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


Authors: El Bairi, K.; Haynes, H. R.; Blackley, E.; Fineberg, S.; Shear, J.; Turner, S.; de Freitas, J. R.; Sur, D.; Amendola, L. C.; Gharib, M.; Kallala, A.; Arun, I.; Azmoudeh-Ardalan, F.; Fujimoto, L.; Sua, L. F.; Liu, S. W.; Lien, H. C.; Kirtani, P.; Balancin, M.; El Attar, H.; Guleria, P.; Yang, W.; Shash, E.; Chen, I. C.; Bautista, V.; Do Prado Moura, J. F.; Rapoport, B. L.; Castaneda, C.; Spengler, E.; Acosta-Haab, G.; Frahm, I.; Sanchez, J.; Castillo, M.; Bouchmaa, N.; Md Zin, R. R.; Shui, R.; Onyuma, T.; Yang, W.; Husain, Z.; Willard-Gallo, K.; Coosemans, A.; Perez, E. A.; Provenzano, E.; Ericsson, P. G.; Richardet, E.; Mehrotra, R.; Sarancone, S.; Ehinger, A.; Rimm, D. L.; Bartlett, J. M. S.; Viale, G.; Denkert, C.; Hida, A. I.; Sotiriou, C.; Loibl, S.; Hewitt, S. M.; Badve, S.; Symmans, W. F.; Kim, R. S.; Pruneri, G.; Goel, S.; Francis, P. A.; Inurrigarro, G.; Yamaguchi, R.; Garcia-Rivello, H.; Horlings, H.; Afqir, S.; Salgado, R.; Adams, S.; Kok, M.; Dieci, M. V.; Michiels, S.; Demaria, S.; Loi, S.; and The International Immuno-Oncology Biomarker Working Group
Contributors: Montagna, G.; Wen, H.; Brogi, E.; Reis-Filho, J.; Robson, M.; Hanna, M. G.; Regan, M. M.; d'Alfons, T.; dos Anjos, C. H.
Review Title: The tale of TILs in breast cancer: A report from The International Immuno-Oncology Biomarker Working Group
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. © 2021, The Author(s).
Keywords: review; cisplatin; doxorubicin; tumor associated leukocyte; breast cancer; cyclophosphamide; cost effectiveness analysis; tamoxifen; epirubicin; letrozole; lymphocytic infiltration; trastuzumab; lapatinib; circulating tumor cell; programmed death 1 ligand 1; programmed death 1 receptor; triple negative breast cancer; nivolumab; human; pembrolizumab; middle income country; durvalumab; atezolizumab
Journal Title: npj Breast Cancer
Volume: 7
ISSN: 2374-4677
Publisher: Nature Publishing Group  
Date Published: 2021-12-01
Start Page: 150
Language: English
DOI: 10.1038/s41523-021-00346-1
PROVIDER: scopus
PMCID: PMC8636568
PUBMED: 34853355
DOI/URL:
Notes: Review -- Export Date: 3 January 2022 -- Source: Scopus
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  1. Mark E Robson
    676 Robson
  2. Hannah Yong Wen
    301 Wen
  3. Edi Brogi
    515 Brogi
  4. Matthew George Hanna
    101 Hanna
  5. Giacomo Montagna
    100 Montagna