Germline-mediated immunoediting sculpts breast cancer subtypes and metastatic proclivity

Science. 2024 May 31;384(6699):eadh8697. doi: 10.1126/science.adh8697. Epub 2024 May 31.

Abstract

Tumors with the same diagnosis can have different molecular profiles and response to treatment. It remains unclear when and why these differences arise. Somatic genomic aberrations occur within the context of a highly variable germline genome. Interrogating 5870 breast cancer lesions, we demonstrated that germline-derived epitopes in recurrently amplified genes influence somatic evolution by mediating immunoediting. Individuals with a high germline-epitope burden in human epidermal growth factor receptor 2 (HER2/ERBB2) are less likely to develop HER2-positive breast cancer compared with other subtypes. The same holds true for recurrent amplicons defining three aggressive estrogen receptor (ER)-positive subgroups. Tumors that overcome such immune-mediated negative selection are more aggressive and demonstrate an "immune cold" phenotype. These data show that the germline genome plays a role in dictating somatic evolution.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Breast Neoplasms* / genetics
  • Breast Neoplasms* / immunology
  • Breast Neoplasms* / pathology
  • Clonal Evolution*
  • Epitopes / genetics
  • Epitopes / immunology
  • Female
  • Germ Cells / metabolism
  • Germ-Line Mutation*
  • Humans
  • Neoplasm Metastasis
  • Receptor, ErbB-2* / genetics
  • Receptors, Estrogen / genetics
  • Receptors, Estrogen / metabolism

Substances

  • Epitopes
  • ERBB2 protein, human
  • Receptor, ErbB-2
  • Receptors, Estrogen