Oncoimmunology. 2015 Feb 03;4(5):e1002729. doi: 10.1080/2162402X.2014.1002729. eCollection 2015 May.
PDL1 expression is an independent prognostic factor in localized GIST.
Oncoimmunology
François Bertucci, Pascal Finetti, Emilie Mamessier, Maria Abbondanza Pantaleo, Annalisa Astolfi, Jerzy Ostrowski, Daniel Birnbaum
Affiliations
Affiliations
- Department of Molecular Oncology; Institut Paoli-Calmettes; Centre de Recherche en Cancérologie de Marseille ; UMR1068 Inserm; Marseille, France ; Aix-Marseille University ; Marseille, France ; French Sarcoma Group ; Lyon, France.
- Department of Molecular Oncology; Institut Paoli-Calmettes; Centre de Recherche en Cancérologie de Marseille ; UMR1068 Inserm; Marseille, France.
- Department of Specialized, Experimental and Diagnostic Medicine; Sant'Orsola-Malpighi Hospital ; Bologna, Italy.
- Giorgio Prodi Cancer Research Center; University of Bologna ; Bologna, Italy.
- Department of Gastroenterology and Hepatology; Cancer Center-Institute and Medical Center of Postgraduate Education ; Warsaw, Poland.
PMID: 26155391
PMCID: PMC4485716 DOI: 10.1080/2162402X.2014.1002729
Abstract
Gastrointestinal stromal tumors (GIST) are the most frequently occurring digestive sarcomas. The prognosis of localized GIST is heterogeneous, notably for patients with an Armed Forces Institute of Pathology (AFIP) intermediate or high risk of relapse. Despite imatinib effectiveness, it is crucial to develop therapies able to overcome the resistance mechanisms. The immune system represents an attractive prognostic and therapeutic target. The Programmed cell Death 1 (PD1)/programmed cell death ligand 1 (PDL1) pathway is a key inhibitor of the immune response; recently, anti-PD1 and anti-PDL1 drugs showed very promising results in patients with solid tumors. However, PDL1 expression has never been studied in GIST. Our objective was to analyze PDL1 expression in a large series of clinical samples. We analyzed mRNA expression data of 139 operated imatinib-untreated localized GIST profiled using DNA microarrays and searched for correlations with histoclinical features including postoperative metastatic relapse.
Keywords: AFIP, Armed Forces Institute of Pathology; DNA microarray; FDR, false discovery rate; GEO, gene expression omnibus; GES, gene expression signatures; GIST; GIST, gastrointestinal stromal tumors; GO, gene ontology; IHC, immunohistochemistry; ISH, in situ hybridization; MFS, metastasis-free survival; MHC, major histocompatibility complex; NCBI, National Center for Biotechnology Information; NK cells, natural killer cells; PCA, principal component analysis; PD1, programmed cell death 1; PDGFRA, platelet-derived growth factor receptor α; PDL1; PDL1, programmed cell death ligand 1; REMARK, REcommendations for tumor MARKer; RMA, robust multichip average; ROC, receiver operating characteristic; TILs, tumor-infiltrating lymphocytes; Treg, regulatory T cells; WT, wild type; gene expression; immune response; prognosis; qRT-PCR, quantitative reverse transcription-polymerase chain reaction
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