机构:[1]Department of Urology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.四川大学华西医院[2]Institute of Urology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.四川大学华西医院[3]Department of Pathology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.四川大学华西医院[4]Department of Urology, Institute of Urology, West China Hospital, Sichuan University, No. 37 Guoxue Xiang, Chengdu, Sichuan, People’s Republic of China610041.四川大学华西医院
In clinical practice, the detection of biomarkers is mostly based on primary tumors for its convenience in acquisition. However, immune checkpoints may express differently between primary and metastatic tumor. Therefore, we aimed to compare the differential expressions of PD-1, PD-L1 and PD-L2 between the primary and metastatic sites of renal cell carcinoma (RCC).
Patients diagnosed with RCC by resection or fine needle aspiration of metastasis were included. Immunohistochemistry (IHC) was applied to detect PD-1, PD-L1 and PD-L2 expressions. SPSS 22.0 was applied to conduct Chi-square, consistency tests and Cox's proportional hazards regression models. GraphPad Prism 6 was used to plot survival curves and R software was used to calculate Predictive accuracy (PA).
In the whole cohort (N = 163), IHC results suggested a higher detection rate of PD-L1 in the metastasis than that of the primary site (χ2 = 4.66, p = 0.03), with a low consistent rate of 32.5%. Among different metastatic tumors, PD-1 was highly expressed in the lung/lymph node (65.3%) and poorly expressed in the brain (10.5%) and visceral metastases (12.5%). PD-L1 was highly expressed in lung/lymph node (37.5%) and the bone metastases (12.2%) on the contrary. In terms of survival analysis, patients with PD-1 expression either in the primary or metastasis had a shorter overall survival (OS) (HR: 1.59, 95% CI 1.08-2.36, p = 0.02). Also, PD-L1 expression in the primary was associated with a shorter OS (HR 2.55, 95% CI 1.06-6.15, p = 0.04). In the multivariate analysis, the predictive accuracy of the whole model for PFS was increased from 0.683 to 0.699 after adding PD-1.
PD-1, PD-L1 and PD-L2 were differentially expressed between primary and metastatic tumors. Histopathological examination of these immune check points in metastatic lesions of mRCC should be noticed, and its accurate diagnosis may be one of the effective ways to realize the individualized treatment.
基金:
Natural Science Foundation of China (NSFC
81402110 and 81672547), Science and Technology Support Program of
Sichuan Province (2015SZ0230–3) and 1.3.5 project for disciplines of
excellence, West China Hospital, Sichuan University (No.0040205301E21). The funding body had no role in the design of the study and collection, analysis,
and interpretation of data and in writing the manuscript.
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|3 区医学
小类|3 区肿瘤学
最新[2023]版:
大类|2 区医学
小类|3 区肿瘤学
第一作者:
第一作者机构:[1]Department of Urology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.[2]Institute of Urology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Urology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.[2]Institute of Urology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China610041.[4]Department of Urology, Institute of Urology, West China Hospital, Sichuan University, No. 37 Guoxue Xiang, Chengdu, Sichuan, People’s Republic of China610041.
推荐引用方式(GB/T 7714):
Zhang Xingming,Yin Xiaoxue,Zhang Haoran,et al.Differential expressions of PD-1, PD-L1 and PD-L2 between primary and metastatic sites in renal cell carcinoma.[J].BMC cancer.2019,19(1):360.doi:10.1186/s12885-019-5578-4.
APA:
Zhang Xingming,Yin Xiaoxue,Zhang Haoran,Sun Guangxi,Yang Yaojing...&Zeng Hao.(2019).Differential expressions of PD-1, PD-L1 and PD-L2 between primary and metastatic sites in renal cell carcinoma..BMC cancer,19,(1)
MLA:
Zhang Xingming,et al."Differential expressions of PD-1, PD-L1 and PD-L2 between primary and metastatic sites in renal cell carcinoma.".BMC cancer 19..1(2019):360