Inflammatory indexes as prognostic biomarkers in advanced triple negative breast cancer patients - Report - MDSpire

Inflammatory indexes as prognostic biomarkers in advanced triple negative breast cancer patients

  • By

  • Caterina Gianni

  • Emanuela Scarpi

  • Eva Blondeaux

  • Michela Palleschi

  • Filippo Merloni

  • Lorenzo Gasperoni

  • Fabio Puglisi

  • Elena Collovà

  • Palma Pugliese

  • Francesco Cognetti

  • Irene Giannubilo

  • Tommaso Ruelle

  • Lucia Del Mastro

  • Claudia Bighin

  • Antonino Musolino

  • Ugo De Giorgi

  • July 15, 2026

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Prognostic Value of Inflammatory Markers in Patients with Advanced Triple Negative Breast Cancer

Overview

This study investigates the prognostic significance of inflammatory markers in patients with metastatic triple-negative breast cancer (TNBC).

Background

Triple-negative breast cancer (TNBC) is a subtype of breast cancer known for its aggressive behavior and poor prognosis, accounting for approximately 15% of all breast cancer cases.

Data Highlights

Inflammatory IndexCut-off ValuePFS Association (p-value)OS Association (p-value)
NLR≥3<0.0001<0.0001
MLR≥0.34<0.00010.0006
PLR≥2100.00020.002
SII≥836<0.00010.001

Key Findings

  • Median progression-free survival (PFS) was 8.6 months in the study population.
  • Median overall survival (OS) was 17.7 months.
  • High NLR (≥3) was significantly associated with lower PFS and OS.
  • High MLR (≥0.34) and PLR (≥210) also correlated with poorer survival outcomes.
  • SII (≥836) was another significant marker for reduced PFS and OS.
  • In multivariable analysis, NLR, SII, and MLR remained significant predictors of OS.

Clinical Implications

Inflammatory markers such as NLR, PLR, MLR, and SII may serve as prognostic biomarkers in patients with metastatic TNBC.

Conclusion

The study highlights the potential of inflammatory ratios as prognostic indicators in metastatic TNBC.

Related Resources & Content

  1. Frontiers in Oncology, 2026 -- Inflammatory biomarker-based prognostic model for immunotherapy outcomes in patients with recurrent or metastatic cervical cancer
  2. The ASCO Post, 2017 -- Genomic Characteristics and Immune Infiltration in Triple-Negative Breast Cancer
  3. Gastric Cancer, 2019 -- The Role of Inflammatory and Nutritional Biomarkers in Predicting Survival Outcomes for Gastric Cancer Patients Undergoing Neoadjuvant Chemotherapy and D2 Lymphadenectomy
  4. Frontiers in Oncology, 2026 -- Prognostic Evaluation Using Nutrition-Inflammation Biomarkers from Routine Blood Tests in Metastatic Breast Cancer: A Boruta Algorithm-Optimized Feature Selection Study
  5. Updated treatment recommendations for systemic treatment: from the ESMO Metastatic Breast Cancer Living Guideline - PubMed
  6. npj Breast Cancer, 2025 -- Association of potential biomarkers with clinical outcomes in metastatic triple-negative breast cancer treated with pembrolizumab or chemotherapy
  7. Updated treatment recommendations for systemic treatment: from the ESMO Metastatic Breast Cancer Living Guideline - PubMed
  8. Association of potential biomarkers with clinical outcomes in metastatic triple-negative breast cancer treated with pembrolizumab or chemotherapy | npj Breast Cancer

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