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TLR7 signature of tumour innervation reveals two distinct pathways of triple-negative breast cancer progression - PubMed

4 hours ago
  • #TLR7 signaling
  • #tumor innervation
  • #TNBC progression
  • TLR7 signature scores are higher in triple-negative breast cancer (TNBC) than in ER-positive disease.
  • Within TNBC, high TLR7 signaling is linked to basal- and mesenchymal-like subtypes, unlike the luminal androgen receptor (LAR) subtype.
  • Both high and low TLR7 scores correlate with poor patient survival compared to intermediate scores across multiple cohorts.
  • High TLR7-score tumors show increased cell proliferation, neural pathways, mast cell activity, RB1/TP53 loss, and elevated E2F/PI3K/MET/MYC signaling.
  • Low TLR7-score tumors exhibit enhanced ER signaling and T cell pathways, indicating non-innervated TNBC phenotypes.
  • TLR7 score is associated with pathological complete response (pCR) in a treatment-dependent manner.
  • Findings suggest dual TLR7-dependent and independent progression pathways in TNBC, enabling patient stratification for therapy.