Programmed Death Ligand-1 (PD-L1) Is an Independent Negative Prognosticator in Western-World Gallbladder Cancer.

PD-L1 biomarkers gallbladder cancer gastrointestinal neoplasms immune evasion liver neoplasms programmed cell death ligand-1 tumor

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
02 Apr 2021
Historique:
received: 04 01 2021
revised: 23 03 2021
accepted: 26 03 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

Inhibition of the programmed cell death protein-1/ligand-1 (PD-1/PD-L1) axis has opened a new era in the treatment of solid cancers. However, there is no data on the expression and relevance of PD-L1 in Western gallbladder cancer (GBC). We assessed PD-L1 immunohistochemically in 131 GBC patients as Tumor Proportion Score (TPS), Immune Cell Score (IC) and Combined Positivity Score (CPS). Tumor cells expressed PD-L1 in a subset of 14.7% GBC patients at a TPS cut-off of 1%. Higher PD-L1 levels above 10% and 25% TPS were reached in 4.7% and 3.1% of GBC cases, respectively. At a 10% cut-off, TPS was associated with distinct histomorphological subtypes and correlated with poor tumor differentiation. Survival analysis revealed a TPS above 10% to be a highly significant and independent negative prognosticator in GBC. PD-L1 expression was associated with increased CD4

Identifiants

pubmed: 33918309
pii: cancers13071682
doi: 10.3390/cancers13071682
pmc: PMC8038183
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Thomas Albrecht (T)

Institute of Pathology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.

Fritz Brinkmann (F)

Institute of Pathology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.

Michael Albrecht (M)

European Center for Angioscience (ECAS), Medical Faculty of Mannheim, Heidelberg University, 68167 Mannheim, Germany.

Anke S Lonsdorf (AS)

Department of Dermatology, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Arianeb Mehrabi (A)

Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.
Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Katrin Hoffmann (K)

Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.
Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Yakup Kulu (Y)

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Alphonse Charbel (A)

Institute of Pathology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.

Monika N Vogel (MN)

Diagnostic and Interventional Radiology, Thoraxklinik at Heidelberg University Hospital, 69126 Heidelberg, Germany.

Christian Rupp (C)

Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.
Department of Internal Medicine IV, Gastroenterology and Hepatology, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Bruno Köhler (B)

Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.
National Center for Tumor Diseases, Department of Medical Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Christoph Springfeld (C)

Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.
National Center for Tumor Diseases, Department of Medical Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Peter Schirmacher (P)

Institute of Pathology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.

Stephanie Roessler (S)

Institute of Pathology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.

Benjamin Goeppert (B)

Institute of Pathology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Liver Cancer Center Heidelberg (LCCH), 69120 Heidelberg, Germany.

Classifications MeSH