PMID- 32108600 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 0970-2113 (Print) IS - 0974-598X (Electronic) IS - 0970-2113 (Linking) VI - 37 IP - 2 DP - 2020 Mar-Apr TI - Correlation of programmed death-ligand 1 expression with gene expression and clinicopathological parameters in Indian patients with non-small cell lung cancer. PG - 145-150 LID - 10.4103/lungindia.lungindia_488_19 [doi] AB - OBJECTIVES: The aim of this study is to evaluate the incidence of programmed cell death-ligand 1 (PD-L1) expression in non-small cell lung cancer (NSCLC) cases and its correlation with gene mutation and clinicopathological parameters. METHODS: Samples from NSCLCs patients were studied for PD-L1 expression through immunohistochemistry (IHC) using Rabbit anti-human PDL-1/CD274 Monoclonal Antibody. Genetic mutations were studied using IHC/fluorescence in situ hybridization (FISH) methods (for anaplastic lymphoma kinase [ALK]) or polymerase chain reaction/gene sequencing analysis (for epidermal growth factor receptor [EGFR]). Pearson's correlation coefficient (r) was used for correlation analysis. PD-L1 expression was analyzed for association with clinicopathological features. RESULTS: Of the 101 NSCLC cases, PD-L1 expression was observed in 33.66% (34/101) cases; tumor proportion score of <50%: 67.65% (23/34) and >/=50%: 32.35% (11/34) cases. PD-L1 positivity was seen in; males: 35.5%, females: 28%, smokers: 37.7%, cases with brain metastasis: 20%, cases with pleural effusion: 20.8%, and histopathological evaluation (well-differentiated: 21.42%, moderately-differentiated: 13.79%, poorly-differentiated: 36.11%, and adenosquamous disease: 40.9%). Genetic mutation studies revealed PD-L1 positivity in 18.1% cases with EGFR mutation, 50% of ALK-IHC positive cases, and 33.3% ALK-FISH positive cases. No or very weak correlation (r < 0.3) in PD-L1 expression with gene mutations or clinicopathological parameters was observed. CONCLUSIONS: The study demonstrated PD-L1 expression in ~ 1/3(rd) cases of NSCLC patients. No or very weak correlation was observed for PD-L1 expression with genetic mutations and other parameters studied. The presence of gene mutations in PD-L1 expressed samples suggests further investigation on PD-L1 inhibitors in such patients for decisive treatments. FAU - Kumar, Manish AU - Kumar M AD - Department of Medical Oncology, Army Hospital Research and Referral, New Delhi, India. FAU - Guleria, Bhupesh AU - Guleria B AD - Department of Medical Oncology, Army Hospital Research and Referral, New Delhi, India. FAU - Swamy, Shivashankar AU - Swamy S AD - Department of Medical Oncology, Army Hospital Research and Referral, New Delhi, India. FAU - Soni, Sneha AU - Soni S AD - Assistant Professor, Community Medicine, Rama Medical College, Hapur, Uttar Pradesh, India. LA - eng PT - Journal Article PL - India TA - Lung India JT - Lung India : official organ of Indian Chest Society JID - 8405380 PMC - PMC7065552 OTO - NOTNLM OT - Anaplastic lymphoma kinase OT - clinicopathological OT - epidermal growth factor receptor OT - non-small cell lung cancer OT - programmed cell death-ligand 1 COIS- None EDAT- 2020/02/29 06:00 MHDA- 2020/02/29 06:01 PMCR- 2020/03/01 CRDT- 2020/02/29 06:00 PHST- 2020/02/29 06:00 [entrez] PHST- 2020/02/29 06:00 [pubmed] PHST- 2020/02/29 06:01 [medline] PHST- 2020/03/01 00:00 [pmc-release] AID - LungIndia_2020_37_2_145_279584 [pii] AID - LI-37-145 [pii] AID - 10.4103/lungindia.lungindia_488_19 [doi] PST - ppublish SO - Lung India. 2020 Mar-Apr;37(2):145-150. doi: 10.4103/lungindia.lungindia_488_19.