RT Journal Article T1 A Pathology-Based Combined Model to Identify PAM50 Non-luminal Intrinsic Disease in Hormone Receptor-Positive HER2-Negative Breast Cancer. A1 Pascual, Tomás A1 Martin, Miguel A1 Fernández-Martínez, Aranzazu A1 Paré, Laia A1 Alba, Emilio A1 Rodríguez-Lescure, Álvaro A1 Perrone, Giuseppe A1 Cortés, Javier A1 Morales, Serafín A1 Lluch, Ana A1 Urruticoechea, Ander A1 González-Farré, Blanca A1 Galván, Patricia A1 Jares, Pedro A1 Rodriguez, Adela A1 Chic, Nuria A1 Righi, Daniela A1 Cejalvo, Juan Miguel A1 Tonini, Giuseppe A1 Adamo, Barbara A1 Vidal, Maria A1 Villagrasa, Patricia A1 Muñoz, Montserrat A1 Prat, Aleix K1 PAM50 K1 breast cancer K1 gene expression K1 intrinsic subtype K1 non-luminal AB Background: In hormone receptor-positive (HR+)/HER2-negative breast cancer, the HER2-enriched and Basal-like intrinsic subtypes are associated with poor outcome, low response to anti-estrogen therapy and high response to chemotherapy. To date, no validated biomarker exists to identify both molecular entities other than gene expression. Methods: PAM50 subtyping and immunohistochemical data were obtained from 8 independent studies of 1,416 HR+/HER2-negative early breast tumors. A non-luminal disease score (NOLUS) from 0 to 100, based on percentage of estrogen receptor (ER), progesterone receptor (PR) and Ki67 tumor cells, was derived in a combined cohort of 5 studies (training dataset) and tested in a combined cohort of 3 studies. The performance of NOLUS was estimated using Area Under the ROC Curve (AUC). Results: In the training dataset (n = 903) and compared to luminal disease, non-luminal disease had lower percentage of ER-positive cells (median 65.2 vs. 86.2%, p SN 2234-943X YR 2019 FD 2019-04-26 LK http://hdl.handle.net/10668/13987 UL http://hdl.handle.net/10668/13987 LA en DS RISalud RD Apr 17, 2025