Division of Clinical Research, The First Hospital of Jilin University, Changchun, China.
Department of Endoscopy Center, China-Japan Union Hospital of Jilin University, Changchun, China.
J Gastroenterol Hepatol. 2019 Jul;34(7):1201-1207. doi: 10.1111/jgh.14520. Epub 2018 Nov 18.
BACKGROUND AND AIM: While the incidence and mortality of gastric cancer (GC) remains high, and prognosis of GC remains poor, molecules in programmed death-1 (PD-1), programmed death-ligand 1 (PD-L1), and programmed death-ligand 2 (PD-L2) pathway are promising prognostic biomarker of GC. The polymorphisms on PD-1, PD-L1, and PD-L2 may be associated with their protein expressions and affect the survival of GC patient. METHODS: Seven hundred fifty-six GC patients who voluntarily supplied blood samples were enrolled in our study. We genotyped nine polymorphisms on PD-1, PD-L1, and PD-L2, then evaluated the association of the single nucleotide polymorphisms with GC prognosis and analyzed the relationship between the PD-1, PD-L1, and PD-L2 single nucleotide polymorphism genotypes and their protein expression. RESULTS: We found that PD-L1 rs822336 CC genotype was independently associated with a better survival of all GC patients and those without postoperative chemotherapy (hazard ratio [HR] = 0.504, 95% confidence interval [CI] = 0.283-0.897 and HR = 0.385, 95% CI = 0.189-0.786). AA+AG genotype of rs2297136 in 3'UTR of the PD-L1 was correlated with the protein expression of PD-L1 protein both in patients overall and those without postoperative chemotherapy (P = 0.013 and P = 0.012). AA+AG genotype of rs2297136 served as an independent factor of better prognosis in patients without postoperative chemotherapy (HR = 0.348, 95% CI = 0.125-0.968). CONCLUSIONS: Overall, PD-L1 polymorphisms and protein expression were associated with the prognosis of patients with GC.
背景与目的:尽管胃癌(GC)的发病率和死亡率仍然很高,且 GC 的预后仍然较差,但程序性死亡受体 1(PD-1)、程序性死亡配体 1(PD-L1)和程序性死亡配体 2(PD-L2)通路中的分子是 GC 的有前途的预后生物标志物。PD-1、PD-L1 和 PD-L2 上的多态性可能与其蛋白表达有关,并影响 GC 患者的生存。
方法:本研究共纳入 756 例自愿提供血液样本的 GC 患者。我们对 PD-1、PD-L1 和 PD-L2 上的 9 个多态性进行了基因分型,然后评估了单核苷酸多态性与 GC 预后的关系,并分析了 PD-1、PD-L1 和 PD-L2 单核苷酸多态性基因型与其蛋白表达之间的关系。
结果:我们发现 PD-L1 rs822336 CC 基因型与所有 GC 患者和未接受术后化疗的患者的生存独立相关(风险比 [HR] = 0.504,95%置信区间 [CI] = 0.283-0.897 和 HR = 0.385,95% CI = 0.189-0.786)。PD-L1 3'UTR 中的 rs2297136 的 AA+AG 基因型与所有患者和未接受术后化疗的患者的 PD-L1 蛋白表达相关(P = 0.013 和 P = 0.012)。rs2297136 的 AA+AG 基因型是未接受术后化疗的患者预后良好的独立因素(HR = 0.348,95% CI = 0.125-0.968)。
结论:总体而言,PD-L1 多态性和蛋白表达与 GC 患者的预后相关。
J Gastroenterol Hepatol. 2018-11-18
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