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PD-L1 Expression is Associated with Poor Prognosis in Renal Cell Carcinoma
Örebro University, School of Medical Sciences.ORCID iD: 0000-0002-2850-6009
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Programmed death ligand 1 (PD-L1) is an immunosuppressive membrane protein which, when interacting with its receptor programmed death 1 (PD-1), acts as a negative regulator of the anti-tumor T cell-mediated immune response. Overexpression of PD-L1 in different malignancies such as melanoma and gastric cancer is associated with poor clinical outcomes. The prognostic value of PD-L1 expression in renal cell carcinoma (RCC) has been controversial to some extent. In this study, the prognostic value of PD-L1 expression in RCC was evaluated by analyzing PD-L1 immunoreactivity in tumor cells and tumor infiltrating immune cells (TIICs) in 358 RCC patients with long term follow-up. Since the discrepancy between previous studies may be due to the lack of standardized methodology for evaluating PD-L1 expression by immunohistochemistry, the agreement between two anti-PD-L1 antibody clones, 28.8 and SP142, was also compared. PD-L1 positivity in tumor cells was associated with higher Fuhrman nuclear grade (p<0.001), recurrence (p=0.006), and death due to RCC (p=0.05). PD-L1 positivity in TIICs was associated with higher Fuhrman grade (p<0.001), higher AJCC-stage (p=0.019), and death due to RCC (p=0.001). A multivariate regression analysis revealed a significant positive association of time to cancer-specific death with both PD-L1 positive tumor cells and TIICs (p= 0.014 and p= 0.004, respectively). To conclude, RCC patients with PD-L1 positive tumor cells and TIICs are at significant risk for cancer progression, and the expression of PD-L1 on those cell types may be used as a complementary prognostic factor in the management of RCC patients.

Place, publisher, year, edition, pages
2018.
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:oru:diva-68671OAI: oai:DiVA.org:oru-68671DiVA, id: diva2:1244243
Conference
3rd International Cancer study & Therapy Conference, Rome, Italy, May 2-4, 2018
Available from: 2018-08-31 Created: 2018-08-31 Last updated: 2024-03-04Bibliographically approved

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Davidsson, Sabina

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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