PD-L1 expression and genotype in non-small cell lung cancer (NSCLC).

Authors

null

Sascha Ansen

Department I of Internal Medicine, Center for Integrated Oncology, University Hospital of Cologne, Cologne, Germany

Sascha Ansen , Anne Maria Schultheis , Martin Hellmich , Thomas Zander , Michael Brockmann , Erich Stoelben , Harry J.M. Groen , Wim Timens , Reinhard Buettner , Roman K. Thomas , Sven Perner , Juergen Wolf

Organizations

Department I of Internal Medicine, Center for Integrated Oncology, University Hospital of Cologne, Cologne, Germany, Institute of Pathology, Center for Integrated Oncology, University Hospital of Cologne, Cologne, Germany, Institute of Medical Statistics, Informatics and Epidemiology, University of Cologne, Cologne, Germany, Department I for Internal Center, Center for Integrated Oncology, University Hospital Cologne, Cologne, Germany, Institute for Pathology, Hospital of the City of Cologne, Merheim, University Hospital Witten/Herdecke, Cologne, Germany, Hospital Cologne-Merheim, Lung clinic, University Witten/Herdecke, Cologne, Germany, University of Groningen, University Medical Center Groningen, Groningen, Netherlands, Department of Pathology, University Medical Centre Groningen, Groningen, Netherlands, Institute of Pathology, University Hospital Cologne and Center for Integrated Oncology Köln-Bonn, Cologne, Germany, Institute for Translational Genomics, University Hospital Cologne, Cologne, Germany, Department of Prostate Cancer Research, Institute of Pathology, University Hospital of Bonn, Bonn, Germany, Lung Cancer Group Cologne, Center for Integrated Oncology, University Hospital Cologne, Cologne, Germany

Research Funding

No funding sources reported

Background: Tumor cells expressing programmed cell death 1 ligand (PD-L1) are believed to suppress immune responses through activation of the PD-1/PD-L1 pathway. Recent data indicate that PD-L1 tumor status might be predictive for responses to PD-1- and PD-L1- directed therapies. Methods: PD-L1 expression was evaluated in genomically annotated 259 adenocarcinomas (AD) and 180 squamous cell carcinomas of the lung (SQ) using immunohistochemistry (IHC). Moreover, PD-L1 expression and its correlation with clinical data, histology and genotype were analyzed. Results: Tumors were considered PD-L1 positive if tumor cells showed at least weak membranous staining by IHC. 83 of 259 patients (pts.) with AD were positive for PD-L1 surface expression (=32,0%). The observed staining intensity was weak, intermediate and strong in 38, 33 and 12 cases respectively. 55 of 180 pts. with SQ were PD-L1+(=30,6%). The observed staining intensity was weak, intermediate and strong in 27, 21 and 7 cases respectively. For AD and SQ no significant association between PD-L1 expression and clinical characteristics (gender, smoking history, stage) could be found. PD-L1 expression in AD or SQ was not significantly associated with ALK translocation (n=178; n=138), BRAF mutation (mut.) (n=113; n=98), DDR2 mut. (n=59; n=64), EGFR mut. (n=124; n=101), FGFR2 mut. (n= 117; n=91), HRAS mut. (n=94; n=73), KRAS mut. (SQ, n=101), NFE2L2_exon2 mut. (AD, n=97), NRAS mut. (n=109; n=81), PIK3CA mut. (n=121; n=99), STK11 mut. (SQ, n=101), TP53 mut. (n=124; n=101) or RB1 deletion (SQ, n=109). However, PD-L1 expression in AD is significantly more frequent in KRAS mutated than in KRAS wild-type samples (n=126; p=0,002) and significantly more frequent in samples with deletion of RB1 (n=143; p=0,024). On the contrary, PD-L1 expression in AD is significantly less frequent in samples with STK11 mutations (n=122; p=0,022). Finally, PD-L1 expression in SQ is significantly more frequent in samples with a mutation in exon 2 of NFE2L2 (n=88; p=0,025). Conclusions: PD-L1 expression in the two most common histological NSCLC subtypes is associated with distinct genotypes that might further facilitate identification of pts. most suitable for therapeutic anti PD-1 and anti PD-L1 intervention.

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Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Highlights Session

Session Title

Lung Cancer - Non-small Cell Local-regional/Small Cell/Other Thoracic Cancers

Track

Lung Cancer

Sub Track

Adjuvant Therapy

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr 7517)

DOI

10.1200/jco.2014.32.15_suppl.7517

Abstract #

7517

Poster Bd #

10

Abstract Disclosures

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