PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection

Abstract Immune checkpoint inhibitors (ICI) have demonstrated efficacy in the treatment of solid cancers. However, there is no unified predictive biomarker available for ICIs. We aimed to compare the prognostic impact of using three PD-L1 antibodies (SP142, SP263, and 22C3) for immunohistochemical (...

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Autores principales: Yoon Jin Cha, Dooreh Kim, Soong June Bae, Sung Gwe Ahn, Joon Jeong, Hye Sun Lee, Soyoung Jeon, Tae-Kyung Yoo, Woo-Chan Park, Chang Ik Yoon
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:0597b8278dd9439abf128006ae1c29322021-12-02T17:17:40ZPD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection10.1038/s41598-021-97250-22045-2322https://doaj.org/article/0597b8278dd9439abf128006ae1c29322021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97250-2https://doaj.org/toc/2045-2322Abstract Immune checkpoint inhibitors (ICI) have demonstrated efficacy in the treatment of solid cancers. However, there is no unified predictive biomarker available for ICIs. We aimed to compare the prognostic impact of using three PD-L1 antibodies (SP142, SP263, and 22C3) for immunohistochemical (IHC) analysis. We retrospectively investigated tumor tissues derived from 316 breast cancer cases, by constructing tissue microarrays and by performing IHC staining. The immune-cell expression rate (for SP142 and SP263) and combined proportional score (for 22C3) were evaluated, and survival outcomes were analyzed. Prediction models were developed, and values of Harrel’s c-index and areas under curves were calculated to compare the discriminatory power. Negative PD-L1 expression based on the 22C3-IHC assay was determined to be an independent prognostic marker for recurrence-free survival (RFS, P = 0.0337) and distant metastasis-free survival (DMFS, P = 0.0131). However, PD-L1 expression based on SP142- and SP263-IHC assays did not reveal a prognostic impact. Among the three antibodies, adding PD-L1 expression data obtained via 22C3-IHC assay to the null model led to a significant improvement in the discriminatory power of RFS and DMFS. We suggest that PD-L1 expression based on the 22C3-IHC assay is a superior prognostic marker than that based on SP142- and SP263-IHC assays.Yoon Jin ChaDooreh KimSoong June BaeSung Gwe AhnJoon JeongHye Sun LeeSoyoung JeonTae-Kyung YooWoo-Chan ParkChang Ik YoonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yoon Jin Cha
Dooreh Kim
Soong June Bae
Sung Gwe Ahn
Joon Jeong
Hye Sun Lee
Soyoung Jeon
Tae-Kyung Yoo
Woo-Chan Park
Chang Ik Yoon
PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection
description Abstract Immune checkpoint inhibitors (ICI) have demonstrated efficacy in the treatment of solid cancers. However, there is no unified predictive biomarker available for ICIs. We aimed to compare the prognostic impact of using three PD-L1 antibodies (SP142, SP263, and 22C3) for immunohistochemical (IHC) analysis. We retrospectively investigated tumor tissues derived from 316 breast cancer cases, by constructing tissue microarrays and by performing IHC staining. The immune-cell expression rate (for SP142 and SP263) and combined proportional score (for 22C3) were evaluated, and survival outcomes were analyzed. Prediction models were developed, and values of Harrel’s c-index and areas under curves were calculated to compare the discriminatory power. Negative PD-L1 expression based on the 22C3-IHC assay was determined to be an independent prognostic marker for recurrence-free survival (RFS, P = 0.0337) and distant metastasis-free survival (DMFS, P = 0.0131). However, PD-L1 expression based on SP142- and SP263-IHC assays did not reveal a prognostic impact. Among the three antibodies, adding PD-L1 expression data obtained via 22C3-IHC assay to the null model led to a significant improvement in the discriminatory power of RFS and DMFS. We suggest that PD-L1 expression based on the 22C3-IHC assay is a superior prognostic marker than that based on SP142- and SP263-IHC assays.
format article
author Yoon Jin Cha
Dooreh Kim
Soong June Bae
Sung Gwe Ahn
Joon Jeong
Hye Sun Lee
Soyoung Jeon
Tae-Kyung Yoo
Woo-Chan Park
Chang Ik Yoon
author_facet Yoon Jin Cha
Dooreh Kim
Soong June Bae
Sung Gwe Ahn
Joon Jeong
Hye Sun Lee
Soyoung Jeon
Tae-Kyung Yoo
Woo-Chan Park
Chang Ik Yoon
author_sort Yoon Jin Cha
title PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection
title_short PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection
title_full PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection
title_fullStr PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection
title_full_unstemmed PD-L1 expression evaluated by 22C3 antibody is a better prognostic marker than SP142/SP263 antibodies in breast cancer patients after resection
title_sort pd-l1 expression evaluated by 22c3 antibody is a better prognostic marker than sp142/sp263 antibodies in breast cancer patients after resection
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0597b8278dd9439abf128006ae1c2932
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