Abstract
HER2-low expression is associated with hormone receptor (HR) expression in HR-positive breast cancer. We aimed to evaluate its association with androgen receptor (AR) among 196 patients with metastatic triple-negative breast cancer (mTNBC). Central determination of AR showed significant enrichment in HER2-low compared with HER2-0 mTNBC (mean: 33.7% vs. 21.4%, p = 0.038), whereas no significant immunological differences were observed. HER2-low/AR-positive patients trended towards longer overall survival, highlighting the potential relevance of these biomarkers.
Data availability
Data can be requested from the corresponding authors for academic use, subject to approval of a research plan, a data transfer agreement and ethics committee approval.
References
Tarantino, P. et al. HER2-Low Breast Cancer: Pathological and Clinical Landscape. JCO 38, 1951–1962 (2020).
Modi, S. et al. Trastuzumab Deruxtecan in Previously Treated HER2-Low Advanced Breast Cancer. N. Engl. J. Med. 387, 9–20 (2022).
Li, Y., Tsang, J. Y., Tam, F., Loong, T. & Tse, G. M. Comprehensive characterization of HER2-low breast cancers: implications in prognosis and treatment. eBioMedicine 91, 104571 (2023).
Jacot, W. et al. Prognostic Value of HER2-Low Expression in Non-Metastatic Triple-Negative Breast Cancer and Correlation with Other Biomarkers. Cancers 13, 6059 (2021).
Naderi, A. & Hughes-Davies, L. A Functionally Significant Cross-talk between Androgen Receptor and ErbB2 Pathways in Estrogen Receptor Negative Breast Cancer. Neoplasia 10, 542–548 (2008).
Kumar, U., Ardasheva, A., Mahmud, Z., Coombes, R. C. & Yagüe, E. FOXA1 is a determinant of drug resistance in breast cancer cells. Breast Cancer Res Treat. 186, 317–326 (2021).
Vidula, N., Yau, C., Wolf, D. & Rugo, H. S. Androgen receptor gene expression in primary breast cancer. NPJ Breast Cancer 5, 47 (2019).
Tarantino, P. et al. ESMO expert consensus statements (ECS) on the definition, diagnosis, and management of HER2-low breast cancer. Ann. Oncol. 34, 645–659 (2023).
Peiffer, D. S. et al. Clinicopathologic Characteristics and Prognosis of ERBB2-Low Breast Cancer Among Patients in the National Cancer Database. JAMA Oncol. 9, 500–510 (2023).
Tarantino, P. et al. Prognostic and Biologic Significance of ERBB2-Low Expression in Early-Stage Breast Cancer. JAMA Oncol. 8, 1177–1183 (2022).
Denkert, C. et al. Clinical and molecular characteristics of HER2-low-positive breast cancer: pooled analysis of individual patient data from four prospective, neoadjuvant clinical trials. Lancet Oncol. 22, 1151–1161 (2021).
Goel, S. et al. A Phase II Study of Abemaciclib for Patients with Retinoblastoma-Positive, Metastatic Triple-Negative Breast Cancer. Clin. Cancer Res. 31, 1427–1436 (2025).
Salgado, R. et al. The evaluation of tumor-infiltrating lymphocytes (TILs) in breast cancer: recommendations by an International TILs Working Group 2014. Ann. Oncol. 26, 259–271 (2015).
Yang, Y., Pan, L., Zhou, W. & Shao, Z. Clinical and molecular characteristics of HER2-low triple-negative breast cancer: insights from multi-omics analysis. Breast 84, 104584 (2025).
Zhang, X. et al. Differences in HER2-0 and HER2-low Breast Cancer: Androgen Receptor and Programmed Death Ligand 1 as Predictive Factors. J. Breast Cancer 28, 23–36 (2025).
Molinelli, C. et al. Prognostic value of HER2-low status in breast cancer: a systematic review and meta-analysis. ESMO Open 8, 101592 (2023).
Gerratana, L. et al. Androgen receptor in triple negative breast cancer: A potential target for the targetless subtype. Cancer Treat. Rev. 68, 102–110 (2018).
Gucalp, A. et al. Phase II Trial of Bicalutamide in Patients with Androgen Receptor–Positive, Estrogen Receptor–Negative Metastatic Breast Cancer. Clin. Cancer Res. 19, 5505–5512 (2013).
Traina, T. A. et al. Enzalutamide for the Treatment of Androgen Receptor-Expressing Triple-Negative Breast Cancer. J. Clin. Oncol. 36, 884–890 (2018).
Traina, T. A. et al. TBCRC 058: A randomized phase II study of enzalutamide, enzalutamide with mifepristone, and treatment of physician’s choice in patients with androgen receptor-positive metastatic triple-negative or estrogen receptor-low breast cancer (NCT06099769). JCO 42, TPS1138–TPS1138 (2024).
Baez-Navarro, X. et al. HER2-low and tumor infiltrating lymphocytes in triple-negative breast cancer: Are they connected? Breast Cancer Res. 26, 41 (2024).
Acknowledgements
This study was funded by the Terri Brodeur Breast Cancer Foundation, a METAvivor Early Career Investigator Award, the Elaine and Eduardo Saverin Foundation, Mehlman Family Funds, Benderson Family Funds, Breast Cancer Research Foundation, and Susan G. Komen. The authors acknowledge Kaitlyn T. Bifolck, full-time employee of Dana-Farber Cancer Institute, for providing editorial assistance in the preparation of this manuscript.
Author information
Authors and Affiliations
Contributions
Conceptualization: P.T., J.C., S.M.T.; Data curation: P.T., X.C., N.T., B.B.K., S.J.S.; Formal analysis: X.C., N.T.; Funding acquisition: P.T., S.M.T.; Investigation: P.T., J.C., X.C., N.T., S.G., S.M.T., B.B.K., S.J.S.; Methodology: P.T., J.C., X.C., N.T.; Project administration: P.T., S.M.T.; Resources: P.T., S.M.T.; Software: X.C., N.T.; Supervision: P.T., S.M.T., N.T.; Validation: P.T., S.M.T., N.T.; Visualization: P.T., J.C., X.C., N.T.; Writing – original draft: P.T., J.C.; Writing – review & editing: P.T., J.C., B.B.K., X.C., B.J., A.Z., M.H., D.R., M.D., E.W., R.J., N.U.L., J.C., Y.S.C., T.L., N.T., E.A.M., S.J.S., S.G., S.M.T.
Corresponding author
Ethics declarations
Competing interests
P.T. reports consulting fees from AstraZeneca, Daiichi Sankyo, Gilead, Genentech/Roche, Novartis, Menarini/Stemline, and Eli Lilly. NUL reports institutional research support from Genentech, Pfizer, Merck, Seattle Genetics, Zion Pharmaceuticals, Olema Pharmaceuticals, and AstraZeneca; consulting honoraria from Seattle Genetics, Daiichi Sankyo, AstraZeneca, Olema Pharmaceuticals, Stemline/Menarini, Artera Inc., Eisai, and Shorla Oncology; royalties from Up to date (book); and travel support from Olema Pharmaceuticals, AstraZeneca, and Daiichi Sankyo. SMT reports consulting or advisory roles for Novartis, Pfizer/SeaGen, Merck, Eli Lilly, AstraZeneca, Genentech/Roche, Eisai, Bristol Myers Squibb/Systimmune, Daiichi Sankyo, Gilead, Blueprint Medicines, Reveal Genomics, Sumitovant Biopharma, Artios Pharma, Menarini/Stemline, Aadi Bio, Bayer, Jazz Pharmaceuticals, Natera, Tango Therapeutics, eFFECTOR, Hengrui USA, Cullinan Oncology, Circle Pharma, Arvinas, BioNTech, Johnson&Johnson/Ambrx, Launch Therapeutics, Zuellig Pharma, Bicycle Therapeutics, BeiGene Therapeutics, Mersana, Summit Therapeutics, Avenzo Therapeutics, Aktis Oncology, Celcuity, Boehringer Ingelheim, Samsung Bioepis, Olema Pharmaceuticals, Tempus, and Boundless Bio; institutional research funding from Genentech/Roche, Merck, Exelixis, Pfizer, Lilly, Novartis, Bristol Myers Squibb, AstraZeneca, Gilead, NanoString Technologies, Seattle Genetics, OncoPep, Daiichi Sankyo, Menarini/Stemline, Jazz Pharmaceuticals, and Olema Pharmaceuticals; and travel support from Eli Lilly, Gilead, Jazz Pharmaceuticals, Pfizer, Arvinas, and Roche.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
About this article
Cite this article
Tarantino, P., Cha, J., Binboga Kurt, B. et al. Androgen receptor expression and immune characteristics of HER2-low metastatic triple-negative breast cancer. npj Breast Cancer (2026). https://doi.org/10.1038/s41523-026-00913-4
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41523-026-00913-4