PMID- 29190949 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210103 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 54 DP - 2017 Nov 3 TI - Association between PD-L1 expression combined with tumor-infiltrating lymphocytes and the prognosis of patients with advanced hypopharyngeal squamous cell carcinoma. PG - 92699-92714 LID - 10.18632/oncotarget.21564 [doi] AB - Limited information is available regarding the immune-related prognostic factors of patients with advanced hypopharyngeal squamous cell carcinoma (HPSCC). The expression of programmed cell death-ligand 1 (PD-L1) in tumor cells contributes to a mechanism that allows cancer cells to escape immune surveillance. We investigated whether PD-L1 or human leukocyte antigen (HLA) class I expression in tumor cells and the tumor-infiltrating lymphocyte (TIL) density were associated with the tumor response to neoadjuvant chemotherapy (NAC) and survival in patients with advanced HPSCC. We retrospectively reviewed 83 consecutive patients with stage III or IV HPSCC who received NAC. We evaluated PD-L1 and HLA class I expression and TIL density using immunohistochemistry. Univariate and multivariate analyses demonstrated that CD8(+) TIL density was an independent and significant predictive factor for the response to NAC, progression-free survival (PFS) and overall survival (OS), whereas PD-L1 or HLA class I expression did not significantly correlate. The subgroup analysis revealed that a higher CD8(+) TIL density without detectable PD-L1 expression tended to be associated with longer patient survival. These results suggest that PD-L1 expression levels combined with CD8(+) TIL density may serve as a predictive biomarker for patients with stage III or IV HPSCC receiving NAC. FAU - Ono, Takeharu AU - Ono T AD - Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan. FAU - Azuma, Koichi AU - Azuma K AD - Division of Respirology, Neurology, and Rheumatology, Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan. FAU - Kawahara, Akihiko AU - Kawahara A AD - Department of Diagnostic Pathology, Kurume University Hospital, Kurume, Japan. FAU - Sasada, Tetsuro AU - Sasada T AD - Cancer Vaccine Center, Kanagawa Cancer Center Research Institute, Yokohama, Japan. FAU - Hattori, Satoshi AU - Hattori S AD - Biostatistics Center, Kurume University School of Medicine, Kurume, Japan. FAU - Sato, Fumihiko AU - Sato F AD - Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan. FAU - Shin, Buichiro AU - Shin B AD - Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan. FAU - Chitose, Shun-Ich AU - Chitose SI AD - Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan. FAU - Akiba, Jun AU - Akiba J AD - Department of Diagnostic Pathology, Kurume University Hospital, Kurume, Japan. FAU - Hirohito, Umeno AU - Hirohito U AD - Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan. LA - eng PT - Journal Article DEP - 20171006 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5696215 OTO - NOTNLM OT - CD8+ TILs OT - PD-L1 OT - hypopharyngeal squamous cell carcinoma OT - immunohistochemistry OT - neoadjuvant chemotherapy COIS- CONFLICTS OF INTEREST The authors declare that there are no conflicts of interest. EDAT- 2017/12/02 06:00 MHDA- 2017/12/02 06:01 PMCR- 2017/11/03 CRDT- 2017/12/02 06:00 PHST- 2017/03/24 00:00 [received] PHST- 2017/09/05 00:00 [accepted] PHST- 2017/12/02 06:00 [entrez] PHST- 2017/12/02 06:00 [pubmed] PHST- 2017/12/02 06:01 [medline] PHST- 2017/11/03 00:00 [pmc-release] AID - 21564 [pii] AID - 10.18632/oncotarget.21564 [doi] PST - epublish SO - Oncotarget. 2017 Oct 6;8(54):92699-92714. doi: 10.18632/oncotarget.21564. eCollection 2017 Nov 3.