PD-1/PD-L1 expression profiles within intrahepatic cholangiocarcinoma predict clinical outcome.

PD-1/PD-L1 expression profiles within intrahepatic cholangiocarcinoma predict clinical outcome.
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肝内胆管癌中的 PD-1/PD-L1 表达谱可预测临床结果

DOI:
10.1186/s12957-020-02082-5
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发表时间:
2020-11-23
影响因子:
3.2
通讯作者:
Wang X
Wang X
中科院分区:
医学3区
文献类型:
--
作者:
Tian L;Ma J;Ma L;Zheng B;Liu L;Song D;Wang Y;Zhang Z;Gao Q;Song K;Wang X

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已观察到靶向程序性细胞死亡蛋白-1(PD-1)/程序性细胞死亡蛋白配体1(PD-L1)途径的免疫疗法在几种实体瘤中有效。我们的目的是探讨PD-1/PD-L1表达谱在肝内胆管细胞癌(ICC)中的预后意义。我们使用基于酪胺信号放大(TSA)的多重免疫组织化学研究了322例ICC患者配对肿瘤和邻近正常组织中PD-1、PD-L1、CD 8 + T细胞和CD 68+巨噬细胞的表达。我们发现肿瘤浸润的CD 8 + PD-1+ T细胞中高比例的CD 8 + PD-1High与晚期TNM分期显著相关(P = 0.035)。CD 8 + PD-1+中CD 8 + PD-1High比例高的ICC患者术后生存率低于低比例患者(P = 0.0037),是影响OS的独立预后因素(P = 0.025)。CD 68 + PD-L1+细胞密度与CD 8 + PD-1High细胞密度呈显著正相关(P < 0.0001,r = 0.5927)。CD 68 + ICC中CD 68 + PD-L1+的比例是OS和TTR的危险因素,但不是预后的独立因素。CD 68 + PD-L1+巨噬细胞和CD 8 + PD-1High T细胞可能协同抑制抗肿瘤免疫。CD 68 + PD-L1+巨噬细胞和CD 8 + PD-1High T细胞预示着ICC预后不良,也可能为ICC的免疫靶向治疗带来新的进展。在线版本包含补充材料,可通过10.1186/s12957-020-02082-5获得。
Immunotherapy targeting the programmed cell death protein-1 (PD-1)/programmed cell death protein ligand 1 (PD-L1) pathway has been observed to be efficient in several solid tumors. We aim to investigate the prognostic significance of PD-1/PD-L1 expression profile in intrahepatic cholangiocarcinoma (ICC). We investigated the expression of PD-1, PD-L1, CD8+ T cells, and CD68+ macrophages in paired tumor and adjacent normal tissues from 322 ICC patients using tyramide signal amplification (TSA)-based multiplexed immunohistochemistry. We found that high proportion of tumor-infiltrating CD8+ PD-1High within CD8+ PD-1+ T cells significantly correlated with advanced TNM stage (P = 0.035). ICC patients with high proportion of CD8+ PD-1High in CD8+ PD-1+ had worse postoperative survival than low proportion patients (P = 0.0037), which was an independently prognostic factor for OS (P = 0.025,). The density of CD68+ PD-L1+ significantly and positively correlated with the density of CD8+ PD-1High (P < 0.0001, r = 0.5927). The proportion of CD68+ PD-L1+ within CD68+ ICC was the risk factor for OS and TTR but not an independently factor for prognosis. The CD68+ PD-L1+ macrophages and CD8+ PD-1High T cells may cooperatively play a role in inhibiting anti-tumor immunity. CD68+ PD-L1+ macrophages and CD8+ PD-1High T cells predict unfavorable prognosis, which could also bring new progress about immune target therapy in ICC research. The online version contains supplementary material available at 10.1186/s12957-020-02082-5.
DOI: 10.1038/s41416-018-0144-4
发表时间: 2018-07
影响因子: 8.8
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Liu CQ;Xu J;Zhou ZG;Jin LL;Yu XJ;Xiao G;Lin J;Zhuang SM;Zhang YJ;Zheng L
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发表时间: 2012-03-22
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