AI Article Synopsis

  • Breast cancer (BC) in the Asia Pacific, particularly in younger patients, shows increasing incidence, yet its molecular aspects are under-researched.
  • Researchers examined the whole exomes and transcriptomes of 187 Korean BC tumors, finding differences when compared to a Caucasian post-menopausal cohort.
  • The Korean cohort exhibited higher levels of HER2+ and Luminal B subtypes, greater mutations in BRCA1 and TP53, and a more immune-active microenvironment, indicated by increased tumor-infiltrating lymphocytes (TIL) and reduced TGF-β signaling compared to Western counterparts.

Article Abstract

Breast cancer (BC) in the Asia Pacific regions is enriched in younger patients and rapidly rising in incidence yet its molecular bases remain poorly characterized. Here we analyze the whole exomes and transcriptomes of 187 primary tumors from a Korean BC cohort (SMC) enriched in pre-menopausal patients and perform systematic comparison with a primarily Caucasian and post-menopausal BC cohort (TCGA). SMC harbors higher proportions of HER2+ and Luminal B subtypes, lower proportion of Luminal A with decreased ESR1 expression compared to TCGA. We also observe increased mutation prevalence affecting BRCA1, BRCA2, and TP53 in SMC with an enrichment of a mutation signature linked to homologous recombination repair deficiency in TNBC. Finally, virtual microdissection and multivariate analyses reveal that Korean BC status is independently associated with increased TIL and decreased TGF-β signaling expression signatures, suggesting that younger Asian BCs harbor more immune-active microenvironment than western BCs.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928087PMC
http://dx.doi.org/10.1038/s41467-018-04129-4DOI Listing

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