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Immunohistochemical expression of PD-L1 in colorectal carcinoma among black patients and the clinicopathological correlates: a cross-sectional study.

作者信息

Menkiti Felix Emeka, Okani Chukwudi Onyeaghana, Onyiaorah Igwebuike Victor, Ukah Cornelius Ozobia, Menkiti Ifeoma Oluchukwu, Ihekwoaba Eric Chukwudi, Okoye Odili Aloysius, Ofiaeli Ogochukwu Chioma, Akpuaka Frank Chinedu

机构信息

Department of Anatomic Pathology and Forensic Medicine, Faculty of Basic Clinical Sciences, Nnamdi Azikiwe University, Awka, Nigeria.

Department of Histopathology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.

出版信息

BMC Gastroenterol. 2025 Apr 20;25(1):277. doi: 10.1186/s12876-025-03862-7.


DOI:10.1186/s12876-025-03862-7
PMID:40254571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12010690/
Abstract

BACKGROUND: Colorectal cancer (CRC) incidence is rising in Nigeria, with majority of patients presenting with advanced disease. Despite promising results of PD-L1 antibody therapy in clinical trials, efficacy data exclusively derives from Caucasian populations, leaving a critical knowledge gap for African populations. This study investigated PD-L1 expression in CRC among blacks, correlating it with clinicopathologic parameters. METHODS: The immunohistochemical expression of PD-L1 was evaluated in 96 cases of CRC diagnosed between February 2022 and January 2024, using formalin-fixed paraffin-embedded (FFPE) tissue blocks. Statistical analysis was performed using SPSS version 25. The relationships between the PD-L1 expression and the clinicopathological parameters of CRC patients were determined using the chi-square test and Spearman's rank correlation. p < 0.05 was considered to be statistically significant. RESULTS: CRC showed a male: female ratio of 1:1.8, most occurred in the seventh decade and 54.17% were right-sided. Adenocarcinoma NOS accounted for 72.5%. The majority (n = 55, 57.3%) of the patients were diagnosed at an advanced stage. PD-L1 expression was observed in 86.46% of cases, significantly correlating with tumour Size (r = 0.263, p = 0.010*), histologic Grade (r = 0.446, p = 0.000*) and tumour Stage (r = 0.367, p = 0.000*). CONCLUSION: This study highlighted the high frequency of PD-L1 expression in CRC among black patients, with significant associations to clinicopathologic parameters. The findings suggest the potential benefit of PD-1/PD-L1 targeted therapies and emphasize the need for enhanced early detection and screening in Nigeria.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/6be607d7a60f/12876_2025_3862_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/639973f05073/12876_2025_3862_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/b955756eafbc/12876_2025_3862_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/830814b85665/12876_2025_3862_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/6be607d7a60f/12876_2025_3862_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/639973f05073/12876_2025_3862_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/b955756eafbc/12876_2025_3862_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/830814b85665/12876_2025_3862_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f1/12010690/6be607d7a60f/12876_2025_3862_Fig4_HTML.jpg

相似文献

[1]
Immunohistochemical expression of PD-L1 in colorectal carcinoma among black patients and the clinicopathological correlates: a cross-sectional study.

BMC Gastroenterol. 2025-4-20

[2]
Immunohistochemistry Expression of Programmed Death-Ligand 1 in Colorectal Carcinoma among Nigerians.

Niger J Clin Pract. 2024-11-1

[3]
Programme death ligand 1 expressions as a surrogate for determining immunotherapy in cervical carcinoma patients.

PLoS One. 2022

[4]
Impact of sidedness of colorectal cancer on tumor immunity.

PLoS One. 2020-10-12

[5]
PD-L1 and ALK expressions in stages III and IV colorectal cancer and their correlation with clinicopathological features.

Medicine (Baltimore). 2025-1-3

[6]
Clinicopathological significance of the expression of PD-L1 in non-small cell lung cancer.

Ann Diagn Pathol. 2021-4

[7]
PD-L1 Expression in Colorectal Carcinoma Correlates with the Immune Microenvironment.

J Gastrointest Cancer. 2024-6

[8]
The Potential of PD-1 and PD-L1 as Prognostic and Predictive Biomarkers in Colorectal Adenocarcinoma Based on TILs Grading.

Curr Oncol. 2024-11-25

[9]
PD-L1 protein expression in tumour cells and immune cells in mismatch repair protein-deficient and -proficient colorectal cancer: the foundation study using the SP142 antibody and whole section immunohistochemistry.

J Clin Pathol. 2018-1

[10]
B7-H3 and PD-L1 Expression Are Prognostic Biomarkers in a Multi-racial Cohort of Patients with Colorectal Cancer.

Clin Colorectal Cancer. 2021-6

本文引用的文献

[1]
Genetic and epigenetic alterations in aging and rejuvenation of human.

Mol Cells. 2024-12

[2]
Immunohistochemical Expression of Programmed Death Ligand- 1 (PD-L1) in Colorectal Carcinoma; A Cross-sectional Study.

Iran J Pathol. 2024

[3]
Racial disparities in metastatic colorectal cancer outcomes revealed by tumor microbiome and transcriptome analysis with bevacizumab treatment.

Front Pharmacol. 2024-1-31

[4]
The expression mechanism of programmed cell death 1 ligand 1 and its role in immunomodulatory ability of mesenchymal stem cells.

Chin J Traumatol. 2024-1

[5]
Exploring the Expression and Prognosis of Mismatch Repair Proteins and PD-L1 in Colorectal Cancer in a Chinese Cohort.

Cancer Manag Res. 2023-8-7

[6]
PD-L1 Expression in Colorectal Carcinoma: A Comparison of 3 Scoring Methods in a Cohort of Jordanian Patients.

Appl Immunohistochem Mol Morphol. 2023-7-1

[7]
Gender-Specific Impact of Sex Hormones on the Immune System.

Int J Mol Sci. 2023-3-27

[8]
PD-L1 and PD-L2 expression in colorectal cancer.

Indian J Pathol Microbiol. 2023

[9]
Genomic landscape of colorectal carcinoma in sub-Saharan Africa.

J Clin Pathol. 2023-1

[10]
Dostarlimab: The miracle drug for the treatment of colorectal cancer.

Ann Med Surg (Lond). 2022-8-27

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