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PD-L1 expression in lung adenosquamous carcinomas compared with the more common variants of non-small cell lung cancer.


ABSTRACT: Lung adenosquamous cell carcinomas (ASCs) is a rare variant of NSCLC with a poorer prognosis and fewer treatment option than the more common variants. PD-L1 expression is reported to be the predictor of clinical response in trials of NSCLC. In our study, PD-L1 expression was evaluated via immunohistochemistry using a specific monoclonal antibody (SP263), and PD-L1 mRNA expression was evaluated via in situ hybridization. This study included 51 ASCs, 133 lung adenocarcinomas, and 83 lung squamous cell carcinomas (SCC). Similar results were obtained for PD-L1 expression measured at the mRNA and protein level (k coefficient, 0.851, P?=?1.000). PD-L1 expression was significantly higher in the squamous versus glandular component of the 36 ASCs in which the components were analyzed separately. The PD-L1 expression rate was similar in the squamous cell component of ASCs and lung SCC (38.89% vs. 28.92%, P?=?0.293), so does the adenocarcinoma component of ASCs and lung adenocarcinomas (11.11% vs 13.53%, P?=?1.000). PD-L1 expression correlated significantly with lymphovascular invasion (P?=?0.016), but not with EGFR, KRAS, and ALK mutations in lung ASCs. Anit-PD-L1 is a promising treatment option in lung ASC cases in which PD-L1 upregulated and EGFR mutations are present.

SUBMITTER: Shi X 

PROVIDER: S-EPMC5384250 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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PD-L1 expression in lung adenosquamous carcinomas compared with the more common variants of non-small cell lung cancer.

Shi Xiaohua X   Wu Shafei S   Sun Jian J   Liu Yuanyuan Y   Zeng Xuan X   Liang Zhiyong Z  

Scientific reports 20170407


Lung adenosquamous cell carcinomas (ASCs) is a rare variant of NSCLC with a poorer prognosis and fewer treatment option than the more common variants. PD-L1 expression is reported to be the predictor of clinical response in trials of NSCLC. In our study, PD-L1 expression was evaluated via immunohistochemistry using a specific monoclonal antibody (SP263), and PD-L1 mRNA expression was evaluated via in situ hybridization. This study included 51 ASCs, 133 lung adenocarcinomas, and 83 lung squamous  ...[more]

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