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Spatial proximity between T and PD-L1 expressing cells as a prognostic biomarker for oropharyngeal squamous cell carcinoma
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Spatial proximity between T and PD-L1 expressing cells as a prognostic biomarker for oropharyngeal squamous cell carcinoma
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Journal Article
Spatial proximity between T and PD-L1 expressing cells as a prognostic biomarker for oropharyngeal squamous cell carcinoma
2020
Overview
Background
Fulfilling the promise of cancer immunotherapy requires novel predictive biomarkers to characterise the host immune microenvironment. Deciphering the complexity of immune cell interactions requires an automated multiplex approach to histological analysis of tumour sections. We tested a new automatic approach to select tissue and quantify the frequencies of cell-cell spatial interactions occurring in the PD1/PD-L1 pathway, hypothesised to reflect immune escape in oropharyngeal squamous cell carcinoma (OPSCC).
Methods
Single sections of diagnostic biopsies from 72 OPSCC patients were stained using multiplex immunofluorescence (CD8, PD1, PD-L1, CD68). Following multispectral scanning and automated regions-of-interest selection, the Hypothesised Interaction Distribution (HID) method quantified spatial proximity between cells. Method applicability was tested by investigating the prognostic significance of co-localised cells (within 30 μm) in patients stratified by HPV status.
Results
High frequencies of proximal CD8
+
and PD-L1
+
(HR 2.95,
p
= 0.025) and PD1
+
and PD-L1
+
(HR 2.64,
p
= 0.042) cells were prognostic for poor overall survival in patients with HPV negative OPSCC (
n
= 31).
Conclusion
The HID method can quantify spatial interactions considered to reflect immune escape and generate prognostic information in OPSCC. The new automated approach is ready to test in additional cohorts and its applicability should be explored in research and clinical studies.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
/ Biomarkers, Tumor - immunology
/ Biomedical and Life Sciences
/ CD8-Positive T-Lymphocytes - immunology
/ Humans
/ Lymphocytes, Tumor-Infiltrating - immunology
/ Oncology
/ Oropharyngeal Neoplasms - immunology
/ Oropharyngeal Neoplasms - mortality
/ Squamous Cell Carcinoma of Head and Neck - immunology
/ Squamous Cell Carcinoma of Head and Neck - mortality
/ Tumor Microenvironment - immunology
/ Tumors
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