1. The PD-L1/PD-1 axis expression on tumor-infiltrating immune cells and tumor cells in pediatric rhabdomyosarcoma.
- Author
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Gabrych A, Pęksa R, Kunc M, Krawczyk M, Izycka-Swieszewska E, Biernat W, and Bień E
- Subjects
- Adolescent, Age of Onset, Antibody Specificity, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Neoplasm Staging, Predictive Value of Tests, Progression-Free Survival, Rhabdomyosarcoma mortality, Rhabdomyosarcoma pathology, Rhabdomyosarcoma therapy, Time Factors, B7-H1 Antigen analysis, Biomarkers, Tumor analysis, Immunohistochemistry, Programmed Cell Death 1 Receptor analysis, Rhabdomyosarcoma immunology
- Abstract
Background: Activation of immune checkpoints, e.g. PD-1/PD-L1 axis, in cancer microenvironment, enables evasion of host anti-cancer immune response and drives tumor progression. To date, there have been only a few studies analyzing PD-1/PD-L1 expression in pediatric malignancies., Aim: In the current study, we aimed to assess PD-L1 and PD-1 expression in pediatric rhabdomyosarcoma (RMS) and to investigate their clinicopathological associations., Materials and Methods: The study enrolled 31 children with RMS. Tissue microarrays with representative tumor tissue samples were stained with anti-PD-1 NAT105 clone (Ventana, Roche) and two different antibodies against PD-L1: SP142 (Ventana, Roche) and 22C3 (DAKO). Adequate positive controls were applied. Their expression was assessed in tumor-associated immune cells (TAICs) and in the tumor cells separately., Results: We did not detect any positive PD-L1 staining in analyzed tumors using SP142 antibody; however, in 11 cases (35.48%) its expression was revealed by means of 22C3 clone. The staining was restricted to TAICs in all cases, which no reaction in tumor cells. The 5-year relapse free survival (RFS) rate was significantly higher in PD-L1 positive cases (61.5% vs 25.0%, p = 0.024), but it most likely results from more frequent PD-L1 expression in low-stage RMS. PD-1 expression on TAICs was detected in 7 cases and did not influence the prognosis., Conclusions: We found that PD-L1 expression on TAICs, as detected with the use of 22C3 clone but not SP142 antibody, tends to be associated with low-stage RMS in children. PD-1 expression on TAICs in RMS is neither associated with distinct clinical course nor with clinicopathological features., (Copyright © 2019 The Authors. Published by Elsevier GmbH.. All rights reserved.)
- Published
- 2019
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