Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer

Human epidermal growth factor receptor 2–positive (HER2-positive) breast cancer accounts for 15 to 25% of breast cancer cases. Although therapies based on the use of monoclonal anti-HER2 antibodies present clinical benefit for a subtype of patients with HER2-positive breast cancer, more than 50% of...

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Main Authors: Melani Luque, Marta Sanz-Álvarez, Miriam Morales-Gallego, Juan Madoz-Gúrpide, Sandra Zazo, Carolina Domínguez, Alicia Cazorla, Yann Izarzugaza, Juan Luis Arranz, Ion Cristóbal, Federico Rojo
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/24/6034
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author Melani Luque
Marta Sanz-Álvarez
Miriam Morales-Gallego
Juan Madoz-Gúrpide
Sandra Zazo
Carolina Domínguez
Alicia Cazorla
Yann Izarzugaza
Juan Luis Arranz
Ion Cristóbal
Federico Rojo
author_facet Melani Luque
Marta Sanz-Álvarez
Miriam Morales-Gallego
Juan Madoz-Gúrpide
Sandra Zazo
Carolina Domínguez
Alicia Cazorla
Yann Izarzugaza
Juan Luis Arranz
Ion Cristóbal
Federico Rojo
author_sort Melani Luque
collection DOAJ
description Human epidermal growth factor receptor 2–positive (HER2-positive) breast cancer accounts for 15 to 25% of breast cancer cases. Although therapies based on the use of monoclonal anti-HER2 antibodies present clinical benefit for a subtype of patients with HER2-positive breast cancer, more than 50% of them are unresponsive to targeted therapies or they eventually relapse. In recent years, reactivation of the adaptive immune system in patients with solid tumors has emerged as a therapeutic option with great potential for clinical benefit. Since the approval of the first treatment directed against HER2 as a therapeutic target, the range of clinical options has expanded greatly, and, in this sense, cellular immunotherapy with T cells relies on the cytotoxicity generated by these cells, which ultimately leads to antitumor activity. Lymphocytic infiltration of tumors encompasses a heterogeneous population of immune cells within the tumor microenvironment that exhibits distinct patterns of immune activation and exhaustion. The prevalence and prognostic value of tumor-infiltrating lymphocyte (TIL) counts are associated with a favorable prognosis in HER2-positive breast cancers. This review discusses emerging findings that contribute to a better understanding of the role of immune infiltrates in HER2-positive breast cancer. In addition, it summarizes the most recent results in HER2-positive breast cancer immunotherapy and anticipates which therapeutic strategies could be applied in the immediate future.
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spelling doaj.art-9139ebb8800845d79b6e178054ef00c52023-11-24T13:45:05ZengMDPI AGCancers2072-66942022-12-011424603410.3390/cancers14246034Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast CancerMelani Luque0Marta Sanz-Álvarez1Miriam Morales-Gallego2Juan Madoz-Gúrpide3Sandra Zazo4Carolina Domínguez5Alicia Cazorla6Yann Izarzugaza7Juan Luis Arranz8Ion Cristóbal9Federico Rojo10Department of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainMedical Oncology Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, SpainMedical Oncology Department, Fundación Jiménez Díaz University Hospital, 28040 Madrid, SpainCancer Unit for Research on Novel Therapeutic Targets, Oncohealth Institute, IIS-Fundación Jiménez Díaz-UAM, 28040 Madrid, SpainDepartment of Pathology, Fundación Jiménez Díaz University Hospital Health Research Institute (IIS—FJD, UAM)—CIBERONC, 28040 Madrid, SpainHuman epidermal growth factor receptor 2–positive (HER2-positive) breast cancer accounts for 15 to 25% of breast cancer cases. Although therapies based on the use of monoclonal anti-HER2 antibodies present clinical benefit for a subtype of patients with HER2-positive breast cancer, more than 50% of them are unresponsive to targeted therapies or they eventually relapse. In recent years, reactivation of the adaptive immune system in patients with solid tumors has emerged as a therapeutic option with great potential for clinical benefit. Since the approval of the first treatment directed against HER2 as a therapeutic target, the range of clinical options has expanded greatly, and, in this sense, cellular immunotherapy with T cells relies on the cytotoxicity generated by these cells, which ultimately leads to antitumor activity. Lymphocytic infiltration of tumors encompasses a heterogeneous population of immune cells within the tumor microenvironment that exhibits distinct patterns of immune activation and exhaustion. The prevalence and prognostic value of tumor-infiltrating lymphocyte (TIL) counts are associated with a favorable prognosis in HER2-positive breast cancers. This review discusses emerging findings that contribute to a better understanding of the role of immune infiltrates in HER2-positive breast cancer. In addition, it summarizes the most recent results in HER2-positive breast cancer immunotherapy and anticipates which therapeutic strategies could be applied in the immediate future.https://www.mdpi.com/2072-6694/14/24/6034HER2-positive breast cancerimmunotherapytumor-infiltrating lymphocytes
spellingShingle Melani Luque
Marta Sanz-Álvarez
Miriam Morales-Gallego
Juan Madoz-Gúrpide
Sandra Zazo
Carolina Domínguez
Alicia Cazorla
Yann Izarzugaza
Juan Luis Arranz
Ion Cristóbal
Federico Rojo
Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer
Cancers
HER2-positive breast cancer
immunotherapy
tumor-infiltrating lymphocytes
title Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer
title_full Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer
title_fullStr Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer
title_full_unstemmed Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer
title_short Tumor-Infiltrating Lymphocytes and Immune Response in HER2-Positive Breast Cancer
title_sort tumor infiltrating lymphocytes and immune response in her2 positive breast cancer
topic HER2-positive breast cancer
immunotherapy
tumor-infiltrating lymphocytes
url https://www.mdpi.com/2072-6694/14/24/6034
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