Soluble PD-L1 and Circulating CD8+PD-1+ and NK Cells Enclose a Prognostic and Predictive Immune Effector Score in Immunotherapy Treated NSCLC patients.


Journal

Lung cancer (Amsterdam, Netherlands)
ISSN: 1872-8332
Titre abrégé: Lung Cancer
Pays: Ireland
ID NLM: 8800805

Informations de publication

Date de publication:
10 2020
Historique:
received: 05 06 2020
revised: 15 07 2020
accepted: 24 07 2020
pubmed: 10 8 2020
medline: 22 6 2021
entrez: 10 8 2020
Statut: ppublish

Résumé

Upfront criteria to foresee immune checkpoint inhibitors (ICIs) efficacy are far from being identified. Thus, we integrated blood descriptors of pro-inflammatory/immunosuppressive or effective anti-tumor response to non-invasively define predictive immune profiles in ICI-treated advanced non-small cell lung cancer (NSCLC). Peripheral blood (PB) was prospectively collected at baseline from 109 consecutive NSCLC patients undergoing ICIs as first or more line treatment. Soluble PD-L1 (sPD-L1) (immunoassay), CD8+PD-1+ and NK (FACS) cells were assessed and interlaced to generate an Immune effector Score (I High sPD-L1 and low CD8+PD-1+ and NK number had negative impact on PFS (P < 0.001), OS (P < 0.01) and ICI-response (P < 0.05). Thus, sPD-L1 Composite risk models based on blood parameters featuring the tumor-host interaction might provide accurate prognostic scores able to predict ICI benefit in NSCLC patients.

Identifiants

pubmed: 32768804
pii: S0169-5002(20)30552-3
doi: 10.1016/j.lungcan.2020.07.028
pii:
doi:

Substances chimiques

B7-H1 Antigen 0
CD274 protein, human 0
Programmed Cell Death 1 Receptor 0

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-11

Informations de copyright

Copyright © 2020. Published by Elsevier B.V.

Auteurs

G Mazzaschi (G)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy; Department of Medicine & Surgery, University of Parma, Italy.

R Minari (R)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy. Electronic address: rominari@ao.pr.it.

A Zecca (A)

Infectious Diseases and Hepatology Unit, Laboratory of Viral Immunopathology, University Hospital of Parma, Italy.

A Cavazzoni (A)

Department of Medicine & Surgery, University of Parma, Italy.

V Ferri (V)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

C Mori (C)

Infectious Diseases and Hepatology Unit, Laboratory of Viral Immunopathology, University Hospital of Parma, Italy.

A Squadrilli (A)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

P Bordi (P)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

S Buti (S)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

M Bersanelli (M)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

A Leonetti (A)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

A Cosenza (A)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

L Ferri (L)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

E Rapacchi (E)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy.

G Missale (G)

Department of Medicine & Surgery, University of Parma, Italy; Infectious Diseases and Hepatology Unit, Laboratory of Viral Immunopathology, University Hospital of Parma, Italy.

P G Petronini (PG)

Department of Medicine & Surgery, University of Parma, Italy.

F Quaini (F)

Department of Medicine & Surgery, University of Parma, Italy.

M Tiseo (M)

Medical Oncology Unit, University Hospital of Parma, Parma, Italy; Department of Medicine & Surgery, University of Parma, Italy.

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Classifications MeSH