Converging and evolving immuno-genomic routes toward immune escape in breast cancer

Abstract The interactions between tumor and immune cells along the course of breast cancer progression remain largely unknown. Here, we extensively characterize multiple sequential and parallel multiregion tumor and blood specimens of an index patient and a cohort of metastatic triple-negative breas...

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Main Authors: Juan Blanco-Heredia, Carla Anjos Souza, Juan L. Trincado, Maria Gonzalez-Cao, Samuel Gonçalves-Ribeiro, Sara Ruiz Gil, Dmytro Pravdyvets, Samandhy Cedeño, Maurizio Callari, Antonio Marra, Andrea M. Gazzo, Britta Weigelt, Fresia Pareja, Theodore Vougiouklakis, Achim A. Jungbluth, Rafael Rosell, Christian Brander, Francesc Tresserra, Jorge S. Reis-Filho, Daniel Guimarães Tiezzi, Nuria de la Iglesia, Holger Heyn, Leticia De Mattos-Arruda
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-45292-1
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author Juan Blanco-Heredia
Carla Anjos Souza
Juan L. Trincado
Maria Gonzalez-Cao
Samuel Gonçalves-Ribeiro
Sara Ruiz Gil
Dmytro Pravdyvets
Samandhy Cedeño
Maurizio Callari
Antonio Marra
Andrea M. Gazzo
Britta Weigelt
Fresia Pareja
Theodore Vougiouklakis
Achim A. Jungbluth
Rafael Rosell
Christian Brander
Francesc Tresserra
Jorge S. Reis-Filho
Daniel Guimarães Tiezzi
Nuria de la Iglesia
Holger Heyn
Leticia De Mattos-Arruda
author_facet Juan Blanco-Heredia
Carla Anjos Souza
Juan L. Trincado
Maria Gonzalez-Cao
Samuel Gonçalves-Ribeiro
Sara Ruiz Gil
Dmytro Pravdyvets
Samandhy Cedeño
Maurizio Callari
Antonio Marra
Andrea M. Gazzo
Britta Weigelt
Fresia Pareja
Theodore Vougiouklakis
Achim A. Jungbluth
Rafael Rosell
Christian Brander
Francesc Tresserra
Jorge S. Reis-Filho
Daniel Guimarães Tiezzi
Nuria de la Iglesia
Holger Heyn
Leticia De Mattos-Arruda
author_sort Juan Blanco-Heredia
collection DOAJ
description Abstract The interactions between tumor and immune cells along the course of breast cancer progression remain largely unknown. Here, we extensively characterize multiple sequential and parallel multiregion tumor and blood specimens of an index patient and a cohort of metastatic triple-negative breast cancers. We demonstrate that a continuous increase in tumor genomic heterogeneity and distinct molecular clocks correlated with resistance to treatment, eventually allowing tumors to escape from immune control. TCR repertoire loses diversity over time, leading to convergent evolution as breast cancer progresses. Although mixed populations of effector memory and cytotoxic single T cells coexist in the peripheral blood, defects in the antigen presentation machinery coupled with subdued T cell recruitment into metastases are observed, indicating a potent immune avoidance microenvironment not compatible with an effective antitumor response in lethal metastatic disease. Our results demonstrate that the immune responses against cancer are not static, but rather follow dynamic processes that match cancer genomic progression, illustrating the complex nature of tumor and immune cell interactions.
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spelling doaj.art-14cae652f3b14f88b2b7c2b80f375b632024-03-05T19:39:54ZengNature PortfolioNature Communications2041-17232024-02-0115111810.1038/s41467-024-45292-1Converging and evolving immuno-genomic routes toward immune escape in breast cancerJuan Blanco-Heredia0Carla Anjos Souza1Juan L. Trincado2Maria Gonzalez-Cao3Samuel Gonçalves-Ribeiro4Sara Ruiz Gil5Dmytro Pravdyvets6Samandhy Cedeño7Maurizio Callari8Antonio Marra9Andrea M. Gazzo10Britta Weigelt11Fresia Pareja12Theodore Vougiouklakis13Achim A. Jungbluth14Rafael Rosell15Christian Brander16Francesc Tresserra17Jorge S. Reis-Filho18Daniel Guimarães Tiezzi19Nuria de la Iglesia20Holger Heyn21Leticia De Mattos-Arruda22IrsiCaixa, Germans Trias i Pujol University HospitalIrsiCaixa, Germans Trias i Pujol University HospitalCentro Nacional de Análisis Genómico (CNAG)Dexeus Institute of Oncology, Quironsalud GroupVall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron University HospitalCentro Nacional de Análisis Genómico (CNAG)OmniscopeIrsiCaixa, Germans Trias i Pujol University HospitalCancer Research UK Cambridge Institute, Robinson WayDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDexeus Institute of Oncology, Quironsalud GroupIrsiCaixa, Germans Trias i Pujol University HospitalDexeus Institute of Oncology, Quironsalud GroupDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Gynecology and Obstetrics - Breast Disease Division and Laboratory for Translational Data Science, Ribeirao Preto Medical School, University of Sao PauloIrsiCaixa, Germans Trias i Pujol University HospitalCentro Nacional de Análisis Genómico (CNAG)IrsiCaixa, Germans Trias i Pujol University HospitalAbstract The interactions between tumor and immune cells along the course of breast cancer progression remain largely unknown. Here, we extensively characterize multiple sequential and parallel multiregion tumor and blood specimens of an index patient and a cohort of metastatic triple-negative breast cancers. We demonstrate that a continuous increase in tumor genomic heterogeneity and distinct molecular clocks correlated with resistance to treatment, eventually allowing tumors to escape from immune control. TCR repertoire loses diversity over time, leading to convergent evolution as breast cancer progresses. Although mixed populations of effector memory and cytotoxic single T cells coexist in the peripheral blood, defects in the antigen presentation machinery coupled with subdued T cell recruitment into metastases are observed, indicating a potent immune avoidance microenvironment not compatible with an effective antitumor response in lethal metastatic disease. Our results demonstrate that the immune responses against cancer are not static, but rather follow dynamic processes that match cancer genomic progression, illustrating the complex nature of tumor and immune cell interactions.https://doi.org/10.1038/s41467-024-45292-1
spellingShingle Juan Blanco-Heredia
Carla Anjos Souza
Juan L. Trincado
Maria Gonzalez-Cao
Samuel Gonçalves-Ribeiro
Sara Ruiz Gil
Dmytro Pravdyvets
Samandhy Cedeño
Maurizio Callari
Antonio Marra
Andrea M. Gazzo
Britta Weigelt
Fresia Pareja
Theodore Vougiouklakis
Achim A. Jungbluth
Rafael Rosell
Christian Brander
Francesc Tresserra
Jorge S. Reis-Filho
Daniel Guimarães Tiezzi
Nuria de la Iglesia
Holger Heyn
Leticia De Mattos-Arruda
Converging and evolving immuno-genomic routes toward immune escape in breast cancer
Nature Communications
title Converging and evolving immuno-genomic routes toward immune escape in breast cancer
title_full Converging and evolving immuno-genomic routes toward immune escape in breast cancer
title_fullStr Converging and evolving immuno-genomic routes toward immune escape in breast cancer
title_full_unstemmed Converging and evolving immuno-genomic routes toward immune escape in breast cancer
title_short Converging and evolving immuno-genomic routes toward immune escape in breast cancer
title_sort converging and evolving immuno genomic routes toward immune escape in breast cancer
url https://doi.org/10.1038/s41467-024-45292-1
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