Microenvironment-related predictive markers of the therapeutic effectiveness of eribulin in patients with locally advanced or metastatic breast cancer: pilot study

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Abstract

Background. Triple negative breast cancer has no specific treatment sites for chemotherapy and is unfavorable in terms of prognosis. One of the drugs widely used in this cohort of patients is eribulin, which in addition to its antimitotic effect has an effect on the tumor microenvironment. The search for biological criteria that will allow predicting the effectiveness of the drug is assumed relevant since it will help to select patients who may receive the most benefit from certain therapy regimens.

Objective: identification of immunological predictors of the therapeutic effectiveness of eribulin in patients with locally advanced or metastatic triple-negative breast cancer.

Materials and methods. The study included 20 patients with locally advanced and metastatic triple negative breast cancer. 50 % had a short-term response (progression-free survival <3 months) to eribulin therapy, and 50 % had a long-term response (progression-free survival >6 months). Seven-color immunofluorescence was used to determine the subpopulation composition of tumor-infiltrating lymphocytes and their PD1 expression. Image acquisition and analysis were performed using the Vectra® 3.0 system and InForm® software (Akoya Biosciences, USA).

Results. It has been shown that the ratio of the number of PD1-negative to PD1-positive CD20+ B-lymphocytes less than 5.5 associated with the long-term effectiveness of eribulin in patients with locally advanced or metastatic triple negative breast cancer.

Conclusion. The results showed that the ratio of the number of PD1-negative to PD1-positive CD20+ B-lymphocytes can be considered as a possible marker to predict the effectiveness of eribulin in patients with breast cancer.

About the authors

L.  A. Tashireva

Research Institute of Oncology, Tomsk National Research Medical Center of the Russian Academy of Sciences

Author for correspondence.
Email: lkleptsova@mail.ru

Lyubov Aleksandrovna Tashireva.

5 Kooperativnyy Per., Tomsk 634009.

Russian Federation

N. O. Popova

Research Institute of Oncology, Tomsk National Research Medical Center of the Russian Academy of Sciences

5 Kooperativnyy Per., Tomsk 634009.

Russian Federation

V. V. Alifanov

Research Institute of Oncology, Tomsk National Research Medical Center of the Russian Academy of Sciences

5 Kooperativnyy Per., Tomsk 634009.

Russian Federation

V. E.  Goldberg

Research Institute of Oncology, Tomsk National Research Medical Center of the Russian Academy of Sciences

5 Kooperativnyy Per., Tomsk 634009.

Russian Federation

E. I. Kovalenko

N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia;

24 Kashirskoe Shosse, Moscow 115478.

Russian Federation

E. V. Artamonova

N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia

24 Kashirskoe Shosse, Moscow 115478.

Russian Federation

A. G.  Manikhas

Department of Surgical Oncology No. 1, Saint Petersburg Clinical Oncology Dispensary

56 Prospekt Veteranov, Saint Petersburg 198255.

Russian Federation

D. M. Ponomarenko

Irkutsk Regional Oncology Dispensary; Irkutsk State Medical Academy of Postgraduate Education, a branch of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia

1 Studencheskaya St., Bratsk 665709; 100k 4 Yubileynyy District, Irkutsk 664049.

Russian Federation

N. V. Levchenko

Saint Petersburg Clinical Research and Practical Center for Specialized Medical Care (Oncological), Ministry of Health of Russia

68A Leningradskaya St., Pesochnyy Settlement, Saint Petersburg 197758.

Russian Federation

E. I. Rossokha

Altai Regional Oncology Dispensary

50 Sotsialisticheskiy Prospekt, Barnaul 656044.

Russian Federation

S. Yu.  Krasilnikova

Sverdlovsk Regional Oncology Dispensary

11 Komsomolskaya St., Ekaterinburg 620137.

Russian Federation

M. A. Zafirova

Ural State Medical University, Ministry of Health of Russia

3 Studencheskaya St., Ekaterinburg 620028.

Russian Federation

V. M.  Perelmuter

Research Institute of Oncology, Tomsk National Research Medical Center of the Russian Academy of Sciences

5 Kooperativnyy Per., Tomsk 634009.

Russian Federation

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