PD-L1 expression associated with Epstein-Barr virus status and patients survival in a large cohort of gastric cancer patients in northern Brazil

Autor: Jersey Heitor da Silva Maués, Rommel Mario Rodriguez Burbano, Paulo Pimentel Assumpção, Igor Brasil Costa, Paulo Cardoso Soares, Claúdia Nazaré de Souza Almeida Titan Martins, Caroline de Fátima Aquino Moreira-Nunes, Isamu Komatsu Lima, Leticia Martins Lamarão, Carolina Rosal Teixeira de Souza, Danielle Feio
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Repositório Digital do Instituto Evandro Chagas (Patuá)
Instituto Evandro Chagas (IEC)
instacron:IEC
Cancers, Vol 13, Iss 3107, p 3107 (2021)
Cancers
Volume 13
Issue 13
Popis: Gastric cancer (GC) is a worldwide health problem, making it one of the most common types of cancer, in fifth place of all tumor types, and the third highest cause of cancer deaths in the world. There is a subgroup of GC that consists of tumors infected with the Epstein–Barr virus (EBV) and is characterized mainly by the overexpression of programmed cell death protein-ligand-1 (PD-L1). In the present study, we present histopathological and survival data of a thousand GC patients, associated with EBV status and PD-L1 expression. Of the thousand tumors analyzed, 190 were EBV-positive and the vast majority (86.8%) had a high relative expression of mRNA and PD-L1 protein (p <
0.0001) in relation to non-neoplastic control. On the other hand, in EBV-negative samples, the majority had a low PD-L1 expression of RNA and protein (p <
0.0001). In the Kaplan–Meier analysis, the probability of survival and increased overall survival of EBV-positive GC patients was impacted by the PD-L1 overexpression (p <
0.0001 and p = 0.004, respectively). However, the PD-L1 low expression was correlated with low overall survival in those patients. Patients with GC positive for EBV, presenting PD-L1 overexpression can benefit from immunotherapy treatments and performing the quantification of PD-L1 in gastric neoplasms should be adopted as routine.
Databáze: OpenAIRE