Evaluation of the relationship between infiltrating lymphocytes and inflammatory response in breast cancer: A systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i14.44503

Keywords:

Breast neoplasms; Tumor infiltrating lymphocytes; Inflammation.

Abstract

Breast cancer is the most incident type of cancer in women worldwide and delays in its diagnosis and treatment potentially reduce survival rates. It is a heterogeneous disease and rich in stromal and inflammatory immune cells and soluble factors in its tumor microenvironment. Tumor infiltrating lymphocytes (TILs) are components of this inflammatory microenvironment and the density of TILs has proved to be an important tool in mediating the effectiveness of immunomodulatory therapies and in the prognosis of residual disease after neoadjuvant chemotherapy treatment. The aim of this study was to evaluate the relation between infiltrating lymphocytes and the inflammatory response in women with breast cancer. This is a descriptive, qualitative, systematic literature review study. The databases used to search for articles were Pubmed, Scielo and Cochrane, using the keywords “infiltrating lymphocytes, inflammatory response and breast cancer”, and the Boolean operator “And”. Complete articles published between 2012 and 2022 in English, Portuguese and Spanish, were included. The review was performed according to the PRISMA recommendation (Key Items for Reporting Systematic Reviews and Meta-analysis) and the Joana Briggs Institute (JBI) Appraisal Tools to assess the risk of selected studies. 91 articles were found, of which 17 were selected to be part of this review. The reviewed studies reveal a strong correlation between tumor stromal infiltrating lymphocytes (TILs) and tumor immune response, which may become an important measure for detecting the prognosis and survival of the disease.

References

Arias-Pulido, H., Cimino-Mathews, A., Chaher, N., Qualls, C., Joste, N., Colpaert, C., Marotti, J. D., Foisey, M., Prossnitz, E. R., Emens, L. A., & Fiering, S. (2018). The combined presence of CD20 + B cells and PD-L1 + tumor-infiltrating lymphocytes in inflammatory breast cancer is prognostic of improved patient outcome. Breast Cancer Research and Treatment, 171(2), 273–282. https://doi.org/10.1007/s10549-018-4834-7

Badiu, D. C., Zgura, A., Gales, L., Iliescu, L., Anghel, R., & Haineala, B. (2021). Modulation of immune system—Strategy in the treatment of breast cancer. In Vivo (Athens, Greece), 35(5), 2889–2894. https://doi.org/10.21873/invivo.12578

Berben, L., Floris, G., Kenis, C., Dalmasso, B., Smeets, A., Vos, H., Neven, P., Antoranz Martinez, A., Laenen, A., Wildiers, H., & Hatse, S. (2020). Age-related remodelling of the blood immunological portrait and the local tumor immune response in patients with luminal breast cancer. Clinical & Translational Immunology, 9(10), e1184. https://doi.org/10.1002/cti2.1184

Bravo, B. S., Lopes, A. B. B., Tijolin, M. B., Nunes, P. L. P., Lenhani, T., Junior, S. F. D., & Ceranto, D. D. C. F. B. (2021). Câncer de mama: Uma revisão de literatura/ Breast cancer: a literature review. Brazilian Journal of Health Review, 4(3), 14254–14264. https://doi.org/10.34119/bjhrv4n3-357

Campedel, L., Blanc-Durand, P., Bin Asker, A., Lehmann-Che, J., Cuvier, C., De Bazelaire, C., Teixeira, L., Becourt, S., Ledoux, F., Hocini, H., Bourstyn, E., Miquel, C., Guillerm, S., Charveriat, P., Espié, M., De Roquancourt, A., Hamy, A.-S., & Giacchetti, S. (2020). Prognostic impact of stromal immune infiltration before and after neoadjuvant chemotherapy (Nac) in triple negative inflammatory breast cancers (Tnibc) treated with dose-dense dose-intense nac. Cancers, 12(9), 2657. https://doi.org/10.3390/cancers12092657

Clarke M, Oxman AD, editors. Cochrane Reviewers' Handbook 4.1 [updated June 2000]. In: Review Manager (RevMan) [Computer program]. Version 4.1. Oxford, England: The Cochrane Collaboration, 2000. Available from: http://www.cochrane.dk/ cochrane/handbook/hanbook.htm

Denkert, C., Loibl, S., Noske, A., Roller, M., Müller, B. M., Komor, M., Budczies, J., Darb-Esfahani, S., Kronenwett, R., Hanusch, C., Von Törne, C., Weichert, W., Engels, K., Solbach, C., Schrader, I., Dietel, M., & Von Minckwitz, G. (2010). Tumor-associated lymphocytes as an independent predictor of response to neoadjuvant chemotherapy in breast cancer. Journal of Clinical Oncology, 28(1), 105–113. https://doi.org/10.1200/JCO.2009.23.7370

Dong, X., Liu, C., Yuan, J., Wang, S., Ding, N., Li, Y., Wu, Y., & Xiao, Z. (2021). Prognostic roles of neutrophil-to-lymphocyte ratio and stromal tumor-infiltrating lymphocytes and their relationship in locally advanced triple-negative breast cancer treated with neoadjuvant chemotherapy. Breast Care (Basel, Switzerland), 16(4), 328–334. https://doi.org/10.1159/000509498

Fernandez, S. V., MacFarlane, A. W., Jillab, M., Arisi, M. F., Yearley, J., Annamalai, L., Gong, Y., Cai, K. Q., Alpaugh, R. K., Cristofanilli, M., & Campbell, K. S. (2020). Immune phenotype of patients with stage IV metastatic inflammatory breast cancer. Breast Cancer Research: BCR, 22(1), 134. https://doi.org/10.1186/s13058-020-01371-x

Fragomeni, S. M., Sciallis, A., & Jeruss, J. S. (2018). Molecular subtypes and local-regional control of breast cancer. Surgical Oncology Clinics of North America, 27(1), 95–120. https://doi.org/10.1016/j.soc.2017.08.005

Galvão, T. F., Pansani, T, & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços de Saúde [online], 24(2), 335-342. https://doi.org/10.5123/S1679-49742015000200017.

Gomes, I. S. & Caminha, I. O. (2014). Guia para estudos de revisão sistemática: uma opção metodológica para as Ciências do Movimento Humano. Movimento. 20 (1), 395-411.

Instituto Nacional De Câncer - Inca. (2023). Normas e recomendações do instituto nacional de câncer/ms. Revista Brasileira de Cancerologia, 46(1), 23–33. https://doi.org/10.32635/2176-9745.RBC.2000v46n1.3398

Korlimarla, A., Ps, H., Prabhu, J., Ragulan, C., Patil, Y., Vp, S., Desai, K., Mathews, A., Appachu, S., Diwakar, R. B., Bs, S., Melcher, A., Cheang, M., & Sadanandam, A. (2022). Comprehensive characterization of immune landscape of Indian and Western triple negative breast cancers. Translational Oncology, 25, 101511. https://doi.org/10.1016/j.tranon.2022.101511

Li, X., Warren, S., Pelekanou, V., Wali, V., Cesano, A., Liu, M., Danaher, P., Elliott, N., Nahleh, Z. A., Hayes, D. F., Hortobagyi, G. N., Barlow, W. E., Hatzis, C., & Pusztai, L. (2019). Immune profiling of pre- and post-treatment breast cancer tissues from the SWOG S0800 neoadjuvant trial. Journal for Immunotherapy of Cancer, 7(1), 88. https://doi.org/10.1186/s40425-019-0563-7

Lusho, S., Durando, X., Mouret-Reynier, M.-A., Kossai, M., Lacrampe, N., Molnar, I., Penault-Llorca, F., Radosevic-Robin, N., & Abrial, C. (2021). Platelet-to-lymphocyte ratio is associated with favorable response to neoadjuvant chemotherapy in triple negative breast cancer: A study on 120 patients. Frontiers in Oncology, 11, 678315. https://doi.org/10.3389/fonc.2021.678315

Miskad, U. A., Rifai, R. A., Masadah, R., Nelwan, B., Ahmad, D., Cangara, H., Prihantono, P., Zainuddin, A. A., & Rahawarin, H. (2021). The value of tumor-infiltrating lymphocytes and CD8 expression as a predictor of response to anthracycline-based neoadjuvant chemotherapy in invasive breast carcinoma of no special type. Breast Disease, 40(s1), S9–S14. https://doi.org/10.3233/BD-219002

Mohammed, Z. M. A., Going, J. J., Edwards, J., Elsberger, B., Doughty, J. C., & McMillan, D. C. (2012). The relationship between components of tumour inflammatory cell infiltrate and clinicopathological factors and survival in patients with primary operable invasive ductal breast cancer. British Journal of Cancer, 107(5), 864–873. https://doi.org/10.1038/bjc.2012.347

Oshi, M., Newman, S., Tokumaru, Y., Yan, L., Matsuyama, R., Endo, I., & Takabe, K. (2020). Inflammation is associated with worse outcome in the whole cohort but with better outcome in triple-negative subtype of breast cancer patients. Journal of Immunology Research, 2020, 5618786. https://doi.org/10.1155/2020/5618786

Park, Y. H., Lal, S., Lee, J. E., Choi, Y.-L., Wen, J., Ram, S., Ding, Y., Lee, S.-H., Powell, E., Lee, S. K., Yu, J. H., Ching, K. A., Nam, J.-Y., Kim, S. W., Nam, S. J., Kim, J.-Y., Cho, S. Y., Park, S., Kim, J., … Kan, Z. (2020). Chemotherapy induces dynamic immune responses in breast cancers that impact treatment outcome. Nature Communications, 11(1), 6175. https://doi.org/10.1038/s41467-020-19933-0

Pavel, D., Nemejcová, K., Bártů, M., Matěj, R., Rohan, Z., & Tichá, I. (2017). Evaluation of inflammatory cells (Tumor infiltrating lymphocytes) in solid tumors. Klinicka Onkologie, 30(Suppl 3), 3S10-3S21. https://doi.org/10.14735/amko20173S10

Rother, E. T. (2007). Revisão sistemática X revisão narrativa. Acta Paulista de Enfermagem, 20(2), v–vi. https://doi.org/10.1590/S0103-21002007000200001

Sartori, A. C. N., & Basso, Caroline S. (2019). Breast cancer: A brief review of the literature. Perspectiva, Erechim, 43(161), 07–13.

Van Berckelaer, C., Rypens, C., van Dam, P., Pouillon, L., Parizel, M., Schats, K. A., Kockx, M., Tjalma, W. a. A., Vermeulen, P., van Laere, S., Bertucci, F., Colpaert, C., & Dirix, L. (2019). Infiltrating stromal immune cells in inflammatory breast cancer are associated with an improved outcome and increased PD-L1 expression. Breast Cancer Research: BCR, 21(1), 28. https://doi.org/10.1186/s13058-019-1108-1

Van Berckelaer, C., Van Geyt, M., Linders, S., Rypens, C., Trinh, X. B., Tjalma, W. a. A., Van Laere, S., Colpaert, C., Dirix, L., & van Dam, P. A. (2020). A high neutrophil-lymphocyte ratio and platelet-lymphocyte ratio are associated with a worse outcome in inflammatory breast cancer. Breast (Edinburgh, Scotland), 53, 212–220. https://doi.org/10.1016/j.breast.2020.08.006

Van Berckelaer, C., Vermeiren, I., Vercauteren, L., Rypens, C., Oner, G., Trinh, X. B., Tjalma, W. A. A., Broeckx, G., Charafe-Jauffret, E., Van Laere, S., Bertucci, F., Colpaert, C., & van Dam, P. A. (2021). The evolution and prognostic role of tumour-infiltrating lymphocytes and peripheral blood-based biomarkers in inflammatory breast cancer patients treated with neoadjuvant chemotherapy. Cancers, 13(18), 4656. https://doi.org/10.3390/cancers13184656

Vihervuori, H., Autere, T. A., Repo, H., Kurki, S., Kallio, L., Lintunen, M. M., Talvinen, K., & Kronqvist, P. (2019). Tumor-infiltrating lymphocytes and CD8+ T cells predict survival of triple-negative breast cancer. Journal of Cancer Research and Clinical Oncology, 145(12), 3105–3114. https://doi.org/10.1007/s00432-019-03036-5

Wang, T., Li, T., Li, B., Zhao, J., Li, Z., Sun, M., Li, Y., Zhao, Y., Zhao, S., He, W., Guo, X., Ge, R., Wang, L., Ding, D., Liu, S., Min, S., & Zhang, X. (2022). Immunogenomic landscape in breast cancer reveals immunotherapeutically relevant gene signatures. Frontiers in Immunology, 13, 805184. https://doi.org/10.3389/fimmu.2022.805184.

Published

19/12/2023

How to Cite

GOMES, J. M. .; ESPER, E. A. .; RIBEIRO, A. A. . Evaluation of the relationship between infiltrating lymphocytes and inflammatory response in breast cancer: A systematic review. Research, Society and Development, [S. l.], v. 12, n. 14, p. e64121444503, 2023. DOI: 10.33448/rsd-v12i14.44503. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44503. Acesso em: 25 dec. 2024.

Issue

Section

Health Sciences