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  • Evaluation of PD-L1 Express...
    Vassilakopoulou, Maria; Avgeris, Margaritis; Velcheti, Vamsidhar; Kotoula, Vassiliki; Rampias, Theodore; Chatzopoulos, Kyriakos; Perisanidis, Christos; Kontos, Christos K; Giotakis, Aris I; Scorilas, Andreas; Rimm, David; Sasaki, Clarence; Fountzilas, George; Psyrri, Amanda

    Clinical cancer research, 02/2016, Letnik: 22, Številka: 3
    Journal Article

    Programmed death-ligand 1 (PD-L1; also known as CD274 or B7-H1) expression represents a mechanism of immune escape for cancer. Our purpose was to characterize tumor PD-L1 expression and associated T-cell infiltration in primary laryngeal squamous cell carcinomas (SCC). A well-annotated cohort of 260 operable primary laryngeal SCCs formalin-fixed paraffin-embedded (FFPE) specimens was morphologically characterized for stromal tumor-infiltrating lymphocytes (TIL), on hematoxylin/eosin-stained whole sections and for PD-L1 mRNA expression by qRT-PCR in FFPE specimens. For PD-L1 protein expression, automated quantitative protein analysis (AQUA) was applied on tissue microarrays consisting of two cores from these tumors. In addition, PD-L1 mRNA expression in fresh-frozen tumors and normal adjacent tissue specimens was assessed in a second independent cohort of 89 patients with primary laryngeal SCC. PD-L1 mRNA levels were upregulated in tumors compared with surrounding normal tissue (P = 0.009). TILs density correlated with tumor PD-L1 AQUA levels (P = 0.021). Both high TILs density and high PD-L1 AQUA levels were significantly associated with superior disease-free survival (DFS; TILs: P = 0.009 and PD-L1: P = 0.044) and overall survival (OS; TILs: P = 0.015 and PD-L1: P = 0.059) of the patients and retained significance in multivariate analysis. Increased TILs density and PD-L1 levels are associated with better outcome in laryngeal squamous cell cancer. Assessment of TILs and PD-L1 expression could be useful to predict response to immune checkpoint inhibitors.