1. Trastuzumab upregulates programmed death ligand-1 expression through interaction with NK cells in gastric cancer
- Author
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Yoshifumi Baba, Masaaki Iwatsuki, Kojiro Eto, Kazuto Harada, Yukiharu Hiyoshi, Junji Kurashige, Shiro Iwagami, Yuji Miyamoto, Hideo Baba, Takatsugu Ishimoto, Jaffer A. Ajani, Kohei Yamashita, Noriko Yasuda-Yoshihara, Naoya Yoshida, Yosuke Nakao, Takeshi Morinaga, and Yohei Nagai
- Subjects
Cancer Research ,Receptor, ErbB-2 ,medicine.medical_treatment ,Cancer immunotherapy ,Cell Communication ,Peripheral blood mononuclear cell ,Article ,B7-H1 Antigen ,Flow cytometry ,Interferon-gamma ,03 medical and health sciences ,Antineoplastic Agents, Immunological ,0302 clinical medicine ,Immune system ,Downregulation and upregulation ,Stomach Neoplasms ,Cell Line, Tumor ,medicine ,Humans ,medicine.diagnostic_test ,Chemistry ,Cancer ,Trastuzumab ,Flow Cytometry ,medicine.disease ,Coculture Techniques ,Up-Regulation ,Killer Cells, Natural ,Oncology ,Cell culture ,Culture Media, Conditioned ,030220 oncology & carcinogenesis ,Leukocytes, Mononuclear ,Cancer research ,Immunohistochemistry ,Gastric cancer - Abstract
Background The predictive significance of programmed death ligand 1 (PD-L1) for programmed death 1 (PD-1) inhibitors remains unclear in gastric cancer (GC) due to the dynamic alteration by treatments. We aimed to elucidate the effects of trastuzumab (Tmab) on PD-L1 expression in GC. Methods PD-L1 expression was evaluated by multicolour flow cytometry analysis after co-culturing GG cell lines and immune cells with Tmab. IFN-γ in the co-culture experiments was quantified. Immunohistochemistry (IHC) for PD-L1 expression using clinical samples was also performed to confirm PD-L1 alteration by Tmab. Results PD-L1 expression was significantly upregulated by Tmab in HER2-amplified GC cell lines co-cultured with peripheral blood mononuclear cells (PBMCs). PD-L1 upregulation by Tmab was also observed in the GC cells co-cultured with NK cells in time-dependent manner, but not with monocytes. IFN-γ concentration in conditioned media from co-cultured PBMCs and NK cells with Tmab was significantly higher and anti-IFN-γ significantly suppress the Tmab-induced PD-L1 upregulation. IHC also suggested PD-L1 upregulation after Tmab treatment. Conclusions Tmab can upregulate PD-L1 expression on GC cells through interaction with NK cells. These results suggest clinical implications in the assessment of the predictive significance of PD-L1 expression for PD-1 inhibitors.
- Published
- 2020
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