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A Patient-Derived Xenograft Model for Venous Malformation
Published on: June 15, 2020
Enhanced expression of Programmed cell death 1 (PD-1) protein in benign vascular anomalies
Clarissa N Amaya1, Frank H Wians2, Brad A Bryan1
1Department of Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, TX, United States.
Abstract:
Programmed cell death 1 (PD-1) and its ligands have been shown to play a significant role in evasion of malignant tumour cells from the immune system. Last year, the United States Food and Drug Administration (FDA) approved anti-PD-1 inhibitors for treatment of non-small cell lung carcinoma and recently has approved anti-PD-L1 blocker for treatment of metastatic urothelial cell carcinoma. However, the role that the immune system might have on benign tumours including vascular anomalies has received less attention. In this study, we evaluated PD-1 and PD-L1 expression on two benign vascular anomalies: infantile haemangiomas and venous malformations. Tissue microarrays (TMAs) from these two entities were stained for PD-1 and PD-L1 antibodies. Blood vessels from normal tissue were used as control. The endothelial cells in both infantile haemangioma and venous malformation showed high expression of PD-1 but were negative for PD-L1. Endothelial cells within the blood vessels in normal tissues were negative for both PD-1 and PD-L1. Our results showed over-expression of PD-1 in subsets of vascular anomalies, while PD-L1 was negative. This would raise the possibility of immunotherapy in benign vascular tumour when other options are exhausted.
Insights
Benign vascular anomalies like infantile haemangiomas show high expression of Programmed cell death 1 (PD-1) but not its ligand PD-L1. This suggests potential for PD-1 targeted immunotherapy in these conditions.
Area of Science:
- Immunology
- Oncology
- Dermatology
Background:
- Programmed cell death 1 (PD-1) and its ligands are key in malignant tumor immune evasion.
- Recent FDA approvals target PD-1/PD-L1 for cancers, but their role in benign tumors is understudied.
- Vascular anomalies, such as infantile haemangiomas and venous malformations, represent benign tumors with limited treatment options.
Purpose of the Study:
- To investigate the expression of PD-1 and PD-L1 in infantile haemangiomas and venous malformations.
- To compare PD-1 and PD-L1 expression in benign vascular anomalies with normal blood vessels.
Main Methods:
- Tissue microarrays (TMAs) were created from infantile haemangioma and venous malformation samples.
- TMAs were stained for PD-1 and PD-L1 antibodies.
- Endothelial cells in normal blood vessels served as controls.
Main Results:
- Endothelial cells in both infantile haemangioma and venous malformation exhibited high PD-1 expression.
- PD-L1 expression was negative in the endothelial cells of these vascular anomalies.
- Normal blood vessel endothelial cells were negative for both PD-1 and PD-L1.
Conclusions:
- Vascular anomalies demonstrate PD-1 over-expression, while PD-L1 is absent.
- The findings suggest a potential therapeutic strategy using immunotherapy targeting PD-1 in benign vascular tumors.
- This opens possibilities for novel treatments when conventional options are exhausted.
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