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  • Programmed death-ligand 1 e...
    Zhao, Yu-Jie; Sun, Wei-Peng; Peng, Jian-Hong; Deng, Yu-Xiang; Fang, Yu-Jing; Huang, Jun; Zhang, Hui-Zhong; Wan, De-Sen; Lin, Jun-Zhong; Pan, Zhi-Zhong

    Cancer management and research, 01/2018, Volume: 10
    Journal Article

    Increased expression of programmed death-ligand 1 (PD-L1) on tumor cells can be found in various malignancies; however, very limited information is known about its role in anal squamous cell carcinoma (ASCC). This study explored PD-L1 expression in ASCC patients and its association with patients' clinicopathological features, CD8+ T cell infiltration, and prognosis. Formalin-fixed paraffin-embedded tumor samples from 26 patients with ASCC were retrieved. The levels of PD-L1 expression on the membrane of both tumor cells and tumor-infiltrating mononuclear cells (TIMCs) were evaluated by immunohistochemistry. CD8+ T cell densities, both within tumors and at the tumor-stromal interface, were also analyzed. Baseline clinicopathological characteristics, human papilloma virus (HPV) status, and outcome data correlated with PD-L1-positive staining. PD-L1 expression on tumor cells and TIMCs was observed in 46% and 50% of patients, respectively. Nineteen patients (73%) were HPV positive, with 7 showing PD-L1-positive staining on tumor cells and 9 showing PD-L1-positive staining on TIMCs. Increasing CD8+ density within tumors, but not immune stroma, was significantly associated with decreased PD-L1 expression by both tumor cells and TIMCs ( =0.0043 and =0.0007). Patients with negative PD-L1 expression had significantly better progression-free survival ( =0.038 and =0.0443) and a non-statistically significant trend toward longer overall survival ( =0.0882 and =0.1222) compared with patients with positive PD-L1 expression. PD-L1 is widely expressed on the membrane of tumor cells and TIMCs in ASCCs. Its negative impact on prognosis may be due to the diminished CD8+ T cell infiltration within tumors.