ChinaIn 360 patients, high prostaglandin signalling was linked to poor prognosis.
Triple-negative breast cancer is the most intractable subtype, with few therapeutic targets.
Prostaglandin activates PTGER1, which switches on KLK5 through the transcription factor JUN, and KLK5 suppresses MHC-I, hiding tumour antigens.
In preclinical models, blocking KLK5 improved immunotherapy efficacy, but the study reports no patient trial.
Sources: Nature