pembrolizumab in Early Triple-Negative Breast Cancer. The New England Journal of Medicine 2022; 386 (6): 556-567. https://doi.org/10.1056/NEJMoa2112651
  • 25. Lehmann BD, Bauer JA, Chen X, Sanders ME, Chakravarthy AB et al. Identification of human triple-negative breast cancer subtypes and preclinical models for selection of targeted therapies. The Journal of Clinical Investigation 2011; 121 (7): 2750-2767. https://doi.org/10.1172/JCI45014
  • 26. Wang DY, Jiang Z, Ben-David Y, Woodgett JR, Zacksenhaus E. Molecular stratification within triple-negative breast cancer subtypes. Scientific Reports 2019; 9 (1): 19107. https://doi. org/10.1038/s41598-019-55710-w
APA tahtaci g, GÜNEL N, Sadioğlu A, Akyurek N, Boz O (2023). LAG-3 expression in tumor microenvironment of triple-negative breast cancer. , 142 - 148. 10.55730/1300-0144.5567
Chicago tahtaci gozde,GÜNEL NAZAN,Sadioğlu Aysu,Akyurek Nalan,Boz Oğulcan LAG-3 expression in tumor microenvironment of triple-negative breast cancer. (2023): 142 - 148. 10.55730/1300-0144.5567
MLA tahtaci gozde,GÜNEL NAZAN,Sadioğlu Aysu,Akyurek Nalan,Boz Oğulcan LAG-3 expression in tumor microenvironment of triple-negative breast cancer. , 2023, ss.142 - 148. 10.55730/1300-0144.5567
AMA tahtaci g,GÜNEL N,Sadioğlu A,Akyurek N,Boz O LAG-3 expression in tumor microenvironment of triple-negative breast cancer. . 2023; 142 - 148. 10.55730/1300-0144.5567
Vancouver tahtaci g,GÜNEL N,Sadioğlu A,Akyurek N,Boz O LAG-3 expression in tumor microenvironment of triple-negative breast cancer. . 2023; 142 - 148. 10.55730/1300-0144.5567
IEEE tahtaci g,GÜNEL N,Sadioğlu A,Akyurek N,Boz O "LAG-3 expression in tumor microenvironment of triple-negative breast cancer." , ss.142 - 148, 2023. 10.55730/1300-0144.5567
ISNAD tahtaci, gozde vd. "LAG-3 expression in tumor microenvironment of triple-negative breast cancer". (2023), 142-148. https://doi.org/10.55730/1300-0144.5567
APA tahtaci g, GÜNEL N, Sadioğlu A, Akyurek N, Boz O (2023). LAG-3 expression in tumor microenvironment of triple-negative breast cancer. Turkish Journal of Medical Sciences, 53(1), 142 - 148. 10.55730/1300-0144.5567
Chicago tahtaci gozde,GÜNEL NAZAN,Sadioğlu Aysu,Akyurek Nalan,Boz Oğulcan LAG-3 expression in tumor microenvironment of triple-negative breast cancer. Turkish Journal of Medical Sciences 53, no.1 (2023): 142 - 148. 10.55730/1300-0144.5567
MLA tahtaci gozde,GÜNEL NAZAN,Sadioğlu Aysu,Akyurek Nalan,Boz Oğulcan LAG-3 expression in tumor microenvironment of triple-negative breast cancer. Turkish Journal of Medical Sciences, vol.53, no.1, 2023, ss.142 - 148. 10.55730/1300-0144.5567
AMA tahtaci g,GÜNEL N,Sadioğlu A,Akyurek N,Boz O LAG-3 expression in tumor microenvironment of triple-negative breast cancer. Turkish Journal of Medical Sciences. 2023; 53(1): 142 - 148. 10.55730/1300-0144.5567
Vancouver tahtaci g,GÜNEL N,Sadioğlu A,Akyurek N,Boz O LAG-3 expression in tumor microenvironment of triple-negative breast cancer. Turkish Journal of Medical Sciences. 2023; 53(1): 142 - 148. 10.55730/1300-0144.5567
IEEE tahtaci g,GÜNEL N,Sadioğlu A,Akyurek N,Boz O "LAG-3 expression in tumor microenvironment of triple-negative breast cancer." Turkish Journal of Medical Sciences, 53, ss.142 - 148, 2023. 10.55730/1300-0144.5567
ISNAD tahtaci, gozde vd. "LAG-3 expression in tumor microenvironment of triple-negative breast cancer". Turkish Journal of Medical Sciences 53/1 (2023), 142-148. https://doi.org/10.55730/1300-0144.5567