PMID- 29147863 OWN - NLM STAT- MEDLINE DCOM- 20190304 LR - 20190304 IS - 1573-7373 (Electronic) IS - 0167-594X (Linking) VI - 136 IP - 3 DP - 2018 Feb TI - Prognostic relevance of programmed cell death ligand 1 expression in glioblastoma. PG - 453-461 LID - 10.1007/s11060-017-2675-6 [doi] AB - The aim of this study was to determine the clinicopathological significance of programmed cell death ligand 1 (PD-L1) expression in glioblastoma (GBM). In a retrospective cohort of 115 consecutive patients with GBM, PD-L1 expression was determined using immunohistochemistry (IHC). Membranous and fibrillary PD-L1 staining of any intensity in > 5% neoplastic cells and tumour infiltrating immune cells (TIIs) was considered positive staining. In addition, isocitrate dehydrogenase-1 (IDH-1) (R132H) expression and cluster of differentiation 3 (CD3)-positive T-cell infiltration were investigated using IHC. O(6)-methylguanine-DNA methyltransferase (MGMT) promoter methylation assay and fluorescence in situ hybridization (FISH) for the assessment of 1p/19q deletion were performed. Expression of PD-L1 in tumour cells and TIIs was found in 37 (32.2%) and 6 (5.2%) patients, respectively. Kaplan-Meier analysis indicated that PD-L1 expression in tumour cells was significantly associated with poor overall survival (OS) (P = 0.017), though multivariate Cox analysis did not confirm this association (hazard ratio 1.204; P = 0.615). PD-L1 expression in TIIs did not correlate with the patient prognosis (P = 0.545). In addition, MGMT methylation and IDH-1 (R132H) expression were associated with a better prognosis (P < 0.001 and P = 0.024, respectively). The expression of PD-L1 was associated with CD3-positive T-cell infiltration (P < 0.001), and IDH-1 wild type status (P = 0.008). A deeper insight into PD-L1 expression could help to ensure the success of future immunotherapy in GBM. Our study suggested that PD-L1 target therapy might be beneficial for PD-L1-expressing GBM patients with a poor prognosis. FAU - Lee, Kyu Sang AU - Lee KS AD - Department of Pathology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. FAU - Lee, Kyoungyul AU - Lee K AD - Department of Pathology, Kangwon National University Hospital, 156 Baengnyeong-ro, Chuncheon-Si, Kangwon-Do, 200-722, Republic of Korea. FAU - Yun, Sumi AU - Yun S AD - Department of Diagnostic Pathology, Samkwang Medical Laboratories, 57, Baumoe-ro 41-gil, Seocho-gu, Seoul, Republic of Korea. FAU - Moon, Seyoung AU - Moon S AD - Department of Pathology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. FAU - Park, Yujun AU - Park Y AD - Department of Pathology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. FAU - Han, Jung Ho AU - Han JH AD - Department of Neurosurgery, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. FAU - Kim, Chae-Yong AU - Kim CY AD - Department of Neurosurgery, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. FAU - Lee, Hye Seung AU - Lee HS AD - Department of Pathology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. FAU - Choe, Gheeyoung AU - Choe G AUID- ORCID: 0000-0001-6547-5603 AD - Department of Pathology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Republic of Korea. gychoe@snu.ac.kr. LA - eng GR - 11-2011-021/Seoul National University Bundang Hospital research fund/ PT - Journal Article DEP - 20171116 PL - United States TA - J Neurooncol JT - Journal of neuro-oncology JID - 8309335 RN - 0 (B7-H1 Antigen) RN - 0 (Biomarkers, Tumor) RN - 0 (CD274 protein, human) RN - 0 (Tumor Suppressor Proteins) RN - EC 2.1.1.- (DNA Modification Methylases) RN - EC 2.1.1.63 (MGMT protein, human) RN - EC 6.5.1.- (DNA Repair Enzymes) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - B7-H1 Antigen/*metabolism MH - Biomarkers, Tumor/metabolism MH - Brain Neoplasms/genetics/*metabolism/mortality/pathology MH - DNA Methylation MH - DNA Modification Methylases/genetics/metabolism MH - DNA Repair Enzymes/genetics/metabolism MH - Follow-Up Studies MH - Glioblastoma/genetics/*metabolism/mortality/pathology MH - Humans MH - Middle Aged MH - Prognosis MH - Promoter Regions, Genetic MH - Retrospective Studies MH - Tumor Suppressor Proteins/genetics/metabolism MH - Young Adult OTO - NOTNLM OT - CD274 OT - Glioblastoma OT - Immunohistochemistry OT - Prognosis OT - Programmed cell death ligand 1 EDAT- 2017/11/18 06:00 MHDA- 2019/03/05 06:00 CRDT- 2017/11/18 06:00 PHST- 2017/07/02 00:00 [received] PHST- 2017/11/11 00:00 [accepted] PHST- 2017/11/18 06:00 [pubmed] PHST- 2019/03/05 06:00 [medline] PHST- 2017/11/18 06:00 [entrez] AID - 10.1007/s11060-017-2675-6 [pii] AID - 10.1007/s11060-017-2675-6 [doi] PST - ppublish SO - J Neurooncol. 2018 Feb;136(3):453-461. doi: 10.1007/s11060-017-2675-6. Epub 2017 Nov 16.