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The tale of TILs in breast cancer: A report from The International Immuno-Oncology Biomarker Working Group

  • the International Immuno-Oncology Biomarker Working Group
  • Mohamed I University
  • Great Western Hospitals NHS Foundation Trust
  • University of Bristol
  • Peter Maccallum Cancer Centre
  • Albert Einstein College of Medicine
  • LLC–Ardsley
  • Independent Cancer Patient Voice
  • Universidade Federal da Bahia
  • Iuliu Hatieganu University of Medicine and Pharmacy
  • Brazilian Society of Oncology
  • Mashhad University of Medical Sciences
  • Université de Tunis El Manar
  • Tata Medical Center
  • Tehran University of Medical Sciences
  • Amazon Federal University
  • Universidad ICESI
  • Sichuan Cancer Hospital and Institute
  • National Taiwan University
  • Manipal Hospitals Dwarka
  • Universidade de São Paulo
  • Apc labs - Annasr Pathology Center
  • Army Hospital Research and Referral
  • Aginome Scientific
  • Cairo University
  • Breast Cancer Center FUCAM
  • Instituto Materno Infantil de Pernambuco
  • The Medical Oncology Centre of Rosebank
  • University of Pretoria
  • Instituto Nacional de Enfermedades Neoplásicas
  • Universidad Científica del Sur
  • Universidad Austral
  • Hospital de Oncología Maria Curie
  • Sanatorio Mater Dei
  • Mohammed VI Polytechnic University
  • Universiti Kebangsaan Malaysia
  • Fudan University
  • Kenyatta National Hospital
  • Praava Health
  • Université libre de Bruxelles
  • KU Leuven
  • Mayo Clinic in Jacksonville, Florida
  • Cambridge University Hospitals NHS Foundation Trust
  • Vanderbilt University
  • Instituto Oncológico Córdoba
  • Indian Council of Medical Research
  • Laboratorio Quantum
  • Lund University
  • Yale University

Research output: Contribution to journalReview articlepeer-review

222 Scopus citations

Abstract

The advent of immune-checkpoint inhibitors (ICI) in modern oncology has significantly improved survival in several cancer settings. A subgroup of women with breast cancer (BC) has immunogenic infiltration of lymphocytes with expression of programmed death-ligand 1 (PD-L1). These patients may potentially benefit from ICI targeting the programmed death 1 (PD-1)/PD-L1 signaling axis. The use of tumor-infiltrating lymphocytes (TILs) as predictive and prognostic biomarkers has been under intense examination. Emerging data suggest that TILs are associated with response to both cytotoxic treatments and immunotherapy, particularly for patients with triple-negative BC. In this review from The International Immuno-Oncology Biomarker Working Group, we discuss (a) the biological understanding of TILs, (b) their analytical and clinical validity and efforts toward the clinical utility in BC, and (c) the current status of PD-L1 and TIL testing across different continents, including experiences from low-to-middle-income countries, incorporating also the view of a patient advocate. This information will help set the stage for future approaches to optimize the understanding and clinical utilization of TIL analysis in patients with BC.

Original languageEnglish
Article number150
Journalnpj Breast Cancer
Volume7
Issue number1
DOIs
StatePublished - Dec 1 2021

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