Clinicopathological features of program death ligand-1 (PD-L1) expression with tumor-infiltrating lymphocytes (TILs), mismatch repair (MMR) and Epstein-Barr virus (EBV) status in a large cohort of gastric cancer.

Authors

null

Akihito Kawazoe

Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan

Akihito Kawazoe , Takeshi Kuwata , Yasutoshi Kuboki , Kohei Shitara , Akiko Nagatsuma , Takayuki Yoshino , Toshihiko Doi , Atsushi Ohtsu , Atsushi Ochiai

Organizations

Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan, National Cancer Center Hospital East, Kashiwa, Japan, Department of Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa, Japan, National Cancer Center Hospital East, Chiba, Japan

Research Funding

Other

Background: Antibody-based therapies for targeting programmed death 1 (PD-1) or its ligand PD-L1 (anti-PD1/PD-L1 therapies) have shown promising results in gastric cancer (GC). PD-L1 expression on tumor cell membrane and tumor-infiltrating lymphocytes (TILs) has been proposed as predictive biomarkers for anti-PD-1/PD-L1 therapies in several types of malignancies. TCGA has recently reported that PD-L1 gene was frequently amplified in Epstein-Barr virus (EBV)-positive GC. In addition, mismatch-repair deficiency (D-MMR) was associated with better clinical outcomes after anti-PD-1/PD-L1 therapies in solid tumors. However, little is known about clinicopathological features of PD-L1 expression with TILs, MMR and EBV status in a large cohort of GC cases. Methods: We performed a tissue microarray analysis in 487 advanced GC patients who underwent a gastrectomy without preoperative chemotherapy. PD-L1 expression on tumor cell membrane, densities as well as expressions of lymphocyte-associated markers (CD3, CD4, CD8, and FOXP3) of TILs and MMR status were evaluated by immunohistochemistry. EBV status was evaluated by in situ hybridization. Results: PD-L1 expression, D-MMR, and EBV were identified in 22.8, 5.1, and 5.1% of cases, respectively. PD-L1 expression was more frequently observed in elderly (P = 0.002), male (P = 0.029), poorly differentiated adenocarcinoma with solid-type histology (P < 0.001), D-MMR (P < 0.001), and EBV-positive status (P = 0.001). Regarding PD-L1 expression and TILs status, a strong association was observed between PD-L1 expression and high densities of either CD3 (+), CD8 (+), or FOXP3 (+) TILs (P < 0.001). In multivariate analysis, high density of CD8 (+) TILs was significantly associated with better survival (hazard ratio, 0.62; 95% CI, 0.39 to 0.99; P = 0.047), while PD-L1 expression and densities of other subtypes of TILs were not independent prognostic factors. Conclusions: In GC, PD-L1 expression was associated with distinct clinicopathological features including high density of TILs, D-MMR and EBV-positive status, but not a prognostic factor.

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 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Gastrointestinal (Noncolorectal) Cancer

Track

Gastrointestinal Cancer—Gastroesophageal, Pancreatic, and Hepatobiliary

Sub Track

Esophageal or Gastric Cancer

Citation

J Clin Oncol 34, 2016 (suppl; abstr 4053)

DOI

10.1200/JCO.2016.34.15_suppl.4053

Abstract #

4053

Poster Bd #

45

Abstract Disclosures

Similar Abstracts

First Author: Hidekazu Hirano

First Author: Sun Mi Lee

Abstract

2024 ASCO Gastrointestinal Cancers Symposium

Noninvasive assessment of programmed-death ligand-1 (PD-L1) in esophagogastric (EG) cancer using 18F-BMS-986229 PET.

First Author: Samuel Louis Cytryn