Department of Experimental Medicine, Section of Anatomic Pathology and Histology, Medical School, University of Perugia, Perugia, Italy.
Department of Experimental Medicine, University of Perugia, Perugia, Italy.
Virchows Arch. 2019 Feb;474(2):159-168. doi: 10.1007/s00428-018-2483-1. Epub 2018 Nov 17.
Several cancers, especially non-small cell lung cancer (NSCLC), are able to escape the immunosurveillance of tumor-infiltrating lymphocytes (TILs); among the molecules involved, the indoleamine 2,3-dioxygenase 1 (IDO-1) and the programmed cell death ligand-1 (PD-L1) play a crucial role. These aspects are of great interest in the current immunotherapeutic era, therefore the current study analyses the TILs, IDO-1, and PD-L1 interactions and their correlations with clinicopathological parameters and prognosis in NSCLC. One hundred ninety-three NSCLC surgical specimens, formalin-fixed, and paraffin-embedded were assessed for TILs density, TILs localization, IDO-1 (clone 4.16H1), and PD-L1 (clone E1L3N) immunohistochemical expressions. This data was correlated with clinicopathological parameters, disease free, and overall survivals. IDO-1 and PD-L1 high expressions were related to the solid pattern of adenocarcinomas (respectively p = 0.036 and p = 0.026); high PD-L1 expression was correlated with squamous histotype (p = 0.048). IDO-1 overexpression correlated with former smokers (p = 0.041), higher adenocarcinoma stages (p = 0.039), and with both higher TILs density and PD-L1 expression (respectively p = 0.025 and p = 0.0003). A better prognosis was associated with TILs intratumoral or mixed localizations (p = 0.029). TILs localization affects NSCLC prognosis; the higher expression of IDO-1 and PD-L1 in poorly differentiated and more aggressive lung adenocarcinomas, as well as the correlation between high PD-L1 expression and squamous cell histotype, confirm the more efficient immunoescaping of these NSCLC subgroups.
几种癌症,尤其是非小细胞肺癌(NSCLC),能够逃避肿瘤浸润淋巴细胞(TILs)的免疫监视;其中涉及的分子包括吲哚胺 2,3-双加氧酶 1(IDO-1)和程序性细胞死亡配体-1(PD-L1)。在当前的免疫治疗时代,这些方面非常重要,因此本研究分析了 NSCLC 中 TILs、IDO-1 和 PD-L1 的相互作用及其与临床病理参数和预后的相关性。评估了 193 例福尔马林固定、石蜡包埋的 NSCLC 手术标本的 TILs 密度、TILs 定位、IDO-1(克隆 4.16H1)和 PD-L1(克隆 E1L3N)免疫组织化学表达。将这些数据与临床病理参数、无病和总生存率相关联。IDO-1 和 PD-L1 的高表达与腺癌的实性模式有关(分别为 p=0.036 和 p=0.026);PD-L1 高表达与鳞癌组织类型相关(p=0.048)。IDO-1 过表达与曾经吸烟者相关(p=0.041),腺癌分期较高(p=0.039),以及 TILs 密度和 PD-L1 表达较高(分别为 p=0.025 和 p=0.0003)。更好的预后与 TILs 的肿瘤内或混合定位相关(p=0.029)。TILs 的定位影响 NSCLC 的预后;在分化较差和侵袭性较强的肺腺癌中 IDO-1 和 PD-L1 的高表达,以及 PD-L1 高表达与鳞状细胞组织类型之间的相关性,证实了这些 NSCLC 亚组的免疫逃避更为有效。
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