Genomic mapping to identify mutations in RYR2 and AHNAK in basal-like breast tumors expressing PD-L1.

Authors

null

Francisco J Cimas

Translational Oncology Laboratory, CRIB‐UCLM, Albacete, Spain

Francisco J Cimas , Aránzazu Manzano , Mariona Baliu Piqué , Pedro Perez , Ádám Nagy , Atanasio Pandiella , Balazs Gyorffy , Alberto Ocana

Organizations

Translational Oncology Laboratory, CRIB‐UCLM, Albacete, Spain, Hospital Universitario Clínico San Carlos, Madrid, Spain, Hospital Clinico San Carlos, Madrid, Spain, Department of Bioinformatics and Department of Pediatrics, Semmelweis University, Budapest, Hungary, Centro de Investigación del Cáncer, CSIC-Universidad de Salamanca, Salamanca, Spain, Hungarian Academy of Sciences, Budapest, Hungary, Hospital Clínico San Carlos, Madrid, Spain

Research Funding

Other Foundation
CRIS Foundation, AECC Foundation

Background: Basal-like breast cancer is a specific subtype of breast tumors with limited therapeutic options. Although treatment with the anti-PD-L1 antibody atezolizumab has recently shown clinical activity in this setting, not all patients do respond even expressing high levels of PD-L1. In the present article we explored the presence of mutations in breast cancer tumors with high expression of PD1 and PD-L1 with the aim to identify molecular correlates associated with outcome. Methods: We used RNA-seq and mutational data from 971 breast cancer patients using the TCGA dataset, to identify mutations in patients with high levels of PD1 and PD-L1. Data analysis was performed using DESeq R and MAFTools Bioconductor packages. Transcriptomic signatures from the identified mutations were associated with outcome using the Kapplan-Meyer Plotter tool. We correlated the identified transcripts with immune populations using TIMER online tool and correlation between genes with Cancertool online platform. Results: We identified co-occurrent mutations in RYR2 and AHNAK in 8% and 5% of basal like tumors, respectively, in patients with high levels of PD1 and PD-1. The transcriptomic signature of these mutations conferred good prognosis for relapse free survival (RFS) and overall survival (OS). CXCL9 for RYR2 and GBP5, C1QA, IL2RG, CSF2RB and IDO1 for AHNAK were the most relevant genes identified in these signatures. Expression of CXCL9, GBP5, IL2RG and IDO1 correlated with the presence of immune cell populations mainly dendritic cells. This signature, including CXCL9, GBP5, C1QA, IL2RG, CSF2RB and IDO1 classified patients with favorable RFS (HR 0.27 CI 0.2-0.30; p = 1.1e-16) and OS (HR 0.18 CI 0.09-0.34; p = 6.8e-9). This signature showed a stronger prediction capacity compared with already described immunologic signatures. Finally we identify that LAG3 was the only gene commonly present in both signatures and correlated positively with the expression of PD1 and PD-L1. Conclusions: We describe two novel mutations which transcriptomic signatures associated with favorable outcome in basal-like tumors that express elevated levels of PD1 and PD-L1. Future studies should be performed to confirm the role of these mutations and signatures in relation with clinical activity of PD1/PD-L1 inhibitors.

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Abstract Details

Meeting

2020 ASCO Virtual Scientific Program

Session Type

Poster Session

Session Title

Breast Cancer—Metastatic

Track

Breast Cancer

Sub Track

Biologic Correlates

Citation

J Clin Oncol 38: 2020 (suppl; abstr 1027)

DOI

10.1200/JCO.2020.38.15_suppl.1027

Abstract #

1027

Poster Bd #

112

Abstract Disclosures

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