Clinical Study

Crucial Contributions by T Lymphocytes (Effector, Regulatory, and Checkpoint Inhibitor) and Cytokines (TH1, TH2, and TH17) to a Pathological Complete Response Induced by Neoadjuvant Chemotherapy in Women with Breast Cancer

Table 2

Levels of tumour-infiltrating T cell subsets in women with LLABCs(1) and subsequent pathological complete response following NAC(2).

T cell subsetsGroupsIntratumoural
Median (range)(3)
value(4)
(PCR(5) versus non-PCR)
Stromal
Median (range)(3)
value(4)
(PCR versus non-PCR)

CD4+Pathological complete response (PCR, )45.2 (1.6–171.0)0.02343.4 (1.0–242.0)0.001
Nonpathological complete response (non-PCR, )5.8 (0.6–166.2)10.4 (1.0–113.0)

CD8+Pathological complete response (PCR, )40.6 (5.2–202.4)0.00875.5 (5.6–201.6)0.002
Nonpathological complete response (non-PCR, )12.8 (0.4–99.2)12.2 (1.8–110.0)

FOXP3+Pathological complete response (PCR, )6.3 (0.4–96.8)0.95812.5 (0.8–110.6)0.363
Nonpathological complete response (non-PCR, )5.4 (0.8–45.6)10.8 (0.8–44.8)

CTLA-4+Pathological complete response (PCR, )0.5 (0.0–4.0)0.0681.4 (0.0–10.0)0.041
Nonpathological complete response (non-PCR, )0.4 (0.0–2.2)0.4 (0.0–2.2)

PD-1+Pathological complete response (PCR, )2.6 (0.0–57.4)0.1181.9 (0.4–81.2)0.093
Nonpathological complete response (non-PCR, )0.5 (0.0–3.2)0.9 (0.0–3.6)

LLABCs: large and locally advanced breast cancers; (2)NAC: neoadjuvant chemotherapy; (3)average cell count per x high-power field (core biopsies of breast cancers); (4)Mann–Whitney test; (5)PCR (grade 5): no residual invasive disease; statistically significant.