Abstract
Purpose
Immunogenomics and earlier, pioneering studies, particularly by Whiteside and colleagues, have indicated a positive role for B-cells in breast cancer, as well as a positive role for gamma-delta T-cells. However, these studies have been completely limited to assessing breast cancer tumor tissue.
Methods and Results
Our analyses here has shown that blood-borne T-cell receptor gamma (TRG) chain sequences were associated with greater overall survival, of particular note due to the comparative longevity of primary breast cancer patients, whereby assessments of disease-free, but rarely overall survival parameters are possible. Additional immunogenomics approaches narrowed the overall survival correlations to specific, TRG complementarity determining region-3, amino acid (AA) sequence chemical features, independently of many common, confounding variables in the breast cancer setting, such as estrogen or progesterone receptor status.
Conclusions
These results are discussed in the context of patient age and with regard to potential antigenic targets, based on the chemistry of the TRG CDR3 AA sequences associated with the higher survival rates.
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Abbreviations
- AA:
-
Amino acid
- AJCC:
-
American Joint Committee on Cancer
- BRCA:
-
Breast cancer
- CDR3:
-
Complementarity determining region-3
- KM:
-
Kaplan–Meier
- OS:
-
Overall survival
- DFS:
-
Disease-free survival
- RSSA:
-
Randomized subset survival assessment
- SPSS:
-
Statistical Package for the Social Sciences
- TCGA:
-
The Cancer Genome Atlas
- TIL:
-
Tumor-infiltrating lymphocyte
- TRG:
-
T-cell receptor gamma
- UCEC:
-
Uterine cancer
- WXS:
-
Whole-exome sequence
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Acknowledgements
Authors wish to acknowledge the support of USF research computing; and Corinne Walters, for administrative support related to NIH dataset access; and the taxpayers of the State of Florida. AC, BC, MH, and SZ were RISE fellowship recipients. SZ is a Susan Komen fellowship recipient.
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AC wrote the first several drafts of the manuscripts, edited all drafts, conducted CDR3 motif, overall survival, and RNAseq analyses; conducted replication analyses, conducted SPSS confounding variable analyses. BC conceived of the CDR3 AA motif, survival-related algorithm and scripted the algorithm. BC and SZ developed motif/encoding process. MH contributed to the UCEC analysis. GB, supervised project, participated in data validation steps, assisted in preparation of manuscript, and assumes all responsibility for final version of the manuscript and data analyses.
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This report represents non-human subjects research, but the WXS files represented controlled access data. As such, these files were accessed under dbGaP approval number 6300. This article does not contain any studies with animals performed by any of the authors.
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Chobrutskiy, A., Chobrutskiy, B.I., Zaman, S. et al. Chemical features of blood-borne TRG CDR3s associated with an increased overall survival in breast cancer. Breast Cancer Res Treat 185, 591–600 (2021). https://doi.org/10.1007/s10549-020-05996-6
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DOI: https://doi.org/10.1007/s10549-020-05996-6