PMID- 30475455 OWN - NLM STAT- MEDLINE DCOM- 20190823 LR - 20200309 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 10 IP - 1 DP - 2019 Jan TI - PD-L1 expression in ROS1-rearranged non-small cell lung cancer: A study using simultaneous genotypic screening of EGFR, ALK, and ROS1. PG - 103-110 LID - 10.1111/1759-7714.12917 [doi] AB - BACKGROUND: The aim of the current study was to investigate the prevalence and clinicopathologic characteristics of ROS1-rearranged non-small cell lung cancer (NSCLC) in routine genotypic screening in conjunction with the study of PD-L1 expression, a biomarker for first-line treatment decisions. METHODS: Reflex simultaneous genotypic screening for EGFR by peptide nucleic acid clamping, and ALK and ROS1 by fluorescence in situ hybridization (FISH) was performed on consecutive NSCLC cases at the time of initial pathologic diagnosis. We evaluated genetic aberrations, clinicopathologic characteristics, and PD-L1 tumor proportion score (TPS) using a PD-L1 22C3 assay kit. RESULTS: In 407 consecutive NSCLC patients, simultaneous genotyping identified 14 (3.4%) ROS1 and 19 (4.7%) ALK rearrangements, as well as 106 (26%) EGFR mutations. These mutations were mutually exclusive and were found in patients with similar clinical features, including younger age, a prevalence in women, adenocarcinoma, and advanced stage. The PD-L1 assay was performed on 130 consecutive NSCLC samples. High PD-L1 expression (TPS >/= 50%) was observed in 29 (22.3%) tumors. PD-L1 expression (TPS >/= 1%) was significantly associated with wild type EGFR, while ROS1 rearrangement was associated with high PD-L1 expression. Of the 14 cases with ROS1 rearrangement, 12 (85.7%) showed PD-L1 expression and 5 (35.7%) showed high PD-L1 expression. CONCLUSION: In the largest consecutive routine Asian NSCLC cohort analyzed to date, we found that high PD-L1 expression frequently overlapped with ROS1 rearrangement, while it negatively correlated with EGFR mutations. CI - (c) 2018 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Lee, Jongmin AU - Lee J AD - Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Park, Chan Kwon AU - Park CK AD - Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Yoon, Hyoung-Kyu AU - Yoon HK AD - Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Sa, Young Jo AU - Sa YJ AD - Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Woo, In Sook AU - Woo IS AD - Division of Hematology-Oncology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Kim, Hyo Rim AU - Kim HR AD - Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Kim, Sue Youn AU - Kim SY AD - Department of Hospital Pathology, Yeouido St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea. FAU - Kim, Tae-Jung AU - Kim TJ AUID- ORCID: 0000-0003-3140-3681 AD - Department of Hospital Pathology, Yeouido St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181126 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 RN - 0 (B7-H1 Antigen) RN - 0 (Biomarkers, Tumor) RN - 0 (CD274 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) MH - Adult MH - Aged MH - Anaplastic Lymphoma Kinase/genetics MH - B7-H1 Antigen/*genetics MH - Biomarkers, Tumor/genetics MH - Carcinoma, Non-Small-Cell Lung/diagnosis/*genetics/pathology MH - Early Detection of Cancer MH - ErbB Receptors/genetics MH - Female MH - Gene Expression Regulation, Neoplastic MH - Gene Rearrangement/genetics MH - Genotype MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Mutation MH - Protein-Tyrosine Kinases/*genetics MH - Proto-Oncogene Proteins/*genetics PMC - PMC6312846 OTO - NOTNLM OT - Biomarker OT - epidermal growth factor receptor OT - human ROS1 protein OT - non-small cell lung carcinoma OT - programmed death 1 ligand 1 EDAT- 2018/11/27 06:00 MHDA- 2019/08/24 06:00 PMCR- 2019/01/01 CRDT- 2018/11/27 06:00 PHST- 2018/09/18 00:00 [received] PHST- 2018/10/21 00:00 [revised] PHST- 2018/10/21 00:00 [accepted] PHST- 2018/11/27 06:00 [pubmed] PHST- 2019/08/24 06:00 [medline] PHST- 2018/11/27 06:00 [entrez] PHST- 2019/01/01 00:00 [pmc-release] AID - TCA12917 [pii] AID - 10.1111/1759-7714.12917 [doi] PST - ppublish SO - Thorac Cancer. 2019 Jan;10(1):103-110. doi: 10.1111/1759-7714.12917. Epub 2018 Nov 26.