1. Programmed death ligand-1 (PD-L1) expression in meningioma; prognostic significance and its association with hypoxia and NFKB2 expression.
- Author
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Karimi S, Mansouri S, Mamatjan Y, Liu J, Nassiri F, Suppiah S, Singh O, Aldape K, and Zadeh G
- Subjects
- Adult, Aged, Aged, 80 and over, Biomarkers, Tumor metabolism, Disease Progression, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local pathology, Prognosis, Antigens, Neoplasm biosynthesis, B7-H1 Antigen biosynthesis, Carbonic Anhydrase IX biosynthesis, Cell Hypoxia physiology, Meningeal Neoplasms pathology, Meningioma pathology, NF-kappa B p52 Subunit biosynthesis
- Abstract
Management of clinically aggressive meningiomas is a considerable challenge. PD-L1 induced immune suppression has increasingly gained attention in clinical management of cancer; however, to date, the clinical significance and regulatory mechanisms of PD-L1 in meningioma is not yet fully characterized. We sought to characterize PD-L1 expression in meningioma and elucidate its regulatory mechanisms. Immunohistochemical staining of PD-L1 expression in meningiomas showed 43% positivity in both tumor and immune cells and we observed intra and inter tumoral heterogeneity. Univariate and multivariate analyses confirmed that PD-L1 protein expression is an independent prognostic marker for worse recurrence free survival in meningioma. Furthermore, our transcriptomic analysis revealed a strong association between PD-L1 expression and that of NFKB2 and carbonic anhydrase 9 (CA9). We also demonstrated that both of these markers, when co-expressed with PD-L1, predict tumor progression. Our studies on several meningioma cell lines cultured in hypoxic conditions validated the association of CA9 and PD-L1 expression. Here we show the clinical significance of PD-L1 in meningioma as a marker that can predict tumor recurrence. We also show an association PD-L1 expression with NFKB2 expression and its induction under hypoxic conditions. These findings may open new avenues of molecular investigation in pathogenesis of meningioma.
- Published
- 2020
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