PD-L1, PD-1, and CTLA-4 mRNA In Situ Expression by Canine Oral Melanoma Cells and Immune Cells of the Tumour
Greta Foiani1, Erica Melchiotti1, Katia Capello2
1Histopathology Laboratory, Istituto Zooprofilattico Sperimentale delle Venezie, Padua, Italy.
Abstract:
Canine oral melanoma (OM) exhibits poor prognosis and limited treatment options. The success of immune checkpoint inhibitors (ICIs) in human melanoma has driven interest in similar therapeutic approaches in the dog, although the immunosuppressive mechanisms adopted by canine OM remain unclear. This study aimed to evaluate the expression of the immune checkpoints PD-1/PD-L1 and CTLA-4 by RNAscope in situ hybridization (ISH) in canine OM, to investigate their expression pattern and explore their potential role in melanoma progression. Twenty-four formalin-fixed, paraffin-embedded canine OM were included in the study. PD-L1 expression by tumour cells was detected in 100% melanomas (score 1-3), especially at the host-tumour interface. PD-1 and CTLA-4 expression by tumour cells was detected in 13/24 (54%, score 1-2) and 18/24 (75%, score 1) melanomas, respectively. Dual ISH-immunohistochemistry with Melanoma Triple Cocktail, CD3, CD20 and Iba1 demonstrated the expression of tested immune checkpoints in neoplastic and immune cells. Notably, PD-1 and CTLA-4 were predominantly expressed by tumour-infiltrating T lymphocytes, while PD-L1 was primarily expressed by tumour-associated macrophages. PD-1 expression in neoplastic cells was significantly correlated with mitotic count (p < 0.05), while no associations were found between immune checkpoint expression and disease-free interval or overall survival. Whole tumour PD-L1 and PD-1 expression, assessed by image analysis, correlated to PD-L1 scores in neoplastic cells and the grade of tumour-infiltrating lymphocytes, respectively. Collectively, PD-L1, PD-1 and CTLA-4 likely contribute to immunosuppression in canine OM. Further studies are warranted to investigate whether ISH can serve as a biomarker for selecting patients suitable for ICI treatment.
Insights
Immune checkpoints programmed death-1 (PD-1), PD-L1, and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) are expressed in canine oral melanoma, suggesting they contribute to immune suppression. Further research may validate these markers for selecting dogs for immune checkpoint inhibitor therapy.
Area of Science:
- Veterinary Oncology
- Immunology
- Cancer Research
Background:
- Canine oral melanoma (OM) has a poor prognosis and limited treatment options.
- Immune checkpoint inhibitors (ICIs) show promise in human melanoma, but their efficacy in dogs is hindered by unclear immunosuppressive mechanisms in OM.
- Understanding these mechanisms is crucial for developing effective canine cancer therapies.
Purpose of the Study:
- To evaluate the expression of immune checkpoints PD-1, PD-L1, and CTLA-4 in canine OM using RNAscope in situ hybridization (ISH).
- To investigate the expression patterns of these checkpoints and their potential role in melanoma progression.
- To explore the utility of ISH as a biomarker for ICI treatment selection in canine OM.
Main Methods:
- Utilized RNAscope in situ hybridization (ISH) on 24 formalin-fixed, paraffin-embedded canine OM samples.
- Performed dual ISH-immunohistochemistry with specific markers (Melanoma Triple Cocktail, CD3, CD20, Iba1) to identify cell types expressing checkpoints.
- Analyzed expression patterns and correlated them with clinical parameters like mitotic count, disease-free interval, and overall survival.
Main Results:
- PD-L1 expression was detected in 100% of tumors, primarily on tumor-associated macrophages and at the host-tumor interface.
- PD-1 and CTLA-4 were found in 54% and 75% of tumors, respectively, predominantly on tumor-infiltrating T lymphocytes.
- PD-1 expression in neoplastic cells correlated with mitotic count, but no checkpoint expression correlated with survival outcomes.
Conclusions:
- PD-L1, PD-1, and CTLA-4 likely contribute to the immunosuppressive tumor microenvironment in canine oral melanoma.
- The expression patterns suggest distinct roles for these checkpoints in immune evasion.
- Further studies are needed to determine if ISH can serve as a predictive biomarker for ICI therapy in canine OM.
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