Low Expression of Programmed Death 1 (PD-1), PD-1 Ligand 1 (PD-L1), and Low CD8+ T Lymphocyte Infiltration Identify a Subgroup of Patients With Gastric and Esophageal Adenocarcinoma With Severe Prognosis Article Swipe
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· 2020
· Open Access
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· DOI: https://doi.org/10.3389/fmed.2020.00144
Prognosis of gastric and esophageal cancer is poor and treatment improvements are needed. Programmed cell death 1 receptor (PD-1) interaction with its ligand PD-L1 in tumor micro-environment promotes immune tolerance and blocking monoclonal antibodies have entered clinical practice. However, clinical significance of PD-1 and PD-L1 expression in gastric and esophageal adenocarcinomas, particularly in non-Asian patients, is still unclear. Three tissue microarrays including 190 clinically annotated esophageal (n = 31) and gastric (n = 159) adenocarcinomas and 58 paired mucosa specimens, were stained with PD-1, PD-L1, and CD8-specific reagents in indirect immunohistochemistry assays. PD-L1 expression was detectable in 23.2% of cancer specimens. High PD-1 expression was detectable in 37.3% of cases and high CD8+ infiltration in 76%. PD-L1 and high PD1 expression significantly correlated with each other (r s = 0.404, P < 0.0001) and both significantly correlated with CD8+ infiltration (r s = 0.435, P = 0.0003, and r s = 0.444; P = 0.0004, respectively). CD8+ lymphocyte infiltration correlated with improved survival in univariate (P = 0.009), but not multivariate analysis. Most interestingly, multivariate analysis and Kaplan-Meier curves indicate that combined low PD-1/PD-L1 expression and low CD8+ lymphocyte infiltration significantly correlate with poor prognosis. Our data document the clinical significance of a microenvironmental signature including PD-1/PD-L1 expression and CD8+ lymphocyte infiltration in gastric and esophageal adenocarcinomas and contribute to identify a patients' subset requiring more aggressive peri-operative treatments.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fmed.2020.00144
- https://www.frontiersin.org/articles/10.3389/fmed.2020.00144/pdf
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W3021168337Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fmed.2020.00144Digital Object Identifier
- Title
-
Low Expression of Programmed Death 1 (PD-1), PD-1 Ligand 1 (PD-L1), and Low CD8+ T Lymphocyte Infiltration Identify a Subgroup of Patients With Gastric and Esophageal Adenocarcinoma With Severe PrognosisWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-04-28Full publication date if available
- Authors
-
Silvio Däster, Serenella Eppenberger‐Castori, Valentina Mele, Hannah M. Schäfer, L. Schmid, Benjamin Weixler, Savas D. Soysal, Raoul A. Droeser, Giulio C. Spagnoli, Christoph Kettelhack, Daniel Oertli, Luigi Terracciano, Luigi Tornillo, Urs von HolzenList of authors in order
- Landing page
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https://doi.org/10.3389/fmed.2020.00144Publisher landing page
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https://www.frontiersin.org/articles/10.3389/fmed.2020.00144/pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fmed.2020.00144/pdfDirect OA link when available
- Concepts
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Infiltration (HVAC), CD8, Esophageal adenocarcinoma, PD-L1, Lymphocyte, Medicine, Tumor-infiltrating lymphocytes, Adenocarcinoma, Pathology, Cancer research, Immune system, Internal medicine, Immunology, Immunotherapy, Cancer, Materials science, Composite materialTop concepts (fields/topics) attached by OpenAlex
- Cited by
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16Total citation count in OpenAlex
- Citations by year (recent)
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2023: 6, 2022: 7, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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50Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.tumor | 25 |
| abstract_inverted_index.(PD-1) | 18 |
| abstract_inverted_index.0.404, | 129 |
| abstract_inverted_index.0.435, | 143 |
| abstract_inverted_index.0.444; | 151 |
| abstract_inverted_index.PD-L1, | 84 |
| abstract_inverted_index.cancer | 5, 99 |
| abstract_inverted_index.curves | 178 |
| abstract_inverted_index.immune | 28 |
| abstract_inverted_index.ligand | 22 |
| abstract_inverted_index.mucosa | 78 |
| abstract_inverted_index.paired | 77 |
| abstract_inverted_index.subset | 223 |
| abstract_inverted_index.tissue | 59 |
| abstract_inverted_index.0.0001) | 132 |
| abstract_inverted_index.0.0003, | 146 |
| abstract_inverted_index.0.0004, | 154 |
| abstract_inverted_index.0.009), | 167 |
| abstract_inverted_index.assays. | 91 |
| abstract_inverted_index.entered | 35 |
| abstract_inverted_index.gastric | 2, 47, 70, 213 |
| abstract_inverted_index.needed. | 12 |
| abstract_inverted_index.stained | 81 |
| abstract_inverted_index.<i>P</i> | 130, 144, 152 |
| abstract_inverted_index.<i>r</i> | 148 |
| abstract_inverted_index.However, | 38 |
| abstract_inverted_index.analysis | 175 |
| abstract_inverted_index.blocking | 31 |
| abstract_inverted_index.clinical | 36, 39, 199 |
| abstract_inverted_index.combined | 181 |
| abstract_inverted_index.document | 197 |
| abstract_inverted_index.identify | 220 |
| abstract_inverted_index.improved | 161 |
| abstract_inverted_index.indicate | 179 |
| abstract_inverted_index.indirect | 89 |
| abstract_inverted_index.promotes | 27 |
| abstract_inverted_index.reagents | 87 |
| abstract_inverted_index.receptor | 17 |
| abstract_inverted_index.survival | 162 |
| abstract_inverted_index.unclear. | 57 |
| abstract_inverted_index.(<i>P</i> | 165 |
| abstract_inverted_index.(<i>n</i> | 66, 71 |
| abstract_inverted_index.(<i>r</i> | 126, 140 |
| abstract_inverted_index.Prognosis | 0 |
| abstract_inverted_index.analysis. | 171 |
| abstract_inverted_index.annotated | 64 |
| abstract_inverted_index.correlate | 191 |
| abstract_inverted_index.including | 61, 205 |
| abstract_inverted_index.non-Asian | 53 |
| abstract_inverted_index.patients' | 222 |
| abstract_inverted_index.patients, | 54 |
| abstract_inverted_index.practice. | 37 |
| abstract_inverted_index.requiring | 224 |
| abstract_inverted_index.signature | 204 |
| abstract_inverted_index.tolerance | 29 |
| abstract_inverted_index.treatment | 9 |
| abstract_inverted_index.PD-1/PD-L1 | 183, 206 |
| abstract_inverted_index.Programmed | 13 |
| abstract_inverted_index.aggressive | 226 |
| abstract_inverted_index.antibodies | 33 |
| abstract_inverted_index.clinically | 63 |
| abstract_inverted_index.contribute | 218 |
| abstract_inverted_index.correlated | 122, 136, 159 |
| abstract_inverted_index.detectable | 95, 105 |
| abstract_inverted_index.esophageal | 4, 49, 65, 215 |
| abstract_inverted_index.expression | 45, 93, 103, 120, 184, 207 |
| abstract_inverted_index.lymphocyte | 157, 188, 210 |
| abstract_inverted_index.monoclonal | 32 |
| abstract_inverted_index.prognosis. | 194 |
| abstract_inverted_index.specimens, | 79 |
| abstract_inverted_index.specimens. | 100 |
| abstract_inverted_index.univariate | 164 |
| abstract_inverted_index.interaction | 19 |
| abstract_inverted_index.microarrays | 60 |
| abstract_inverted_index.treatments. | 228 |
| abstract_inverted_index.<sub>s</sub> | 127, 141, 149 |
| abstract_inverted_index.CD8-specific | 86 |
| abstract_inverted_index.Kaplan-Meier | 177 |
| abstract_inverted_index.improvements | 10 |
| abstract_inverted_index.infiltration | 113, 139, 158, 189, 211 |
| abstract_inverted_index.multivariate | 170, 174 |
| abstract_inverted_index.particularly | 51 |
| abstract_inverted_index.significance | 40, 200 |
| abstract_inverted_index.significantly | 121, 135, 190 |
| abstract_inverted_index.interestingly, | 173 |
| abstract_inverted_index.peri-operative | 227 |
| abstract_inverted_index.respectively). | 155 |
| abstract_inverted_index.adenocarcinomas | 74, 216 |
| abstract_inverted_index.adenocarcinomas, | 50 |
| abstract_inverted_index.micro-environment | 26 |
| abstract_inverted_index.microenvironmental | 203 |
| abstract_inverted_index.immunohistochemistry | 90 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5025479665 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 14 |
| corresponding_institution_ids | https://openalex.org/I2802542264 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.49000000953674316 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.8369564 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |