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Table 1 Breast cancer subtype characterization and immune-related reclassification

From: Mechanisms of immune evasion in breast cancer

Molecular Subtype

Gene expression pattern

Clinical features

Common treatment options

Potential reclassification

Luminal A

ER+ and/or PR+, HER2−, and low Ki67

30–70% prevalence;

Tumor grade of 1 or 2

Endocrine therapy;

Aromatase inhibitors;

Standard chemotherapy;

Best prognosis of the four tumor types

Further research required

Luminal B

ER+ and/or PR+ and HER2+ or –;

High Ki67

10–20% prevalence;

Often younger age of diagnosis;

Higher grade and worse prognosis than luminal A

Endocrine therapy; Aromatase inhibitors;

Standard chemotherapy

Further research required

HER-2-enriched

ER−, PR−, and HER2+

5–15% prevalence; Likely to be high grade and LN+; Poor prognosis

Trastuzumab; Pertuzumab; T-DM1; lapatinib; TKIs; anthracycline-based chemotherapy

SR +/−; CC +/−; IR +/−; ECM +/− (Teschendorff et al. [22]); (Staaf et al. [21])

Triple negative/basal-like

ER−, PR−, HER2−

15–20% prevalence;

High grade and proliferation;

Often BRCA-1 related;

Radiation; Platinum-based chemotherapy; PARP inhibitors

CC +/−; IR +/−; ECM +/− (Teschendorff et al. [22]);

BL1, BL2, IM, MSL, LAR (Lehmann et al. [23])

  1. ER estrogen receptor, PR progesterone receptor, HER2 human epidermal growth factor receptor 2, SR steroid hormone response, CC cell cycle, IR immune response, ECM extracellular matrix, BL1 and 2 Basal-like 1 and 2, IM immunomodulatory, MSL mesenchymal stem-like, LAR luminal androgen receptor, LN lymph node