Prognostic significance of interferon regulating factor 4 (IRF4) in node-negative breast cancer.

Authors

null

Marcus Schmidt

Department of Obstetrics and Gynecology, Johannes Gutenberg University, Mainz, Germany

Marcus Schmidt , Leonie van de Sandt , Karolina Edlund , Isabel Sicking , Marco Johannes Battista , Antje Lebrecht , Gerald Hoffmann , Joerg Rahnenfuehrer , Jan G Hengstler

Organizations

Department of Obstetrics and Gynecology, Johannes Gutenberg University, Mainz, Germany, Department of Statistics, Dortmund, Germany, Leibniz Research Centre for Working Environment and Human Factors (IfADo) at Dortmund TU, Dortmund, Germany, Department of Obstetrics and Gynecology, Mainz, Germany, Department of Obstetrics and Gynecology, University Hospital, Mainz, Germany, Department of Statistics, Technical University, Dortmund, Germany, IfADo-Leibniz Research Centre for Working Environment and Human Factors, Dortmund University of Technology, Dortmund, Germany

Research Funding

No funding sources reported

Background: The transcription factor IRF4 (interferon regulating factor 4) regulates immunoglobulin class switch recombination as well as plasma cell differentiation. We examined the prognostic significance of IRF4 mRNA expression in node-negative breast cancer. Methods: Microarray based gene-expression data for IRF4 (204562_at) were analysed in four previously published cohorts (Mainz, Rotterdam, Transbig, Yu) of node-negative breast cancer patients not treated with adjuvant therapy (n=824). A meta-analysis of previously published cohorts was performed using a random effects model. Prognostic significance of IRF4 on metastasis-free survival (MFS) was examined in the whole cohort and in different molecular subtypes: luminal A (ER+/HER2-/aurora kinase A [AURKA]low, luminal B (ER+/HER2-/AURKAhigh), basal-like (ER-/HER2-), HER2+. Independent prognostic relevance was analysed using multivariate Cox regression. Results: Higher RNA expression of IRF4 was related to better MFS in a meta-analysis of the whole cohort (HR 0.49, 95% CI 0.35-0.69, P<0.0001). Prognostic significance was most pronounced in the HER2+ positive molecular subtype (HR 0.18, 95% CI 0.06-0.55, P=0.0008) as compared to luminal A (HR 0.75, 95% CI 0.36-1.53, P=0.425), luminal B (HR 0.39, 95% CI 0.20-0.76, P=0.0044) and basal-like (HR 0.55, 95% CI 0.32-0.94), P=0.0279) carcinomas of the breast. IRF4 showed independent prognostic significance (HR 0.394, 95% CI 0.249-0.621, P<0.0001) in multivariate analysis. In addition to IRF4, only histological grade of differentiation (HR 2.591, 95% CI 1.604-4.187, P<0.0001) and tumor size (HR 1.791, 95% CI 1.135-2.825, P=0.012), but neither age nor HER2 status nor hormone receptor status retained an independent prognostic association with MFS. Conclusions: The transcription factor IRF4 has independent prognostic significance in node-negative breast cancer. Higher expression of IRF4 is associated with improved outcome. The prognostic impact differs between diverse molecular subtypes and is most pronounced in HER2+ breast cancer.

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Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Breast Cancer - HER2/ER

Track

Breast Cancer

Sub Track

HER2+

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr 620)

DOI

10.1200/jco.2014.32.15_suppl.620

Abstract #

620

Poster Bd #

84

Abstract Disclosures