PMID- 35081690 OWN - NLM STAT- MEDLINE DCOM- 20220802 LR - 20221018 IS - 1592-8721 (Electronic) IS - 0390-6078 (Print) IS - 0390-6078 (Linking) VI - 107 IP - 8 DP - 2022 Aug 1 TI - Programmed cell death ligand 1 expression in aggressive pediatric non-Hodgkin lymphomas: frequency, genetic mechanisms, and clinical significance. PG - 1880-1890 LID - 10.3324/haematol.2021.280342 [doi] AB - Programmed cell death 1 (PD-1) and programmed cell death ligand 1 (PD-L1) are immunomodulatory molecules overexpressed in lymphomas and are promising immunotherapy targets for hematologic malignancies. However, studies of PD-1/PD-L1 overexpression and their clinical significance in aggressive pediatric non-Hodgkin lymphomas (NHL) are limited. We assessed PD-1/PD-L1 overexpression using immunohistochemistry in 68 aggressive pediatric NHL: ALK-positive anaplastic large cell lymphoma (ALK+ ALCL, n=8), Burkitt lymphoma (BL, n=27), and large B-cell lymphoma (LBCL) de novo LBCL, n=22 and diffuse LBCL arising as monomorphic post-transplant lymphoproliferative disorder [PTLD-DLBCL], n=11. In LBCL, correlations between PD-L1 overexpression and Epstein-Barr virus (EBV) status, cell of origin, stage, nodal status, overall survival (OS), and event-free survival (EFS) were examined. The genetic mechanisms of PD-L1 overexpression were investigated using targeted next-generation sequencing (NGS) and cytogenetic data. All ALK+ ALCL samples, 50.0% of de novo LBCL (11/22), 72.7% of PTLD-DLBCL (8/11), and no BL overexpressed PD-L1. Overexpressed PD-L1 correlated with EBV positivity (P=0.033) in LBCL and lower EFS in de novo LBCL (P=0.017). NGS of select LBCL revealed distinct somatic mutations and an ultra-hypermutated PTLD-DLBCL. Most cases with 9p24.1 copy gains overexpressed PD-L1 although some cases had no discernible genetic drivers of PD-L1 overexpression. Overexpressed PD-L1 is common in pediatric LBCL, associated with EBV positivity and 9p24.1 gains, and may have prognostic significance in de novo LBCL. Furthermore, diverse molecular mechanisms for PD-L1 overexpression in aggressive pediatric NHL can occur. Thus, additional studies exploring the therapeutic and prognostic significance and molecular mechanisms of PD-L1 overexpression in aggressive pediatric NHL are warranted. FAU - Fisher, Kevin E AU - Fisher KE AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA; Department of Pathology, Texas Children's Hospital, Houston, Texas. kevin.fisher@bcm.edu. FAU - Ferguson, Lizmery S AU - Ferguson LS AD - Department of Pathology, Texas Children's Hospital, Houston, Texas. FAU - Coffey, Amy M AU - Coffey AM AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA; Department of Pathology, Texas Children's Hospital, Houston, Texas, USA; Clinical Pathology Associates, Austin, Texas. FAU - Merritt, Brian Y AU - Merritt BY AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas. FAU - Curry, Jonathan L AU - Curry JL AD - Department of Pathology and Translational Molecular Pathology, Division of Pathology and Laboratory Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, Texas. FAU - Marcogliese, Andrea N AU - Marcogliese AN AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA; Department of Pathology, Texas Children's Hospital, Houston, Texas. FAU - Major, Angela M AU - Major AM AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas. FAU - Kamdar, Kala Y AU - Kamdar KY AD - Department of Pediatrics, Baylor College of Medicine, Texas Children's Cancer and Hematology Centers, Houston, Texas. FAU - Lopez-Terrada, Dolores H AU - Lopez-Terrada DH AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA; Department of Pathology, Texas Children's Hospital, Houston, Texas, USA; Department of Pediatrics, Baylor College of Medicine, Texas Children's Cancer and Hematology Centers, Houston, Texas. FAU - Curry, Choladda V AU - Curry CV AD - Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas, USA; Department of Pathology, Texas Children's Hospital, Houston, Texas. ccurry@bcm.edu. LA - eng PT - Journal Article DEP - 20220801 PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (B7-H1 Antigen) RN - 0 (Ligands) RN - 0 (Programmed Cell Death 1 Receptor) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Apoptosis MH - B7-H1 Antigen/genetics/metabolism MH - Child MH - *Epstein-Barr Virus Infections/complications/genetics MH - Herpesvirus 4, Human MH - Humans MH - Ligands MH - *Lymphoma, Large B-Cell, Diffuse/genetics MH - *Lymphoma, Large-Cell, Anaplastic MH - Programmed Cell Death 1 Receptor/metabolism MH - Receptor Protein-Tyrosine Kinases PMC - PMC9335100 EDAT- 2022/01/28 06:00 MHDA- 2022/08/03 06:00 PMCR- 2022/01/27 CRDT- 2022/01/27 02:31 PHST- 2021/11/12 00:00 [received] PHST- 2022/01/28 06:00 [pubmed] PHST- 2022/08/03 06:00 [medline] PHST- 2022/01/27 02:31 [entrez] PHST- 2022/01/27 00:00 [pmc-release] AID - 10.3324/haematol.2021.280342 [doi] PST - epublish SO - Haematologica. 2022 Aug 1;107(8):1880-1890. doi: 10.3324/haematol.2021.280342.