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Soluble PD-L1 Expression in Circulation as a Predictive Marker for Recurrence and Prognosis in Gastric Cancer: Direct Comparison of the Clinical Burden Between Tissue and Serum PD-L1 Expression
by
Ide, Shozo
, Ohi, Masaki
, Yoshiyama, Shigeyuki
, Kusunoki, Masato
, Toiyama, Yuji
, Shigemori, Tsunehiko
, Hiro, Junichiro
, Yasuda, Hiromi
, Ichikawa, Takashi
, Fujikawa, Hiroyuki
, Yin, Chengzeng
, Narumi, Aya
, Araki, Toshimitsu
, Yamamoto, Akira
, Okugawa, Yoshinaga
, Shimura, Tadanobu
in
Apoptosis
/ CD8 antigen
/ Cell death
/ Enzyme-linked immunosorbent assay
/ Foxp3 protein
/ Gastric cancer
/ Guanylate cyclase
/ Immunohistochemistry
/ Lymph nodes
/ Lymphocytes T
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Metastases
/ Metastasis
/ Mucosa
/ Oncology
/ PD-L1 protein
/ Peritoneum
/ Prognosis
/ Surgery
/ Surgical Oncology
/ Translational Research and Biomarkers
2019
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Soluble PD-L1 Expression in Circulation as a Predictive Marker for Recurrence and Prognosis in Gastric Cancer: Direct Comparison of the Clinical Burden Between Tissue and Serum PD-L1 Expression
by
Ide, Shozo
, Ohi, Masaki
, Yoshiyama, Shigeyuki
, Kusunoki, Masato
, Toiyama, Yuji
, Shigemori, Tsunehiko
, Hiro, Junichiro
, Yasuda, Hiromi
, Ichikawa, Takashi
, Fujikawa, Hiroyuki
, Yin, Chengzeng
, Narumi, Aya
, Araki, Toshimitsu
, Yamamoto, Akira
, Okugawa, Yoshinaga
, Shimura, Tadanobu
in
Apoptosis
/ CD8 antigen
/ Cell death
/ Enzyme-linked immunosorbent assay
/ Foxp3 protein
/ Gastric cancer
/ Guanylate cyclase
/ Immunohistochemistry
/ Lymph nodes
/ Lymphocytes T
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Metastases
/ Metastasis
/ Mucosa
/ Oncology
/ PD-L1 protein
/ Peritoneum
/ Prognosis
/ Surgery
/ Surgical Oncology
/ Translational Research and Biomarkers
2019
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Soluble PD-L1 Expression in Circulation as a Predictive Marker for Recurrence and Prognosis in Gastric Cancer: Direct Comparison of the Clinical Burden Between Tissue and Serum PD-L1 Expression
by
Ide, Shozo
, Ohi, Masaki
, Yoshiyama, Shigeyuki
, Kusunoki, Masato
, Toiyama, Yuji
, Shigemori, Tsunehiko
, Hiro, Junichiro
, Yasuda, Hiromi
, Ichikawa, Takashi
, Fujikawa, Hiroyuki
, Yin, Chengzeng
, Narumi, Aya
, Araki, Toshimitsu
, Yamamoto, Akira
, Okugawa, Yoshinaga
, Shimura, Tadanobu
in
Apoptosis
/ CD8 antigen
/ Cell death
/ Enzyme-linked immunosorbent assay
/ Foxp3 protein
/ Gastric cancer
/ Guanylate cyclase
/ Immunohistochemistry
/ Lymph nodes
/ Lymphocytes T
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Metastases
/ Metastasis
/ Mucosa
/ Oncology
/ PD-L1 protein
/ Peritoneum
/ Prognosis
/ Surgery
/ Surgical Oncology
/ Translational Research and Biomarkers
2019
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Soluble PD-L1 Expression in Circulation as a Predictive Marker for Recurrence and Prognosis in Gastric Cancer: Direct Comparison of the Clinical Burden Between Tissue and Serum PD-L1 Expression
Journal Article
Soluble PD-L1 Expression in Circulation as a Predictive Marker for Recurrence and Prognosis in Gastric Cancer: Direct Comparison of the Clinical Burden Between Tissue and Serum PD-L1 Expression
2019
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Overview
Background
This study assessed programmed cell death ligand 1 (PD-L1) expression in primary tissues and soluble PD-L1 (sPD-L1) concentration in matched preoperative serum in gastric cancer (GC) patients to perform direct comparison between tissue and serum PD-L1 expression and to clarify the prognostic implication in GC.
Methods
The study enrolled 180 GC patients who underwent surgery for GC at the authors’ institution. The study evaluated tissue PD-L1 expression using immunohistochemistry and quantified sPD-L1 concentration in preoperative serum using enzyme-linked immunosorbent assay in GC patients.
Results
The findings showed that PD-L1 was overexpressed in GC tissues compared with normal mucosa. Tissue PD-L1 expression was significantly higher in the GC patients with advanced T stage, presence of lympho-vascular invasion, lymph node metastasis, and peritoneal metastasis. Furthermore, elevated tissue PD-L1 expression was significantly associated with poor prognosis for overall survival (OS) and disease-free survival (DFS). Serum sPD-L1 was significantly higher in the GC patients than in the healthy volunteers. Although serum sPD-L1 was not correlated with any clinicopathologic factors, the patients with high serum sPD-L1 showed poorer OS and DFS than those with low sPD-L1. Multivariate analyses showed that both elevated tissue PD-L1 and serum sPD-L1 were independent prognostic factors for poor OS [tissue PD-L1: hazard ratio (HR), 4.28; 95% confidence interval (CI), 1.43–12.8;
P
= 0.0094 vs. serum sPD-L1: HR, 11.2; 95% CI, 3.44–36.7;
P
= 0.0001] and poor DFS (tissue PD-L1: HR, 6.96; 95% CI, 2.48–19.6;
P
= 0.0002 vs. serum sPD-L1: HR, 8.7; 95% CI, 3.16–23.9;
P
< 0.0001) for the GC patients. Furthermore, infiltrative CD8- and Foxp3-positive T cells were significantly increased in the GC patients with elevated tissue PD-L1 expression.
Conclusion
Both serum sPD-L1 and tissue PD-L1 expression may serve as predictive biomarkers for recurrence and prognosis in GC patients.
Publisher
Springer International Publishing,Springer Nature B.V
Subject
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