PMID- 28602029 OWN - NLM STAT- MEDLINE DCOM- 20180329 LR - 20220317 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 6 IP - 7 DP - 2017 Jul TI - The prognostic impact of programmed cell death ligand 1 and human leukocyte antigen class I in pancreatic cancer. PG - 1614-1626 LID - 10.1002/cam4.1087 [doi] AB - Pancreatic ductal adenocarcinoma (PDA) is associated with an immunosuppressive tumor-microenvironment (TME) that supports the growth of tumors and mediates tumors enabling evasion of the immune system. Expression of programmed cell death ligand 1 (PD-L1) and loss of human leukocyte antigen (HLA) class I on tumor cells are methods by which tumors escape immunosurveillance. We examined immune cell infiltration, the expression of PD-L1 and HLA class I by PDA cells, and the correlation between these immunological factors and clinical prognosis. PDA samples from 36 patients were analyzed for HLA class I, HLA-DR, PD-L1, PD-1, CD4, CD8, CD56, CD68, and FoxP3 expression by immunohistochemistry. The correlations between the expression of HLA class I, HLA-DR, PD-L1 or PD-1 and the pattern of tumor infiltrating immune cells or the patients' prognosis were assessed. PD-L1 expression correlated with tumor infiltration by CD68(+) and FoxP3(+) cells. Low HLA class I expression was an only risk factor for poor survival. PD-L1 negative and HLA class I high-expressing PDA was significantly associated with higher numbers of infiltrating CD8(+) T cells in the TME, and a better prognosis. Evaluation of both PD-L1 and HLA class I expression by PDA may be a good predictor of prognosis for patients. HLA class I expression by tumor cells should be evaluated when selecting PDA patients who may be eligible for treatment with PD-1/PD-L1 immune checkpoint blockade therapies. CI - (c) 2017 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Imai, Daisuke AU - Imai D AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Yoshizumi, Tomoharu AU - Yoshizumi T AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Okano, Shinji AU - Okano S AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. AD - Department of General surgery, Digestive Disease and Surgery institute, Cleveland Clinic, Cleveland, USA. FAU - Uchiyama, Hideaki AU - Uchiyama H AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Ikegami, Toru AU - Ikegami T AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Harimoto, Norifumi AU - Harimoto N AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Itoh, Shinji AU - Itoh S AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Soejima, Yuji AU - Soejima Y AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Aishima, Shinichi AU - Aishima S AD - Department of Pathology and Microbiology, Saga Medical School, Faculty of Medicine, Saga University, Saga, Japan. FAU - Oda, Yoshinao AU - Oda Y AD - Department of Anatomic Pathology, Pathological sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. FAU - Maehara, Yoshihiko AU - Maehara Y AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. LA - eng PT - Journal Article DEP - 20170610 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (B7-H1 Antigen) RN - 0 (Biomarkers) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Aged MH - Aged, 80 and over MH - B7-H1 Antigen/genetics/*metabolism MH - Biomarkers MH - Female MH - Gene Expression MH - Histocompatibility Antigens Class I/genetics/*immunology MH - Humans MH - Immunohistochemistry MH - Lymphocytes, Tumor-Infiltrating/immunology/metabolism MH - Macrophages/immunology/metabolism MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Pancreatic Neoplasms/diagnosis/*immunology/*metabolism/mortality MH - Prognosis MH - Recurrence MH - Survival Analysis MH - Tumor Burden MH - Tumor Microenvironment/genetics/immunology PMC - PMC5504334 OTO - NOTNLM OT - Biomarker OT - human leukocyte antigens class I OT - immunotherapy OT - pancreatic cancer OT - programmed cell death ligand 1 EDAT- 2017/06/12 06:00 MHDA- 2018/03/30 06:00 PMCR- 2017/06/10 CRDT- 2017/06/12 06:00 PHST- 2016/12/28 00:00 [received] PHST- 2017/04/02 00:00 [revised] PHST- 2017/04/04 00:00 [accepted] PHST- 2017/06/12 06:00 [pubmed] PHST- 2018/03/30 06:00 [medline] PHST- 2017/06/12 06:00 [entrez] PHST- 2017/06/10 00:00 [pmc-release] AID - CAM41087 [pii] AID - 10.1002/cam4.1087 [doi] PST - ppublish SO - Cancer Med. 2017 Jul;6(7):1614-1626. doi: 10.1002/cam4.1087. Epub 2017 Jun 10.