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Expression of PD-L1 in medullary thyroid carcinoma-a new therapeutic target?
Liliana Fonseca1, Cláudia Freitas1, Ana Caramelo2
1Endocrinology, Diabetes and Metabolism Department Centro Hospitalar e Universitário do Porto Porto Portugal.
Abstract:
PD-L1 expression in MTC is hot topic since, if it is demonstrated that PD-L1 is highly expressed in this cancer, thus immunotherapy against checkpoint inhibitors could become an important therapeutic tool in MTC treatment. To answer this question, we evaluated PD-L1 expression in MCT tumour tissues, using an anti-PD-L1 22C3 antibody and found a high expression in 6 of the 8 patients (75%). Similarly, two other recent studies reported a higher PD-L1 expression. According to our results, MTC cells present a significative PD-L1 expression, raising the hypothesis that immunotherapy, such as pembrolizumab, could have a role on MCT treatment. The authors believe this is a fundamental question and may impact the future of MTC treatment.
Insights
High PD-L1 expression was found in medullary thyroid cancer (MTC) tissues. This suggests that immune checkpoint inhibitor immunotherapy, like pembrolizumab, may be a viable treatment option for MTC patients.
Area of Science:
- Oncology
- Immunology
Background:
- Medullary thyroid cancer (MTC) treatment remains a challenge.
- Investigating programmed death-ligand 1 (PD-L1) expression is crucial for exploring novel therapeutic strategies.
Discussion:
- This study evaluated PD-L1 expression in MTC tumor tissues using an anti-PD-L1 22C3 antibody.
- A high PD-L1 expression rate of 75% (6 out of 8 patients) was observed.
- These findings align with two other recent studies reporting elevated PD-L1 levels in MTC.
Key Insights:
- Medullary thyroid cancer cells exhibit significant PD-L1 expression.
- This expression supports the potential efficacy of immunotherapy targeting PD-1/PD-L1 pathways.
Outlook:
- Immunotherapy, specifically agents like pembrolizumab, could represent a promising therapeutic avenue for MTC.
- Further research is warranted to confirm the clinical benefit of immunotherapy in MTC treatment.
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