Title |
Cellular localization of PD-L1 expression in mismatch-repair-deficient and proficient colorectal carcinomas
|
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Published in |
Modern Pathology, August 2018
|
DOI | 10.1038/s41379-018-0114-7 |
Pubmed ID | |
Authors |
Sandy Liu, Mithat Gӧnen, Zsofia K. Stadler, Martin R. Weiser, Jaclyn F. Hechtman, Efsevia Vakiani, Tao Wang, Monika Vyas, Upasana Joneja, Moataz Al-Bayati, Neil H. Segal, J. Joshua Smith, Sarah King, Shanna Guercio, Peter Ntiamoah, Arnold J. Markowitz, Liying Zhang, Andrea Cercek, Julio Garcia-Aguilar, Leonard B. Saltz, Luis A. Diaz, David S. Klimstra, Jinru Shia |
Abstract |
Blockade of the interaction between PD-1 and its ligands PD-L1 has shown clinical efficacy across several tumor types, especially in mismatch-repair-deficient colorectal carcinoma. The aim of this study was to examine the pattern and cellular localization of PD-L1 expression in the different molecular subtypes of mismatch-repair-deficient colorectal cancers vs. their mismatch-repair-proficient counterparts. PD-L1/SATB2 double-antibody-immunohistochemistry was utilized to distinguish tumor cell from immune cell staining. We observed in our series of 129 colorectal adenocarcinomas that PD-L1 expression occurred primarily in tumor-associated-immune cells and most prominently at the tumor-stroma-interface of the invasive front. The level of invasive front immune cell staining was significantly higher in mismatch-repair-deficient tumors compared to mismatch-repair-proficient tumors (p < 0.001), but no difference was observed among the different subtypes of mismatch-repair-deficient tumors: Lynch syndrome-associated vs. MLH1-methylated vs. unexplained. While selected mismatch-repair-proficient tumors exhibited unusually high tumor-infiltrating-lymphocytes and had high level immune cell PD-L1 expression, a positive correlation between PD-L1 expression and high lymphocyte count was detected only in mismatch-repair-deficient tumors (r = 0.39, p < 0.001) and not in mismatch-repair-proficient tumors. Notably, true tumor cell PD-L1 expression in colorectal carcinoma was rare, present in only 3 of 129 tumors (2.3%): 2 MLH1-methylated and 1 mismatch-repair-proficient with high tumor-infiltrating-lymphocytes; and the staining in the tumor cells in all 3 was diffuse (>=50% of the tumor). These findings may serve to inform further efforts aiming to evaluate PD-L1 immunohistochemistry vis-à-vis molecular sub-classification as predictive biomarkers in the treatment of colorectal carcinoma. |
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Readers by professional status | Count | As % |
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Student > Bachelor | 6 | 14% |
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Unspecified | 1 | 2% |
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Unknown | 12 | 27% |