Biological correlates associated with high-risk breast cancer patients identified using a computational method Journal Article


Authors: Oh, J. H.; Pareja, F.; Elkin, R.; Xu, K.; Norton, L.; Deasy, J. O.
Article Title: Biological correlates associated with high-risk breast cancer patients identified using a computational method
Abstract: Using a novel unsupervised method to integrate multi-omic data, we previously identified a breast cancer group with a poor prognosis. In the current study, we characterize the biological features of this subgroup, defined as the high-risk group, using various data sources. Assessment of three published hypoxia signatures showed that the high-risk group exhibited higher hypoxia scores (p < 0.0001 in all three signatures), compared to the low-risk group. Our analysis of the immune cell composition using CIBERSORT and leukocyte fraction showed significant differences between the high and low-risk groups across the entire cohort, as well as within PAM50 subtypes. Within the basal subtype, the low-risk group had a statistically significantly higher spatial fraction of tumor-infiltrating lymphocytes (TILs) compared to the high-risk group (p = 0.0362). Our findings indicate that this subgroup with poor prognosis is driven by a distinct biological signature with high activation of hypoxia-related genes as well as a low number of TILs. © The Author(s) 2025.
Keywords: adult; middle aged; overall survival; somatic mutation; methodology; cd8+ t lymphocyte; tumor associated leukocyte; gene; breast cancer; epidermal growth factor receptor 2; brca1 protein; brca2 protein; protein p53; high risk patient; hypoxia; cd4+ t lymphocyte; estrogen receptor; progesterone receptor; immunocompetent cell; tumor microenvironment; cell composition; biological functions; spatial analysis; leukocyte function; low risk patient; cancer prognosis; human; female; article; tumor mutational burden; pam50 gene; m1 macrophage; biological feature; computational method; estimated spatial fraction; leukocyte fraction
Journal Title: npj Breast Cancer
Volume: 11
ISSN: 2374-4677
Publisher: Nature Publishing Group  
Date Published: 2025-01-29
Start Page: 8
Language: English
DOI: 10.1038/s41523-025-00725-y
PROVIDER: scopus
PMCID: PMC11775240
PUBMED: 39875417
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PubMed record and PDF. Corresponding MSK author is Jung Hun Oh -- Source: Scopus
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MSK Authors
  1. Larry Norton
    758 Norton
  2. Jung Hun Oh
    187 Oh
  3. Joseph Owen Deasy
    524 Deasy
  4. Rena Elkin
    15 Elkin
  5. Kaiming Xu
    1 Xu