Abstract
Purpose
Breast cancer (BC) is a heterogeneous disorder, with variable response to systemic chemotherapy. Likewise, BC shows highly complex immune activation patterns, only in part reflecting classical histopathological subtyping. Schlafen-11 (SLFN11) is a nuclear protein we independently described as causal factor of sensitivity to DNA damaging agents (DDA) in cancer cell line models. SLFN11 has been reported as a predictive biomarker for DDA and PARP inhibitors in human neoplasms. SLFN11 has been implicated in several immune processes such as thymocyte maturation and antiviral response through the activation of interferon signaling pathway, suggesting its potential relevance as a link between immunity and cancer. In the present work, we investigated the transcriptional landscape of SLFN11, its potential prognostic value, and the clinico-pathological associations with its variability in BC.
Methods
We assessed SLFN11 determinants in a gene expression meta-set of 5061 breast cancer patients annotated with clinical data and multigene signatures.
Results
We found that 537 transcripts are highly correlated with SLFN11, identifying “immune response”, “lymphocyte activation”, and “T cell activation” as top Gene Ontology processes. We established a strong association of SLFN11 with stromal signatures of basal-like phenotype and response to chemotherapy in estrogen receptor negative (ER-) BC. We identified a distinct subgroup of patients, characterized by high SLFN11 levels, ER- status, basal-like phenotype, immune activation, and younger age. Finally, we observed an independent positive predictive role for SLFN11 in BC.
Conclusions
Our findings are suggestive of a relevant role for SLFN11 in BC and its immune and molecular variability.
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Change history
12 July 2019
In the original publication of the article, the funding information was incorrectly published. The corrected funding statement is given in this correction article.
Abbreviations
- BC:
-
Breast cancer
- DDA:
-
DNA damaging agents
- DFS:
-
Disease-free survival
- ER:
-
Estrogen receptor
- HT:
-
Hormone treatment
- ICR:
-
Immunological constant of rejection
- MCA:
-
Multiple correspondence analysis
- SLFN11:
-
Schlafen-11
- TNBC:
-
Triple-negative breast cancer
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Acknowledgements
GZ would like to thank Dr. P. Blandini, MD, for his invaluable scientific insights during all the phases of this project.
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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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All raw data used for the generation of the expression set we analyzed are available in GEO under their respective publication IDs. Normalized expression data are available upon request to the Corresponding Author.
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Isnaldi, E., Ferraioli, D., Ferrando, L. et al. Schlafen-11 expression is associated with immune signatures and basal-like phenotype in breast cancer. Breast Cancer Res Treat 177, 335–343 (2019). https://doi.org/10.1007/s10549-019-05313-w
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DOI: https://doi.org/10.1007/s10549-019-05313-w