Rojas-Jiménez, ErnestoMejía-Gómez, Javier CésarDíaz-Velásquez, ClaraQuezada-Urban, RosalíaMartínez Gregorio, HéctorVallejo-Lecuona, Fernandode la Cruz-Montoya, AldoPorras Reyes, Fany IrisPérez-Sánchez, Víctor ManuelMaldonado-Martínez, Héctor AquilesRobles-Estrada, MaybellineBargalló-Rocha, EnriqueCabrera-Galeana, PaulaRamos-Ramírez, MaritzaChirino, Yolanda IrasemaAlonso Herrera, LuisTerrazas, Luis IgnacioOliver, JavierFrecha, CeciliaPerdomo, SandraVaca-Paniagua, Felipe2024-02-122024-02-122020-11-19http://hdl.handle.net/10668/3757http://hdl.handle.net/20.500.12105/18156Triple-negative breast cancer (TNBC) presents a marked diversity at the molecular level, which promotes a clinical heterogeneity that further complicates treatment. We performed a detailed whole exome sequencing profile of 29 Mexican patients with long follow-up TNBC to identify genomic alterations associated with overall survival (OS), disease-free survival (DFS), and pathologic complete response (PCR), with the aim to define their role as molecular predictive factors of treatment response and prognosis. We detected 31 driver genes with pathogenic mutations in TP53 (53%), BRCA1/2 (27%), CDKN1B (9%), PIK3CA (9%), and PTEN (9%), and 16 operative mutational signatures. Moreover, tumors with mutations in BRCA1/2 showed a trend of sensitivity to platinum salts. We found an association between deficiency in DNA repair and surveillance genes and DFS. Across all analyzed tumors we consistently found a heterogeneous molecular complexity in terms of allelic composition and operative mutational processes, which hampered the definition of molecular traits with clinical utility. This work contributes to the elucidation of the global molecular alterations of TNBC by providing accurate genomic data that may help forthcoming studies to improve treatment and survival. This is the first study that integrates genomic alterations with a long follow-up of clinical variables in a Latin American population that is an underrepresented ethnicity in most of the genomic studies.engVoRTriple-negative breast cancerWhole exome sequencingWESTreatmentSomatic mutationMutational signaturesNeoplasias de la mama triple negativasSecuenciación del exoma completoTerapéuticaNeoplasias de la mamaMéxicoAdultAgedDNA Repair-Deficiency DisordersFemaleHumansKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMiddle AgedBreast NeoplasmsSequence Analysis, DNAMutationTriple Negative Breast NeoplasmsMexicoAttribution 4.0 International3322796410.3390/genes111113672073-4425Genesopen access