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Item Type Journal Article
Title Immunohistochemical evaluation of two antibodies against PD-L1 and prognostic significance of PD-L1 expression in epithelioid peritoneal malignant mesothelioma: A RENAPE study
Creator Valmary-Degano et al.
Author S. Valmary-Degano
Author P. Colpart
Author L. Villeneuve
Author F. Monnien
Author L. M'Hamdi
Author G. Lang Averous
Author M. Capovilla
Author F. Bibeau
Author V. Verriele-Beurrier
Author H. Ben Rejeb
Author P. Dartigues
Author J. Hommell-Fontaine
Author F.-N. Gilly
Author S. Isaac
Author E. Mery
Abstract BACKGROUND: Epithelioid peritoneal malignant mesothelioma (EPMM) is the most common subtype of this aggressive tumor. We compared two antibodies against PD-L1, a recent theranostic biomarker, and evaluated the prognostic value of PD-L1 expression by mesothelial and immune cells in EPMM. METHODS: Immunohistochemistry was performed on 45 EPMM. Clinical and pathological data were extracted from the RENAPE database. Using E1L3N and SP142 clones, inter-observer agreement, PD-L1 expression by mesothelial and immune cells and inter-antibody agreement were evaluated. The prognostic relevance of PD-L1 expression was evaluated in 39 EPMM by univariate and multivariate analysis of overall survival (OS) and progression-free survival (PFS). RESULTS: Inter-observer agreement on E1L3N immunostaining was moderate for mesothelial and immune cells, and fair for mesothelial and poor for immune cells using SP142. Using E1L3N, 31.1% of mesothelial and 15.6% of immune cells expressed PD-L1, and 22.2% of mesothelial and 26.7% of immune cells using SP142. Inter-antibody agreement was moderate. In most positive cases, 1-5% of tumor cells were positive. Using E1L3N, PD-L1 expression by lymphocytes was associated with better OS and PFS by both univariate and multivariate analysis. Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy predicted better prognosis than other treatments. Solid subtype was an independent prognostic factor for worse OS. CONCLUSION: E1L3N appeared easier to use than SP142 to evaluate PD-L1 expression. A minority of EPMM expressed PD-L1, and only a few cells were positive. PD-L1 expression by immune cells evaluated with E1L3N was an independent prognostic factor in EPMM.
Publication European Journal of Surgical Oncology: The Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
Volume 43
Issue 10
Pages 1915-1923
Date Oct 2017
Journal Abbr Eur J Surg Oncol
Language eng
DOI 10.1016/j.ejso.2017.05.009
ISSN 1532-2157
Short Title Immunohistochemical evaluation of two antibodies against PD-L1 and prognostic significance of PD-L1 expression in epithelioid peritoneal malignant mesothelioma
Library Catalog PubMed
Extra PMID: 28619621
Tags Antibodies, Neoplasm, B7-H1 Antigen, Biomarkers, Tumor, clinic, Epithelioid subtype, Female, Follow-Up Studies, France, Humans, Immunity, Cellular, Immunohistochemistry, Lymphocytes, Male, Mesothelioma, Middle Aged, PD-L1, Peritoneal mesothelioma, Peritoneal Neoplasms, Prognosis, Retrospective Studies, Survival, Survival Rate
Date Added 2019/02/21 - 09:37:11
Date Modified 2021/03/05 - 10:44:41
Notes and Attachments PubMed entry (Attachment)


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