Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma

Abstract Herein it was evaluated the impact of PD-L1 immunohistochemical expression and stromal tumor-infiltrating lymphocyte (sTIL) counts in pretreatment needle core biopsy on response to neoadjuvant chemotherapy (NACT) for patients with breast carcinomas (BC). In 127 paired pre- and post-NACT BC...

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Autores principales: Lucas Grecco Hoffmann, Luis Otavio Sarian, José Vassallo, Geisilene Russano de Paiva Silva, Susana Oliveira Botelho Ramalho, Amanda Canato Ferracini, Karina da Silva Araujo, Rodrigo Menezes Jales, Deayra Emyle Figueira, Sophie Derchain
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/6a90dcf15a63432886ba86d132fec09e
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spelling oai:doaj.org-article:6a90dcf15a63432886ba86d132fec09e2021-11-21T12:20:57ZEvaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma10.1038/s41598-021-00944-w2045-2322https://doaj.org/article/6a90dcf15a63432886ba86d132fec09e2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-00944-whttps://doaj.org/toc/2045-2322Abstract Herein it was evaluated the impact of PD-L1 immunohistochemical expression and stromal tumor-infiltrating lymphocyte (sTIL) counts in pretreatment needle core biopsy on response to neoadjuvant chemotherapy (NACT) for patients with breast carcinomas (BC). In 127 paired pre- and post-NACT BC specimens, immunohistochemical expression of PD-L1 was evaluated in stroma and in neoplastic cells. In the same samples sTILs were semi-quantified in tumor stroma. Post-NACT specimens were histologically rated as having residual cancer burden (RCB of any degree), or with complete pathological response (pCR). PD-L1 expression and higher sTIL counts were associated with histological grade 3 BC. PD-L1 expression was also associated with the non-luminal-HER2+ and triple negative immunohistochemical profiles of BC. Pathological complete response was associated with histological grade 3 tumors, and with the non-luminal-HER2+ and triple negative profiles. Additionally, our results support an association between PD-L1 expression and pCR to NACT. It was also observed that there is a trend to reduction of sTIL counts in the post-NACT specimens of patients with pCR. Of note, PD-L1 was expressed in half of the hormone receptor positive cases, a finding that might expand the potential use of immune checkpoint inhibitors for BC patients.Lucas Grecco HoffmannLuis Otavio SarianJosé VassalloGeisilene Russano de Paiva SilvaSusana Oliveira Botelho RamalhoAmanda Canato FerraciniKarina da Silva AraujoRodrigo Menezes JalesDeayra Emyle FigueiraSophie DerchainNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Lucas Grecco Hoffmann
Luis Otavio Sarian
José Vassallo
Geisilene Russano de Paiva Silva
Susana Oliveira Botelho Ramalho
Amanda Canato Ferracini
Karina da Silva Araujo
Rodrigo Menezes Jales
Deayra Emyle Figueira
Sophie Derchain
Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
description Abstract Herein it was evaluated the impact of PD-L1 immunohistochemical expression and stromal tumor-infiltrating lymphocyte (sTIL) counts in pretreatment needle core biopsy on response to neoadjuvant chemotherapy (NACT) for patients with breast carcinomas (BC). In 127 paired pre- and post-NACT BC specimens, immunohistochemical expression of PD-L1 was evaluated in stroma and in neoplastic cells. In the same samples sTILs were semi-quantified in tumor stroma. Post-NACT specimens were histologically rated as having residual cancer burden (RCB of any degree), or with complete pathological response (pCR). PD-L1 expression and higher sTIL counts were associated with histological grade 3 BC. PD-L1 expression was also associated with the non-luminal-HER2+ and triple negative immunohistochemical profiles of BC. Pathological complete response was associated with histological grade 3 tumors, and with the non-luminal-HER2+ and triple negative profiles. Additionally, our results support an association between PD-L1 expression and pCR to NACT. It was also observed that there is a trend to reduction of sTIL counts in the post-NACT specimens of patients with pCR. Of note, PD-L1 was expressed in half of the hormone receptor positive cases, a finding that might expand the potential use of immune checkpoint inhibitors for BC patients.
format article
author Lucas Grecco Hoffmann
Luis Otavio Sarian
José Vassallo
Geisilene Russano de Paiva Silva
Susana Oliveira Botelho Ramalho
Amanda Canato Ferracini
Karina da Silva Araujo
Rodrigo Menezes Jales
Deayra Emyle Figueira
Sophie Derchain
author_facet Lucas Grecco Hoffmann
Luis Otavio Sarian
José Vassallo
Geisilene Russano de Paiva Silva
Susana Oliveira Botelho Ramalho
Amanda Canato Ferracini
Karina da Silva Araujo
Rodrigo Menezes Jales
Deayra Emyle Figueira
Sophie Derchain
author_sort Lucas Grecco Hoffmann
title Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
title_short Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
title_full Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
title_fullStr Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
title_full_unstemmed Evaluation of PD-L1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
title_sort evaluation of pd-l1 and tumor infiltrating lymphocytes in paired pretreatment biopsies and post neoadjuvant chemotherapy surgical specimens of breast carcinoma
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/6a90dcf15a63432886ba86d132fec09e
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