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Srikanthan A, Bedard PL, Goldstein S, Templeton A, Amir E. Abstract P2-08-05: Association between the neutrophil-to-lymphocyte ratio (NLR) and the 21-gene recurrence score. Cancer Res 2016. [DOI: 10.1158/1538-7445.sabcs15-p2-08-05] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction: A high neutrophil-to-lymphocyte ratio (NLR) has been reported to be a poor prognostic indicator in several malignancies including breast cancer. It is unknown whether the prognosis associated with high NLR can be explained by other prognostic factors such as proliferation or estrogen receptor signalling. Here we explore the association between NLR and the 21-gene recurrence score (RS).
Methods: The associations between RS, NLR, tumor size, histologic grade, and estrogen receptor (ER) and progesterone receptor (PgR) expression (assessed by immunohistochemistry) were explored in sequential women with early-stage, lymph node-negative (or with lymph node micrometastases), ER-positive and HER2-negative breast cancer treated at Princess Margaret Cancer Centre in Toronto, Canada and in whom results of the RS were available. NLR was measured prior to surgery. Patients with a documented history of pre-existing infectious/inflammatory condition were excluded. Associations were explored using simple linear regression and statistical significance was defined as p<0.05.
Results: A total of 130 women diagnosed between January 2006 and April 2015 were included in the analysis. Median age was 55 (range 32-79), 87% were lymph node negative and 13% had nodal micrometastases. The median NLR was 2.2 (range 0.9-9.1) and was collected at a median of 12 days prior to surgery (range 0-60). The median RS was 18 (range 0-41). There was no association between RS and NLR (R=-0.10, p=0.31), grade (R=0.13, p=0.15), age (R=-0.05, p=0.58) or tumor size (R=0.06, p=0.48). RS was negatively associated with the magnitude of expression of both ER (R=-0.22, p=0.01) and PgR (R=-0.44, p<0.001). There was no association between NLR and grade (R=0.20, p=0.15), age (R=-0.13, p=0.17), tumor size (R=0.14, p=0.93), ER (R=0.01, p=0.94) or PgR (R=0.13, p=0.23)
Conclusion: The poor outcomes associated with high NLR are unlikely explained by proliferation of estrogen receptor signalling.
Citation Format: Srikanthan A, Bedard PL, Goldstein S, Templeton A, Amir E. Association between the neutrophil-to-lymphocyte ratio (NLR) and the 21-gene recurrence score. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P2-08-05.
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Srikanthan A, Vera-Badillo F, Ethier J, Goldstein R, Templeton A, Ocana A, Seruga B, Amir E. Evolution in the eligibility criteria of randomized controlled trials for systemic cancer therapies. Cancer Treat Rev 2016; 43:67-73. [DOI: 10.1016/j.ctrv.2015.12.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2015] [Revised: 12/21/2015] [Accepted: 12/22/2015] [Indexed: 11/25/2022]
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Guerra R, Toloi D, Tibau A, Ocana A, Seruga B, Vera-Badillo F, Amir E, Tannock I, Templeton A. 1229 Industry-Sponsored Posters at Major Oncology Conferences: Science or Marketing? Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30533-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Anguera G, Tibau A, Andrés-Pretel F, Andrés M, Seruga B, Templeton A, Jerez Y, Vera-Badillo F, Barnadas A, Martin M, Amir E, Ocańa A. 1215 Role of cooperative groups and funding source in clinical studies that support approved therapy for breast cancer. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30519-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Redler G, Bernard D, Templeton A, Nair CK, Turian J, Chu J. MO-AB-BRA-02: A Novel Scatter Imaging Modality for Real-Time Image Guidance During Lung SBRT. Med Phys 2015. [DOI: 10.1118/1.4925272] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Templeton A, Liao Y, Redler G, Zhen H. SU-E-T-273: Do Task Group External Beam QA Recommendations Guarantee Accurate Treatment Plan Dose Delivery? Med Phys 2015. [DOI: 10.1118/1.4924635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Liao Y, Turian J, Templeton A, Redler G, Chu J. SU-E-J-35: Using CBCT as the Alternative Method of Assessing ITV Volume. Med Phys 2015. [DOI: 10.1118/1.4924122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Wu YL, Papadimitrakopoulou V, Ghiorghiu S, Templeton A, Mok T. AURA3 Design: a Randomised, Phase III Study of Azd9291 Versus Second-Line Chemotherapy for Patients (PTS) with Egfr-Tki-Resistant (T790M) Advanced Non-Small Cell Lung Cancer. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv050.44] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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van Soest R, Templeton A, Vera-Badillo F, Mercier F, Sonpavde G, Amir E, Tombal B, Rosenthal M, Eisenberger M, Tannock I, de Wit R. Neutrophil-to-lymphocyte ratio as a prognostic biomarker for men with metastatic castration-resistant prostate cancer receiving first-line chemotherapy: data from two randomized phase III trials. Ann Oncol 2015; 26:743-749. [DOI: 10.1093/annonc/mdu569] [Citation(s) in RCA: 103] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
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Gurol-Urganci I, Bansi-Matharu L, Mahmood TA, Templeton A, van der Meulen JH, Cromwell DA. Authors' reply: Rates of subsequent surgery following endometrial ablation among English women with menorrhagia: population-based cohort study. BJOG 2014; 121:1578. [PMID: 25348451 DOI: 10.1111/1471-0528.12687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2014] [Indexed: 12/01/2022]
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Templeton A, Stalder L, Albiges Sauvin L, Bernhard J, Brauchli P, Gillessen S, Hayoz S, Klingbiel D, Matter-Walstra K, Thürlimann B, von Moos R. Prevention of Symptomatic Skeletal Events with Denosumab Administered Every 4 Weeks Versus Every 12 Weeks–A Non-Inferiority Phase III Trial: Sakk 96/12 - Reduse. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu356.71] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Tibau B, Bedard P, Vera-Badillo F, Templeton A, Ocana A, Seruga B, Barnadas A, Amir E. Author Financial Conflicts of Interest (Fcois) in Clinical Practice Guidelines (Cpgs) for Systemic Anti-Cancer Drugs. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu353.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Templeton A, Knox J, Mitchell N, Broom R, Choueiri T, McDermott D, Fay A, Rini B, Alvarez A, Bjarnason G, Smoragiewicz M, Kollmannsberger C, Kanesvaran R, North S, Alimohamed N, Hermanns T, Wells C, Amir E, Heng D. Prognostic Impact of Change in Neutrophil to Lymphocyte Ratio (Nlr) in Response to Targeted Therapy for Metastatic Renal Cell Carcinoma (Mrcc). Ann Oncol 2014. [DOI: 10.1093/annonc/mdu337.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wong K, Chiu J, Shen X, Templeton A, Xu W, Chen E, Sherman M, Feld R, Knox J. Impact of Neutrophil-To-Lymphocyte Ratio (Nlr) and Platelet-To-Lymphocyte Ratio (Plr) on Outcomes in Hepatocellular Carcinoma (Hcc) Patients Treated with Sorafenib (Sor). Ann Oncol 2014. [DOI: 10.1093/annonc/mdu334.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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van Soest R, Templeton A, Eisenberger M, Mercier F, Tannock I, De Wit R. The Impact of the Derived Neutrophil to Lymphocyte Ratio and Duration of Initial Androgen Deprivation Therapy (Adt) on Survival of Men with Metastatic Castration-Resistant Prostate Cancer (Mcrpc) Receiving First-Line Chemotherapy: Data from Two Randomized Phase III Trials. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu336.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Al Hashem H, Al-Mubarak M, Templeton A, Ocana A, Seruga B, Amir E. Impact of Geographic Region on Benefit of Anticancer Agents Evaluated in International Phase III Clinical Trials. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu353.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Lorente D, Templeton A, Sartor O, Bahl A, Su Z, Devin J, de Bono J. Association of Neutrophil-To-Lymphocyte Ratio (Nlr) with Survival (Os) in Metastatic Castration-Resistant Prostate Cancer (Mcrpc) Patients Receiving Prednisone (P) Plus Cabazitaxel (Cbz) or Mitoxantrone (Mtx) in the Tropic Trial. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu336.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Gurol-Urganci I, Bansi-Matharu L, Mahmood T, Templeton A, van der Meulen J, Cromwell D. Authors' reply: Rates of subsequent surgery following endometrial ablation among English women with menorrhagia: population-based cohort study. BJOG 2014; 121:1316-7. [PMID: 25155327 DOI: 10.1111/1471-0528.12864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2014] [Indexed: 11/30/2022]
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Liao Y, Kadir T, Turian J, Templeton A, Kiel K, Chu J. SU-E-J-222: Evaluation of Deformable Registration of PET/CT Images for Cervical Cancer Brachytherapy. Med Phys 2014. [DOI: 10.1118/1.4888275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Turian J, Wu Z, Miller L, Darwish N, Templeton A, Chu J. SU-E-J-210: Thoracic Atlas Segmentation Model Based On Consensus Contours. Med Phys 2014. [DOI: 10.1118/1.4888263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Templeton A, Chu J, Turian J. SU-E-T-374: Sensitivity of ArcCHECK to Tomotherapy Delivery Errors: Dependence On Analysis Technique. Med Phys 2014. [DOI: 10.1118/1.4888707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Anderson J, Bernard D, Liao Y, Templeton A, Turian J, Chu J. SU-E-T-197: Helical Cranial-Spinal Treatments with a Linear Accelerator. Med Phys 2014. [DOI: 10.1118/1.4888527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gurol-Urganci I, Cromwell DA, Mahmood TA, van der Meulen JH, Templeton A. A population-based cohort study of the effect of Caesarean section on subsequent fertility. Hum Reprod 2014; 29:1320-6. [DOI: 10.1093/humrep/deu057] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mahmood T, Templeton A. Editorial. Facts Views Vis Obgyn 2014; 6:1-2. [PMID: 25009718 PMCID: PMC4085997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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