Radiological Features of Programmed Cell Death-Ligand 2-positive Lung Adenocarcinoma: A Single-institution

Kazuki Takada1,2, Gouji Toyokawa3, Koichi Azuma4

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

In Vivo (Athens, Greece)
|October 24, 2018
PubMed
Abstract

Insights

Programmed cell death-ligand 2 (PD-L2) expression in lung adenocarcinoma is common and associated with less aggressive radiological features. PD-L2-positive tumors show lower standardized uptake values on PET/CT scans.

Area of Science:

  • Oncology
  • Radiology
  • Immunology

Background:

  • Programmed cell death-1 (PD1) receptor ligands, PD-L1 and PD-L2, are crucial in cancer immunity.
  • PD1/PD-L1 inhibitors are effective in non-small cell lung cancer (NSCLC).
  • PD-L2 expression and its clinicopathological correlations in NSCLC remain underexplored.

Purpose of the Study:

  • To evaluate the radiological features of PD-L2-positive lung adenocarcinoma.
  • To investigate the association between PD-L2 expression and clinicopathological characteristics.
  • To compare radiological findings of PD-L2-positive versus PD-L2-negative tumors.

Main Methods:

  • Immunohistochemical staining for PD-L1 and PD-L2 on 393 lung adenocarcinoma specimens.
  • Preoperative thin-section computed tomography (CT) for all patients.
  • 18F-fluorodeoxyglucose positron-emission tomography/CT (18F-FDG-PET/CT) for 222 patients.

Main Results:

  • PD-L2 expression was found in 67.7% of lung adenocarcinomas.
  • Absence of surrounding ground glass opacity and presence of air bronchogram were linked to PD-L2 positivity.
  • PD-L2-positive tumors exhibited significantly higher maximum standardized uptake values on 18F-FDG-PET/CT.

Conclusions:

  • PD-L2-positive lung adenocarcinomas demonstrate less malignant and invasive radiological characteristics.
  • Radiological features can help predict PD-L2 expression in lung adenocarcinoma.
  • Further research into PD-L2's role in NSCLC is warranted.

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