Radiological Features of IDO1+/PDL1+ Lung Adenocarcinoma: A Retrospective Single-institution Study

Kazuki Takada1, Gouji Toyokawa2, Tetsuzo Tagawa2

  • 1Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan k_takada@surg2.med.kyushu-u.ac.jp.

Anticancer Research
|September 9, 2018
PubMed
Abstract

Insights

Combination therapy targeting indoleamine 2,3-dioxygenase 1 (IDO1) and programmed cell death 1 (PD1)/programmed cell-death ligand 1 (PDL1) shows promise for lung cancer. IDO1/PDL1 co-expression in lung adenocarcinoma correlates with radiological invasiveness.

Area of Science:

  • Oncology
  • Immunology
  • Radiology

Background:

  • Combination immunotherapy targeting the programmed cell death 1 (PD1)/programmed cell-death ligand 1 (PDL1) pathway and indoleamine 2,3-dioxygenase 1 (IDO1) is a promising strategy for non-small-cell lung cancer.
  • Investigating the clinical and radiological features of primary lung adenocarcinoma with co-expression of IDO1 and PDL1 is crucial for optimizing treatment selection.

Purpose of the Study:

  • To investigate the clinical features of primary lung adenocarcinoma samples that are positive for both indoleamine 2,3-dioxygenase 1 (IDO1) and programmed cell death ligand 1 (PDL1).
  • To analyze the radiological characteristics associated with IDO1 and PDL1 co-expression in lung adenocarcinoma.

Main Methods:

  • Immunohistochemistry was used to evaluate IDO1 and PDL1 expression in 388 resected primary lung adenocarcinoma samples.
  • Radiological features of patients with IDO1+/PDL1+ lung adenocarcinoma were analyzed using imaging data.

Main Results:

  • Of 388 specimens, 109 (28.1%) showed co-expression of IDO1 and PDL1.
  • Multivariate analysis revealed significant associations between IDO1+/PDL1+ tumors and vascular convergence, absence of surrounding ground glass opacity, and a high consolidation/tumor ratio.
  • Patients with IDO1+/PDL1+ tumors exhibited significantly higher maximum standardized uptake values on 18F-fluorodeoxyglucose positron-emission tomography/computed tomography.

Conclusions:

  • IDO1 and PDL1 co-expression in lung adenocarcinoma is significantly related to radiological invasiveness and malignancy.
  • Identifying patients with IDO1+/PDL1+ tumors may aid in selecting candidates who are likely to benefit from combination immunotherapy targeting these pathways.

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