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 6

Blood(1) and tumour-infiltrating FOXP3+ and CTLA-4+ T cells in women with LLABCs(2): significant reduction with NAC(3).

T cell subsets ()GroupsPre-NAC
Median (range)(4)
Post-NAC
Median (range)
value(5)
Pre- versus post-NAC

FOXP3+Intratumoural Infiltrating14.8 (2.4–96.8)0.7 (0–22.2)0.001
Stromal Infiltrating15.9 (2.2–110.6)1.4 (0.4–28.4)0.001
% Circulating1.54 (0.62–3.40)0.81 (0.25–1.85)0.001
AbN circulating(6)170 (107–427)159 (35–230)0.001

CTLA-4+Intratumoural Infiltrating0.4 (0.0–4.0)0.1 (0.0–1.2)0.060
Stromal infiltrating0.6 (0.2–10.0)0.1 (0.0–5.2)0.029
% circulating1.31 (0.05–3.24)0.72 (0.10–1.71)0.017
AbN circulating15 (5–19)6 (2–15)0.001

Blood: data previously published (Verma et al., 2013 [21]); (2)LLABCs: large and locally advanced breast cancers; (3)NAC: neoadjuvant chemotherapy; (4)average cell count per 400x high-power field; (5)Wilcoxon signed rank test; (6)AbN: absolute number (cells/mm3); statistically significant.