Melanoma subtypes demonstrate distinct PD-L1 expression profiles

Autor: Robert A. Anders, Meg R. Gerstenblith, Genevieve J. Kaunitz, Evan J. Lipson, Charles G. Eberhart, Sneha Berry, Valliammai Muthappan, Cheryl L. Thompson, Janis M. Taube, Jessica Esandrio, James T. Handa, Alexander H. Fischer, Stefan Kraft, Aleksandra Ogurtsova, Haiying Xu, Kord Honda, Jonathan D. Cuda, Mohammed Lilo, Tricia R. Cottrell
Rok vydání: 2017
Předmět:
Zdroj: Laboratory Investigation. 97:1063-1071
ISSN: 0023-6837
Popis: PD-L1 expression in the tumor immune microenvironment is recognized as both a prognostic and predictive biomarker in patients with cutaneous melanoma, a finding closely related to its adaptive (IFN-γ-mediated) mechanism of expression. Approximately 35% of cutaneous melanomas express PD-L1, however, the expression patterns, levels, and prevalence in rarer melanoma subtypes are not well described. We performed immunohistochemistry for PD-L1 and CD8 on 200 formalin-fixed paraffin-embedded specimens from patients with acral (n = 16), mucosal (n = 36), uveal (n = 103), and chronic sun-damaged (CSD) (n = 45) melanomas (24 lentigo maligna, 13 ‘mixed’ desmoplastic, and 8 ‘pure’ desmoplastic melanomas). CD8+ tumor-infiltrating lymphocyte (TIL) densities were characterized as mild, moderate, or severe, and their geographic association with PD-L1 expression was evaluated. Discrete lymphoid aggregates, the presence of a spindle cell morphology, and the relationship of these features with PD-L1 expression were assessed. PD-L1 expression was observed in 31% of acral melanomas, 44% of mucosal melanomas, 10% of uveal melanomas, and 62% of CSD melanomas (P
Databáze: OpenAIRE