Prognostic significance of programmed death-ligand 1 (PD-L1) expression on tumor infiltrating immune cells (IC) in patients with stage IIIb colorectal cancer.

Authors

null

Shigehiro Koganemaru

Department of Medical Oncology, Toranomon Hospital, Tokyo, Japan

Shigehiro Koganemaru , Naoko Inoshita , Yuji Miura , Yudai Fukui , Yukinori Ozaki , Kenji Tomizawa , Yutaka Hanaoka , Shigeo Toda , Koichi Suyama , Yuko Tanabe , Jin Moriyama , Takeshi Fujii , Shuichiro Matoba , Hiroya Kuroyanagi , Toshimi Takano

Organizations

Department of Medical Oncology, Toranomon Hospital, Tokyo, Japan, Department of Pathology, Toranomon Hospital, Tokyo, Japan, Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan

Research Funding

No funding sources reported

Background: Programmed death 1 (PD-1)/ PD-L1 pathway is a negative feedback mechanism that suppresses the activity of T cells. Some previous studies showed that positive PD-L1 expression on tumor cells (TC) was poor prognostic factor in patients with colorectal cancer; however, recent studies suggest that IC also play important roles to determine the prognosis in cancer patients. The aim of this study is to investigate the association of clinical and pathological features with PD-L1 expression on TC and IC. Methods: We retrospectively reviewed data of consecutive patients with stage IIIb colorectal cancer (Japanese classification of colorectal carcinoma The 8th Edition), who underwent surgery and received adjuvant chemotherapy in our institution between January 2009 and July 2012. PD-L1 expression was evaluated by immunohistochemistry (IHC) on TC and IC. Specimens were scored as IHC low (L) or high (H), if < 5% or ≥ 5% of cells were PD-L1 positive, respectively. Results: Seventy-four patients were included in this analysis. Median age was 61 years (range 32-84). Thirty-one (41.9%) and 43 (58.1%) patients received fluoropyrimidine and fluoropyrimidine combined with oxaliplatin as adjuvant chemotherapy, respectively. The median follow-up time was 51.3 months (range 4.6-75.9). The number of patients with PD-L1 expression on TC/IC (H/H, H/L, L/H, and L/L) were 0, 12, 11, and 51, respectively. The median disease-free survival (DFS) in patients with high and low PD-L1 expression on TC were 29.9 months and “not reached”, respectively (hazard ratio [HR] 2.02; 95% confidence interval [CI], 0.85-4.30; P = 0.11). The median DFS in patients with high and low PD-L1 expression on IC were “not reached” and 55.1 months, respectively (HR 0.29; 95%CI, 0.05-0.95; P = 0.04). Conclusions: Although high PD-L1 expression on TC is associated with poor prognosis, high PD-L1 expression on IC positively affects the survival in patients with stage IIIb colorectal cancer.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2016 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Translational Research

Citation

J Clin Oncol 34, 2016 (suppl 4S; abstr 611)

DOI

10.1200/jco.2016.34.4_suppl.611

Abstract #

611

Poster Bd #

F16

Abstract Disclosures

Similar Abstracts

Abstract

2022 ASCO Genitourinary Cancers Symposium

Analysis of disease-free survival in CheckMate 274 by PD-L1 combined positive score and tumor proportion score.

First Author: Matt D. Galsky

First Author: Richard S.P. Huang

First Author: Huangbin Lu

First Author: Hidekazu Hirano