Journal of Experimental & Clinical Cancer Research,
Journal Year:
2018,
Volume and Issue:
37(1)
Published: Dec. 1, 2018
Abundant
evidence
shows
that
triple-negative
breast
cancer
(TNBC)
is
heterogeneous,
and
many
efforts
have
been
devoted
to
identifying
TNBC
subtypes
on
the
basis
of
genomic
profiling.
However,
few
studies
explored
classification
specifically
based
immune
signatures
may
facilitate
optimal
stratification
patients
responsive
immunotherapy.Using
four
publicly
available
genomics
datasets,
we
classified
immunogenomic
profiling
29
signatures.
Unsupervised
supervised
machine
learning
methods
were
used
perform
classification.We
identified
three
named
Immunity
High
(Immunity_H),
Medium
(Immunity_M),
Low
(Immunity_L)
demonstrated
this
was
reliable
predictable
by
analyzing
multiple
different
datasets.
Immunity_H
characterized
greater
cell
infiltration
anti-tumor
activities,
as
well
better
survival
prognosis
compared
other
subtypes.
Besides
signatures,
some
cancer-associated
pathways
hyperactivated
in
Immunity_H,
including
apoptosis,
calcium
signaling,
MAPK
PI3K-Akt
RAS
signaling.
In
contrast,
Immunity_L
presented
depressed
increased
activation
cycle,
Hippo
DNA
replication,
mismatch
repair,
adhesion
molecule
binding,
spliceosome,
adherens
junction
function,
pyrimidine
metabolism,
glycosylphosphatidylinositol
(GPI)-anchor
biosynthesis,
RNA
polymerase
pathways.
Furthermore,
a
gene
co-expression
subnetwork
centered
around
five
transcription
factor
(TF)
genes
(CORO1A,
STAT4,
BCL11B,
ZNF831,
EOMES)
significant
subtype
two
TF
(IRF8
SPI1)
characteristic
subtype.The
identification
has
potential
clinical
implications
for
treatment.
npj Breast Cancer,
Journal Year:
2019,
Volume and Issue:
5(1)
Published: Jan. 11, 2019
Abstract
At
the
MONARCH
3
interim
analysis,
abemaciclib
plus
a
nonsteroidal
aromatase
inhibitor
(AI)
significantly
improved
progression-free
survival
(PFS)
and
objective
response
rate
(ORR)
with
tolerable
safety
profile
as
initial
treatment
for
hormone
receptor-positive
(HR+),
human
epidermal
growth
factor
receptor
2-negative
(HER2−)
advanced
breast
cancer
(ABC).
is
randomized,
phase
III,
double-blind
study
of
abemaciclib/placebo
(150
mg
twice
daily,
continuous)
AI
(1
anastrozole
or
2.5
letrozole,
daily).
A
total
493
postmenopausal
women
HR+,
HER2−
ABC
no
prior
systemic
therapy
in
this
setting
were
enrolled.
The
primary
endpoint
was
investigator-assessed
PFS
(final
analysis
after
240
events);
other
endpoints
included
evaluations.
Here
we
analyze
final
data
update
secondary
endpoints.
arm
had
longer
median
than
placebo
(28.18
versus
14.76
months;
hazard
ratio
[95%
confidence
interval],
0.540
[0.418–0.698];
p
=
.000002).
ORR
61.0%
45.5%
(measurable
disease,
.003).
duration
(27.39
months)
compared
to
(17.46
months).
consistent
previous
reports.
most
frequent
grade
≥
adverse
events
arms
neutropenia
(23.9%
1.2%),
diarrhea
(9.5%
leukopenia
(8.6%
0.6%).
Abemaciclib
an
effective
acceptable
ABC.