Next generation sequencing of PD-L1 for predicting response to immune checkpoint inhibitors

Autor: Lorenzo Galluzzi, Sean T. Glenn, Vincent Giamo, Alexander C. Mackinnon, Jeffrey M. Conroy, Sarabjot Pabla, Jeffrey M. Clarke, Matthew Labriola, Maya Khalil, Isabel Araujo-Fernandez, Carl Morrison, Jonathan Andreas, Rajbir Singh, Blake Burgher, Roger Day, Daniel J. George, Yirong Wang, Laura J. Tafe, Katherine G. Madden, Jason Zhu, Keisuke Shirai, Konstantin H. Dragnev, Mary Nesline, Neel Shah, Robin Jacob, Matthew Zibelman, Felicia L. Lenzo, Shannon J. McCall, Luis de la Cruz-Merino, Arun K Singavi, Antonios Papanicolau-Sengos, Daniele Marin, Pooja Ghatalia, Grace K. Dy, Ben George, Deepa Kasuganti, Wiam Bshara, Tian Zhang, Mark Gardner, Jonathan Thompson
Přispěvatelé: OmniSeq
Rok vydání: 2019
Předmět:
Zdroj: Journal for Immunotherapy of Cancer
Journal for ImmunoTherapy of Cancer, Vol 7, Iss 1, Pp 1-11 (2019)
Digital.CSIC. Repositorio Institucional del CSIC
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Popis: [Background] PD-L1 immunohistochemistry (IHC) has been traditionally used for predicting clinical responses to immune checkpoint inhibitors (ICIs). However, there are at least 4 different assays and antibodies used for PD-L1 IHC, each developed with a different ICI. We set to test if next generation RNA sequencing (RNA-seq) is a robust method to determine PD-L1 mRNA expression levels and furthermore, efficacy of predicting response to ICIs as compared to routinely used, standardized IHC procedures.
[Methods] A total of 209 cancer patients treated on-label by FDA-approved ICIs, with evaluable responses were assessed for PD-L1 expression by RNA-seq and IHC, based on tumor proportion score (TPS) and immune cell staining (ICS). A subset of serially diluted cases was evaluated for RNA-seq assay performance across a broad range of PD-L1 expression levels.
[Results] Assessment of PD-L1 mRNA levels by RNA-seq demonstrated robust linearity across high and low expression ranges. PD-L1 mRNA levels assessed by RNA-seq and IHC (TPS and ICS) were highly correlated (p
[Conclusions] Measurement of PD-L1 mRNA expression by RNA-seq is comparable to PD-L1 expression by IHC both analytically and clinically in predicting ICI response. RNA-seq has the added advantages of being amenable to standardization and avoidance of interpretation bias. PD-L1 by RNA-seq needs to be validated in future prospective ICI clinical studies across multiple histologies.
This research was funded by OmniSeq, Inc. (Buffalo, NY).
Databáze: OpenAIRE