PMID- 31081058 OWN - NLM STAT- MEDLINE DCOM- 20190830 LR - 20200225 IS - 1791-2423 (Electronic) IS - 1019-6439 (Print) IS - 1019-6439 (Linking) VI - 54 IP - 6 DP - 2019 Jun TI - Phospho‑STAT1 expression as a potential biomarker for anti‑PD‑1/anti‑PD‑L1 immunotherapy for breast cancer. PG - 2030-2038 LID - 10.3892/ijo.2019.4779 [doi] AB - In the present study, we evaluated the mechanisms of programmed death ligand 1 (PD‑L1) expression in the breast cancer microenvironment, focusing on the role of interferon‑gamma (IFN‑gamma), and the clinical indications for anti‑programmed cell death 1 (PD‑1) /anti‑PD‑L1 immunotherapy. We evaluated PD‑L1 expression in 4 breast cancer cell lines in the presence of 3 types of inhibitors, as well as IFN‑gamma. The expression of phosphorylated signal transducer and activator of transcription 1 (p‑STAT1), one of the IFN‑gamma signaling pathway molecules, was analyzed using immunohistochemistry (IHC) in relation to PD‑L1 and human leukocyte antigen (HLA) class I expression on cancer cells and tumor‑infiltrating CD8‑positive T cells in 111 patients with stage II/III breast cancer. Using The Cancer Genome Atlas (TCGA) database, the correlation of the IFN‑gamma signature with PD‑L1 expression was analyzed in breast invasive carcinoma tissues. As a result, the JAK/STAT pathway via IFN‑gamma was mainly involved in PD‑L1 expression in the cell lines examined. IHC analysis revealed that the PD‑L1 and HLA class I expression levels were significantly upregulated in the p‑STAT1‑positive cases. TCGA analysis indicated that the PD‑L1 expression and IFN‑gamma signature exhibited a positive correlation. On the whole, these findings suggest that PD‑L1 and HLA class I are co‑expressed in p‑STAT1‑positive breast cancer cells induced by IFN‑gamma secreted from tumor infiltrating immune cells, and that p‑STAT1 expression may be a potential biomarker for patient selection for immunotherapy with anti‑PD‑1/anti‑PD‑L1 monoclonal antibodies. FAU - Nakayama, Yuko AU - Nakayama Y AD - First Department of Surgery, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Mimura, Kosaku AU - Mimura K AD - Department of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine, Fukushima, 960‑1295, Japan. FAU - Tamaki, Tomoaki AU - Tamaki T AD - Department of Radiation Oncology, Fukushima Medical University School of Medicine, Fukushima, 960‑1295, Japan. FAU - Shiraishi, Kensuke AU - Shiraishi K AD - First Department of Surgery, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Kua, Ley-Fang AU - Kua LF AD - National University Cancer Institute, Singapore, National University Health System, Singapore 119228, Republic of Singapore. FAU - Koh, Vivien AU - Koh V AD - National University Cancer Institute, Singapore, National University Health System, Singapore 119228, Republic of Singapore. FAU - Ohmori, Masato AU - Ohmori M AD - First Department of Surgery, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Kimura, Ayako AU - Kimura A AD - First Department of Surgery, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Inoue, Shingo AU - Inoue S AD - First Department of Surgery, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Okayama, Hirokazu AU - Okayama H AD - Department of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine, Fukushima, 960‑1295, Japan. FAU - Suzuki, Yoshiyuki AU - Suzuki Y AD - Department of Radiation Oncology, Fukushima Medical University School of Medicine, Fukushima, 960‑1295, Japan. FAU - Nakazawa, Tadao AU - Nakazawa T AD - Department of Pathology, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Ichikawa, Daisuke AU - Ichikawa D AD - First Department of Surgery, University of Yamanashi, Yamanashi 409‑3898, Japan. FAU - Kono, Koji AU - Kono K AD - Department of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine, Fukushima, 960‑1295, Japan. LA - eng PT - Journal Article DEP - 20190410 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (IFNG protein, human) RN - 0 (STAT1 Transcription Factor) RN - 0 (STAT1 protein, human) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - B7-H1 Antigen/*genetics/*metabolism MH - Breast Neoplasms/drug therapy/genetics/metabolism/*pathology MH - CD8-Positive T-Lymphocytes/immunology MH - Cell Line, Tumor MH - Female MH - Gene Expression Regulation, Neoplastic MH - Histocompatibility Antigens Class I/metabolism MH - Humans MH - Immunotherapy MH - Interferon-gamma/metabolism MH - Lymphocytes, Tumor-Infiltrating/immunology MH - MCF-7 Cells MH - Middle Aged MH - Neoplasm Staging MH - Phosphorylation MH - STAT1 Transcription Factor/*metabolism MH - Tumor Microenvironment MH - *Up-Regulation PMC - PMC6521934 EDAT- 2019/05/14 06:00 MHDA- 2019/08/31 06:00 PMCR- 2019/04/10 CRDT- 2019/05/14 06:00 PHST- 2018/10/05 00:00 [received] PHST- 2019/02/06 00:00 [accepted] PHST- 2019/05/14 06:00 [entrez] PHST- 2019/05/14 06:00 [pubmed] PHST- 2019/08/31 06:00 [medline] PHST- 2019/04/10 00:00 [pmc-release] AID - ijo-54-06-2030 [pii] AID - 10.3892/ijo.2019.4779 [doi] PST - ppublish SO - Int J Oncol. 2019 Jun;54(6):2030-2038. doi: 10.3892/ijo.2019.4779. Epub 2019 Apr 10.