PD-L1 in small bowel adenocarcinoma is associated with etiology and tumor-infiltrating lymphocytes, in addition to microsatellite instability.


Journal

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
ISSN: 1530-0285
Titre abrégé: Mod Pathol
Pays: United States
ID NLM: 8806605

Informations de publication

Date de publication:
07 2020
Historique:
received: 20 11 2019
accepted: 27 01 2020
revised: 25 01 2020
pubmed: 19 2 2020
medline: 9 7 2021
entrez: 19 2 2020
Statut: ppublish

Résumé

Small bowel adenocarcinomas (SBAs) are often associated with poor prognosis and have limited therapeutic options. Programmed cell death protein-1 (PD-1)/programmed cell death ligand 1 (PD-L1) pathway blockade is an effective treatment in many microsatellite instability-high (MSI-H) solid tumors. We aimed at investigating PD-L1 and PD-1 expression in non-hereditary, non-ampullary SBAs, associated with celiac disease (CeD), Crohn's disease (CrD), or sporadic, recruited through the Small Bowel Cancer Italian Consortium. We assessed PD-L1 and PD-1 by immunohistochemistry in a series of 121 surgically resected SBAs, including 34 CeD-SBAs, 49 CrD-SBAs, and 38 sporadic SBAs. PD-L1 and PD-1 expression was correlated with several clinico-pathological features, such as the etiology, microsatellite instability status, and tumor-infiltrating lymphocyte (TIL) density. The prevalence of PD-L1 positivity according to combined positive score (CPS) was 26% in the whole cohort of SBAs, with significantly (p = 0.001) higher percentage (35%) in both CeD-SBAs and CrD-SBAs in comparison with sporadic SBAs (5%). CPS ≥ 1 SBAs were significantly (p = 0.013) more frequent in MSI-H cases (41%) than in non-MSI-H ones (18%); however, 15 CPS ≥ 1 microsatellite stable SBAs were also identified. CPS ≥ 1 SBAs showed higher TIL and PD-1

Identifiants

pubmed: 32066859
doi: 10.1038/s41379-020-0497-0
pii: S0893-3952(22)00823-7
doi:

Substances chimiques

B7-H1 Antigen 0
Biomarkers, Tumor 0
CD274 protein, human 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1398-1409

Commentaires et corrections

Type : ErratumIn

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Auteurs

Paolo Giuffrida (P)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Giovanni Arpa (G)

Anatomic Pathology Unit, Department of Molecular Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Federica Grillo (F)

Pathology Unit, Department of Surgical and Diagnostic Sciences, University of Genoa and San Martino/IST University Hospital, Genoa, Italy.

Catherine Klersy (C)

Biometry and Statistics Service, Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Gianluca Sampietro (G)

Unit of IBD Surgery, Luigi Sacco University Hospital, Milan, Italy.

Sandro Ardizzone (S)

Gastroenterology Unit, Luigi Sacco University Hospital, Milan, Italy.

Paolo Fociani (P)

Pathology Unit, Luigi Sacco University Hospital, Milan, Italy.

Roberto Fiocca (R)

Pathology Unit, Department of Surgical and Diagnostic Sciences, University of Genoa and San Martino/IST University Hospital, Genoa, Italy.

Giovanni Latella (G)

Gastroenterology Unit, Department of Life and Enviromental Sciences, University of L'Aquila, L'Aquila, Italy.

Fausto Sessa (F)

Pathology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Antonietta D'Errico (A)

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Institute of Oncology and Transplant Pathology, University of Bologna, St. Orsola-Malpighi Hospital, Bologna, Italy.

Deborah Malvi (D)

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Institute of Oncology and Transplant Pathology, University of Bologna, St. Orsola-Malpighi Hospital, Bologna, Italy.

Claudia Mescoli (C)

Pathology Unit, Department of Medicine, University of Padua, Padua, Italy.

Massimo Rugge (M)

Pathology Unit, Department of Medicine, University of Padua, Padua, Italy.

Gabriella Nesi (G)

Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.

Stefano Ferrero (S)

Division of Pathology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

Daniela Furlan (D)

Pathology Unit, Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Gilberto Poggioli (G)

Surgery of the Alimentary Tract, Department of Medical and Surgical Sciences, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Fernando Rizzello (F)

Intestinal Chronic Bowel Disease Unit, Department of Medical and Surgical Sciences, Sant'Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Maria C Macciomei (MC)

Pathology Unit, San Camillo-Forlanini Hospital, Rome, Italy.

Donatella Santini (D)

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Institute of Oncology and Transplant Pathology, University of Bologna, St. Orsola-Malpighi Hospital, Bologna, Italy.

Umberto Volta (U)

Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Roberto De Giorgio (R)

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Giacomo Caio (G)

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Antonio Calabrò (A)

Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.

Carolina Ciacci (C)

Department of Medicine and Surgery, University of Salerno, Salerno, Italy.

Maria D'Armiento (M)

Public Health Department, Federico II University of Naples, Naples, Italy.

Aroldo Rizzo (A)

Units of Pathology, Cervello Hospital, Palermo, Italy.

Gaspare Solina (G)

Units of General Surgery, Cervello Hospital, Palermo, Italy.

Michele Martino (M)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Francesco Tonelli (F)

Surgery and Translational Medicine, University of Florence, Florence, Italy.

Vincenzo Villanacci (V)

Institute of Pathology, Spedali Civili Hospital, Brescia, Italy.

Renato Cannizzaro (R)

Department of Gastroenterology, Centro di Riferimento Oncologico (CRO) di Aviano IRCCS, Aviano, Italy.

Vincenzo Canzonieri (V)

Pathology Unit, Centro di Riferimento Oncologico (CRO) di Aviano IRCCS, Aviano, Italy.
Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.

Ada M Florena (AM)

Pathologic Anatomy Unit, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.

Livia Biancone (L)

Department of Systems Medicine, University of Tor Vergata, Rome, Italy.

Giovanni Monteleone (G)

Department of Systems Medicine, University of Tor Vergata, Rome, Italy.

Roberto Caronna (R)

Department of Surgical Sciences, La Sapienza University, Rome, Italy.

Antonio Ciardi (A)

Department of Radiological, Oncological, Pathological Sciences, Umberto I Hospital, La Sapienza University, Rome, Italy.

Luca Elli (L)

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Flavio Caprioli (F)

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Maurizio Vecchi (M)

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Renata D'Incà (R)

Gastroenterology Section, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.

Fabiana Zingone (F)

Gastroenterology Section, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.

Anna D'Odorico (A)

Gastroenterology Section, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.

Marco Vincenzo Lenti (MV)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Barbara Oreggia (B)

General Surgery Unit, Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.

Luca Reggiani Bonetti (L)

Section of Pathology, Department of Diagnostic Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy.

Marco Astegiano (M)

General and Specialistic Surgery, Città della Salute e della Scienza-Molinette Hospital, Turin, Italy.

Elena Biletta (E)

Anatomic Pathology ASL Biella, Biella, Italy.

Laura Cantoro (L)

Gastroenterology Unit, USL Umbria 1, Perugia, Italy.

Antonino G Giannone (AG)

Pathologic Anatomy Unit, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.

Augusto Orlandi (A)

Department of Biopathology and Image Diagnostics, University of Tor Vergata, Rome, Italy.

Claudio Papi (C)

IBD Unit, San Filippo Neri Hospital, Rome, Italy.

Vittorio Perfetti (V)

Internal Medicine Unit, S.S. Annunziata Hospital, ASST-Pavia, Varzi, Italy.

Erica Quaquarini (E)

Medical Oncology Unit, IRCCS ICS Maugeri and Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.

Giancarlo Sandri (G)

Clinical Nutrition Unit, Sant'Eugenio Hospital, Rome, Italy.

Marco Silano (M)

Unit of Human Nutrition and Health, Istituto Superiore di Sanità, Rome, Italy.

Paolo Usai (P)

Department of Internal Medicine, University of Cagliari, Cagliari, Italy.

Valeria Barresi (V)

Department of Diagnostics and Public Health, Section of Anatomical Pathology, University and Hospital Trust of Verona, Verona, Italy.

Rachele Ciccocioppo (R)

Gastroenterology Unit, Department of Medicine, AOUI Policlinico G.B. Rossi, University of Verona, Verona, Italy.

Ombretta Luinetti (O)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Paolo Pedrazzoli (P)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.
Oncology Unit, IRCCS San Matteo Hospital, Pavia, Italy.

Andrea Pietrabissa (A)

Department of Surgery, General Surgery II, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Alessandra Viglio (A)

Anatomic Pathology Unit, Department of Molecular Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Marco Paulli (M)

Anatomic Pathology Unit, Department of Molecular Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Gino R Corazza (GR)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Enrico Solcia (E)

Anatomic Pathology Unit, Department of Molecular Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Alessandro Vanoli (A)

Anatomic Pathology Unit, Department of Molecular Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy.

Antonio Di Sabatino (A)

Department of Internal Medicine, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia, Italy. a.disabatino@smatteo.pv.it.

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