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Research ArticleArticle
Open Access

Dynamic Changes in Peripheral Systemic Immunity Markers During Chemotherapy in HER2-negative Advanced Breast Cancer

TAKAAKI MASUDA, HIROAKI UEO, YUTA OKUMURA, YUICHIRO KAI, YUKI ANDO, KEN MASUGUCHI, MIWA KITAGAWA, AKIHIRO KITAGAWA, NAOKI HAYASHI, YUSUKE TSURUDA, YUICHI HISAMATSU, SHUJI SUEHIRO, HIROFUMI OHMURA, KENJI FUJIYOSHI, FUMIAKI TANAKA and KOSHI MIMORI
Cancer Genomics & Proteomics March 2023, 20 (2) 182-194; DOI: https://doi.org/10.21873/cgp.20373
TAKAAKI MASUDA
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
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HIROAKI UEO
2Ueo Breast Cancer Hospital, Oita, Japan;
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YUTA OKUMURA
3Department of Internal Medicine, Kyushu University Beppu Hospital, Oita, Japan;
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YUICHIRO KAI
2Ueo Breast Cancer Hospital, Oita, Japan;
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YUKI ANDO
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
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KEN MASUGUCHI
4Department of Pharmacy, Kyushu University Beppu Hospital, Oita, Japan;
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MIWA KITAGAWA
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
5Department of Breast Surgery, Medical Corporation Kyoujinkai Komatsu Hospital, Osaka, Japan;
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AKIHIRO KITAGAWA
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
6Department of Surgery, Sakai City Medical Center, Osaka, Japan;
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NAOKI HAYASHI
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
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YUSUKE TSURUDA
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
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YUICHI HISAMATSU
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
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SHUJI SUEHIRO
7Department of Breast Surgery, Tsurumi Hospital, Oita, Japan;
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HIROFUMI OHMURA
3Department of Internal Medicine, Kyushu University Beppu Hospital, Oita, Japan;
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KENJI FUJIYOSHI
8Fujiyoshi Breast Clinic, Oita, Japan;
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FUMIAKI TANAKA
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
9Tanaka Breast, Surgery, Internal Medicine Clinic, Oita, Japan
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KOSHI MIMORI
1Department of Surgery, Kyushu University Beppu Hospital, Oita, Japan;
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  • For correspondence: mimori.koshi.791{at}m.kyushu-u.ac.jp
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    Figure 1.

    Correlation among ALC, NLR and CYT in BC patients. (A) The treatment and sampling protocol. (B) The correlation between ALC and NLR in advanced BC patients. Left, before treatment (n, number of samples); middle, during treatment (n, number of samples); right, the correlation between the ALC-increase ratio and NLR-decrease ratio (n, number of patients). (C) The correlation between ALC and NLR in advanced BC patients according to the anticancer drugs. n, number of samples. (D) The correlation between ALC, NLR and CYT score in BC patients. The cutoff values of ALC, NLR and CYT scores were 1700, 1.75 and 31.56, respectively. n, number of patients. ALC and NLR were expressed relative to the level prior to treatment with each line of therapy (BS=1.0). *p<0.05. ALC, Absolute lymphocyte count; NLR, neutrophil-to-lymphocyte ratio; CYT, cytolytic activity; BC, breast cancer; BS, baseline.

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    Figure 2.
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    Figure 2.

    The sequential changes in ALC and NLR during chemotherapy in advanced BC patients. (A) The sequential changes in ALC and NLR during chemotherapy. (B) The ratio of changes in ALC or NLR during chemotherapy according to the hospitals. Left, Ueo; middle, Kyushu; right, total. n, number of patients. (C) ALC or NLR during chemotherapy relative to before chemotherapy. n, number of samples. ALC and NLR were expressed relative to the level prior to treatment with each line of therapy (BS=1.0). *p<0.05. ALC, Absolute lymphocyte count; NLR, neutrophil-to-lymphocyte ratio; BC, breast cancer; EC, epirubicin plus cyclophosphamide; PB, paclitaxel plus bevacizumab; Eri, eribulin; BS, baseline.

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    Figure 3.

    The sequential changes in ALC and NLR during chemotherapy in advanced BC patients with disease progression. (A) The ratio of changes in ALC or NLR during chemotherapy. n, number of patients. (B) ALC or NLR during chemotherapy relative to before chemotherapy. n, number of samples. ALC and NLR were expressed relative to the level prior to treatment with each line of therapy (BS=1.0). *p<0.05. ALC, Absolute lymphocyte count; NLR, neutrophil-to-lymphocyte ratio; BC, breast cancer; EC, epirubicin plus cyclophosphamide; PB, paclitaxel plus bevacizumab; Eri, eribulin; BS, baseline.

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    Figure 4.

    Differences of changes in ALC and NLR during chemotherapy between front and later lines in advanced BC patients. (A) The ratio of change in ALC or NLR during chemotherapy of 172 advanced BC patients. (B) The ratio of change in ALC or NLR during chemotherapy according to the anticancer drugs. Front line, 1st-2nd line; Later line, 3rd-4th line. ALC, Absolute lymphocyte count; NLR, neutrophil-to-lymphocyte ratio; BC, breast cancer; EC, epirubicin plus cyclophosphamide; PB, paclitaxel plus bevacizumab; Eri, eribulin; n, number of patients.

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    Figure 5.

    The difference of change in ALC and NLR during chemotherapy between responders and non-responders to chemotherapy in advanced BC patients with disease progression. (A) The ratio of change in ALC or NLR during chemotherapy of 101 advanced BC patients with disease progression. (B) The ratio of change in ALC or NLR during chemotherapy according to the anticancer drugs. Responder, TTF ≥3months; non-responder, TTF <3 months. *p<0.05. ALC, Absolute lymphocyte count; NLR, neutrophil-to-lymphocyte ratio; BC, breast cancer; TTF, time to treatment failure; n, number of patients.

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    Figure 6.

    Kaplan-Meier PFS curve of advanced BC patients during chemotherapy based on the change in ALC or NLR. (A) PFS is based on the ratio of change in ALC or NLR of 172 BC patients. (B) PFS based on the ratio of change in ALC or NLR according to the anticancer drugs. *p<0.05. PFS, Progression-free survival; BC, breast cancer; ALC, absolute lymphocyte count; NLR, neutrophil-to-lymphocyte ratio; EC, epirubicin plus cyclophosphamide; PB, paclitaxel plus bevacizumab; Eri, eribulin; n, number of patients.

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Cancer Genomics - Proteomics: 20 (2)
Cancer Genomics & Proteomics
Vol. 20, Issue 2
March-April 2023
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Dynamic Changes in Peripheral Systemic Immunity Markers During Chemotherapy in HER2-negative Advanced Breast Cancer
TAKAAKI MASUDA, HIROAKI UEO, YUTA OKUMURA, YUICHIRO KAI, YUKI ANDO, KEN MASUGUCHI, MIWA KITAGAWA, AKIHIRO KITAGAWA, NAOKI HAYASHI, YUSUKE TSURUDA, YUICHI HISAMATSU, SHUJI SUEHIRO, HIROFUMI OHMURA, KENJI FUJIYOSHI, FUMIAKI TANAKA, KOSHI MIMORI
Cancer Genomics & Proteomics Mar 2023, 20 (2) 182-194; DOI: 10.21873/cgp.20373

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Dynamic Changes in Peripheral Systemic Immunity Markers During Chemotherapy in HER2-negative Advanced Breast Cancer
TAKAAKI MASUDA, HIROAKI UEO, YUTA OKUMURA, YUICHIRO KAI, YUKI ANDO, KEN MASUGUCHI, MIWA KITAGAWA, AKIHIRO KITAGAWA, NAOKI HAYASHI, YUSUKE TSURUDA, YUICHI HISAMATSU, SHUJI SUEHIRO, HIROFUMI OHMURA, KENJI FUJIYOSHI, FUMIAKI TANAKA, KOSHI MIMORI
Cancer Genomics & Proteomics Mar 2023, 20 (2) 182-194; DOI: 10.21873/cgp.20373
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Keywords

  • Breast cancer
  • NLR
  • ALC
  • immunity
  • chemotherapy
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