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RAD51-based homologous recombination deficiency is associated with treatment response and survival in early breast cancer - PubMed

4 days ago
  • #breast cancer
  • #homologous recombination deficiency
  • #RAD51
  • RAD51-based homologous recombination deficiency (HRD) is linked to better treatment response and survival in early breast cancer.
  • HRD was found in 78.4% of tumors, with 69.8% having low tumor-infiltrating lymphocytes (TILs <30%).
  • Patients with HRD showed higher pathologic complete response (pCR) rates (52.3%) compared to HRR-proficient (HRP) tumors (36.4%).
  • RAD51 was independently associated with pCR (p = 0.03).
  • Overall survival (OS) was better in HRD patients (89.2% at 5 years) vs. HRP (82.8%, p = 0.009), especially in triple-negative TILs-low disease (p = 0.005).
  • The study supports RAD51-based HRD assessment as a predictive and prognostic biomarker for early-stage breast cancer treatment decisions.