RT Journal Article SR Electronic T1 Molecular Characteristics of Lymphocyte-predominant Triple-negative Breast Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 2133 OP 2140 DO 10.21873/anticanres.14985 VO 41 IS 4 A1 RITSUKO SASAKI A1 YOSHIYA HORIMOTO A1 YUKA YANAI A1 AIKO KURISAKI-ARAKAWA A1 ATSUSHI ARAKAWA A1 KATSUYA NAKAI A1 MITSUE SAITO A1 TSUYOSHI SAITO YR 2021 UL http://ar.iiarjournals.org/content/41/4/2133.abstract AB Background/Aim: Tumor-infiltrating lymphocytes (TILs) are considered a prognostic marker for triple-negative breast cancer (TNBC). Immune checkpoint inhibitor (ICI)-based treatments are more effective for tumors with PD-L1-positive TILs, suggesting crucial roles of TILs in the local tumor immunity. However, factors attracting TILs are still largely unknown. Focusing on tumor antigenicity, we examined TNBC samples to identify the characteristics of TIL-high tumors. Patients and Methods: Nine treatment-naïve TNBCs (TIL-high: five, TIL-low: four) were subjected to next-generation sequencing (NGS). Loss of heterozygosity (LOH) of PTEN was also analyzed. Results: A variety of copy number variations were observed, and no genes differed significantly between TIL-high and -low groups. However, PTEN loss was more frequently observed in the TIL-high group: 60% compared to 25% in TIL-low tumors. NGS correlated well with LOH analysis in identifying PTEN loss. All three tumors with PTEN loss in the TIL-high group showed high PD-L1. All nine samples were microsatellite-stable. Conclusion: Frequent PTEN loss and high expression of PD-L1 in TIL-high TNBC suggest that PTEN mutation may be a biomarker for ICIs.