PMID- 35537231 OWN - NLM STAT- MEDLINE DCOM- 20220616 LR - 20220616 IS - 1532-818X (Electronic) IS - 0196-0709 (Linking) VI - 43 IP - 4 DP - 2022 Jul-Aug TI - Association of immune response with overall and disease-free survival in laryngeal squamous cell carcinomas. PG - 103477 LID - S0196-0709(22)00104-1 [pii] LID - 10.1016/j.amjoto.2022.103477 [doi] AB - OBJECTIVES: This study aimed to examine the relationship between checkpoint receptors (PD-1, PD-L1, PD-L2, CTLA-4) and lymphoid infiltration level (TILs) with prognostic features of patients with laryngeal squamous cell carcinoma (LSCC). METHODS: A retrospective study was designed at a tertiary referential university hospital between April 2008 and December 2020. The surgical specimen of the patients who met the eligibility criteria were re-examined histopathological, sociodemographic, clinical, pathological, and follow-up findings of patients were determined. The impact of PD-1, PD-L1, PD-L2, CTLA4, and TILs levels for the presence of cancer recurrence, disease-specific mortality, overall survival (OS), disease-free survival (DFS) was investigated. RESULTS: Forty-five patients with LSCC were included in the study. The mean follow-up period was 48.3 +/- 14.3 months (min: 36, max 84). TILs scores were detected significantly lower in patients with distant metastasis and recurrence (p = 0.046 and 0.010). Also, only TILs was a significant risk factor for recurrence and survival among the PD-1, PD-L1, PD-L2, CTLA-4, and TILs (HR = 0.217 CI: 0.070-0.679, p = 0.009 and HR = 0.566, CI: 0,321-980, p = 0.048). Similarly, for the TILs score: > 1 was significant for DFS. (Long-Rank = 0.009). The examined markers and TILs scores were not a significant predictive factor for OS. CONCLUSION: An increase in TILs density in LSCCs is associated with a better prognosis. However, PD-1, PD-L1, PD-L2, CTLA-4 could not be associated with prognosis. Controlled studies combined with immunotherapy treatment results are needed to reveal their role as a marker and prognostic factor of the anti-tumor immune response. CI - Copyright (c) 2022 Elsevier Inc. All rights reserved. FAU - Bayrak, Asuman Feda AU - Bayrak AF AD - Department of Otorhinolaryngology, Katip Celebi University Ataturk Teaching and Research Hospital, Izmir, Turkey. Electronic address: fedabayrak@gmail.com. FAU - Eliyatkin, Nuket Ozkavruk AU - Eliyatkin NO AD - Department of Pathology, Katip Celebi University Ataturk Teaching and Research Hospital, Izmir, Turkey. FAU - Islek, Akif AU - Islek A AD - Department of Otorhinolaryngology, Acibadem Eskisehir Hospital, Eskisehir, Turkey. FAU - Ozkul, Yilmaz AU - Ozkul Y AD - Department of Otorhinolaryngology, Katip Celebi University Ataturk Teaching and Research Hospital, Izmir, Turkey. FAU - Kilic, Hacer Sena AU - Kilic HS AD - Department of Pathology, Katip Celebi University Ataturk Teaching and Research Hospital, Izmir, Turkey. FAU - Aktas, Safiye AU - Aktas S AD - Department of Basic Oncology, Dokuz Eylul University Institute of Oncology, Izmir, Turkey. LA - eng PT - Journal Article DEP - 20220504 PL - United States TA - Am J Otolaryngol JT - American journal of otolaryngology JID - 8000029 RN - 0 (B7-H1 Antigen) RN - 0 (Biomarkers, Tumor) RN - 0 (CTLA-4 Antigen) RN - 0 (Programmed Cell Death 1 Receptor) SB - IM MH - *B7-H1 Antigen MH - Biomarkers, Tumor MH - CTLA-4 Antigen MH - Disease-Free Survival MH - *Head and Neck Neoplasms/pathology MH - Humans MH - Immunity MH - Lymphocytes, Tumor-Infiltrating/pathology MH - Neoplasm Recurrence, Local/pathology MH - Prognosis MH - Programmed Cell Death 1 Receptor MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck/pathology OTO - NOTNLM OT - Cancer immunotherapy OT - Laryngeal carcinoma OT - PD-L1 OT - Survival OT - TILs EDAT- 2022/05/11 06:00 MHDA- 2022/06/18 06:00 CRDT- 2022/05/10 18:13 PHST- 2022/03/03 00:00 [received] PHST- 2022/04/20 00:00 [revised] PHST- 2022/05/01 00:00 [accepted] PHST- 2022/05/11 06:00 [pubmed] PHST- 2022/06/18 06:00 [medline] PHST- 2022/05/10 18:13 [entrez] AID - S0196-0709(22)00104-1 [pii] AID - 10.1016/j.amjoto.2022.103477 [doi] PST - ppublish SO - Am J Otolaryngol. 2022 Jul-Aug;43(4):103477. doi: 10.1016/j.amjoto.2022.103477. Epub 2022 May 4.