Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas

Introduction Urothelial carcinomas are the most common types of bladder tumors that have recently shown a changing trend in treatment protocols with the introduction and approval of immune checkpoint inhibitors. The most important immune checkpoint lies with the PD-1–PD-L1 axis. Although multiple dr...

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Autores principales: Utpal Kumar, Michael Leonard Anthony, Rishabh Sahai, Ankur Mittal, Prashant Durgapal, Sanjeev Kishore
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Lenguaje:EN
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
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Acceso en línea:https://doaj.org/article/d188599fd7a040b39142cd9741298b72
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spelling oai:doaj.org-article:d188599fd7a040b39142cd9741298b722021-11-10T23:57:22ZImmunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas0974-27270974-782610.1055/s-0041-1736480https://doaj.org/article/d188599fd7a040b39142cd9741298b722021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736480https://doaj.org/toc/0974-2727https://doaj.org/toc/0974-7826Introduction Urothelial carcinomas are the most common types of bladder tumors that have recently shown a changing trend in treatment protocols with the introduction and approval of immune checkpoint inhibitors. The most important immune checkpoint lies with the PD-1–PD-L1 axis. Although multiple drugs have been approved, there is uncertainty about patient selection criteria and diagnostic assays. Recent studies related to the laboratory-developed tests have opened up the horizon of PD-1 and PD-L1 immunohistochemistry even at resource-constrained laboratories. We propose to study these immunohistochemistry markers in our laboratory using newer clones. Materials and Methods We selected 116 consecutive cases of transurethral bladder tumor resection from our laboratory archive and applied PD-1 and PD-L1 immunohistochemistry. The study was approved by the institution's ethics committee. Results We found high expression of PD-1 and PD-L1 in urothelial carcinoma even with different cut-offs of PD-L1. Muscle invasion, lamina invasion, and grade of carcinoma had a statistically significant effect on the expression; however, age and sex did not affect the expression. Conclusion Based on our current study, we can conclude that the clones used in our study show high expression in urothelial carcinoma and can aid in patient selection and treatment protocol, irrespective of age and sex.Utpal KumarMichael Leonard AnthonyRishabh SahaiAnkur MittalPrashant DurgapalSanjeev KishoreThieme Medical and Scientific Publishers Pvt. Ltd.articleimmune checkpoint inhibitorspd-1pd-l1urothelial carcinomaMedicineRENJournal of Laboratory Physicians (2021)
institution DOAJ
collection DOAJ
language EN
topic immune checkpoint inhibitors
pd-1
pd-l1
urothelial carcinoma
Medicine
R
spellingShingle immune checkpoint inhibitors
pd-1
pd-l1
urothelial carcinoma
Medicine
R
Utpal Kumar
Michael Leonard Anthony
Rishabh Sahai
Ankur Mittal
Prashant Durgapal
Sanjeev Kishore
Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas
description Introduction Urothelial carcinomas are the most common types of bladder tumors that have recently shown a changing trend in treatment protocols with the introduction and approval of immune checkpoint inhibitors. The most important immune checkpoint lies with the PD-1–PD-L1 axis. Although multiple drugs have been approved, there is uncertainty about patient selection criteria and diagnostic assays. Recent studies related to the laboratory-developed tests have opened up the horizon of PD-1 and PD-L1 immunohistochemistry even at resource-constrained laboratories. We propose to study these immunohistochemistry markers in our laboratory using newer clones. Materials and Methods We selected 116 consecutive cases of transurethral bladder tumor resection from our laboratory archive and applied PD-1 and PD-L1 immunohistochemistry. The study was approved by the institution's ethics committee. Results We found high expression of PD-1 and PD-L1 in urothelial carcinoma even with different cut-offs of PD-L1. Muscle invasion, lamina invasion, and grade of carcinoma had a statistically significant effect on the expression; however, age and sex did not affect the expression. Conclusion Based on our current study, we can conclude that the clones used in our study show high expression in urothelial carcinoma and can aid in patient selection and treatment protocol, irrespective of age and sex.
format article
author Utpal Kumar
Michael Leonard Anthony
Rishabh Sahai
Ankur Mittal
Prashant Durgapal
Sanjeev Kishore
author_facet Utpal Kumar
Michael Leonard Anthony
Rishabh Sahai
Ankur Mittal
Prashant Durgapal
Sanjeev Kishore
author_sort Utpal Kumar
title Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas
title_short Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas
title_full Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas
title_fullStr Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas
title_full_unstemmed Immunoexpression of PD-L1 and PD-1 and Its Clinicopathological Correlation in Urothelial Carcinomas
title_sort immunoexpression of pd-l1 and pd-1 and its clinicopathological correlation in urothelial carcinomas
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2021
url https://doaj.org/article/d188599fd7a040b39142cd9741298b72
work_keys_str_mv AT utpalkumar immunoexpressionofpdl1andpd1anditsclinicopathologicalcorrelationinurothelialcarcinomas
AT michaelleonardanthony immunoexpressionofpdl1andpd1anditsclinicopathologicalcorrelationinurothelialcarcinomas
AT rishabhsahai immunoexpressionofpdl1andpd1anditsclinicopathologicalcorrelationinurothelialcarcinomas
AT ankurmittal immunoexpressionofpdl1andpd1anditsclinicopathologicalcorrelationinurothelialcarcinomas
AT prashantdurgapal immunoexpressionofpdl1andpd1anditsclinicopathologicalcorrelationinurothelialcarcinomas
AT sanjeevkishore immunoexpressionofpdl1andpd1anditsclinicopathologicalcorrelationinurothelialcarcinomas
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