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Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
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Related Experiment Video

Updated: May 2, 2026

Semi-automatic PD-L1 Characterization and Enumeration of Circulating Tumor Cells from Non-small Cell Lung Cancer Patients by Immunofluorescence
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Programmed Death-Ligand 1 Expression Predicts Poor Prognosis in Patients With Early-Stage Non-Small-Cell Lung Cancer

Jongmoo Park1, Ji Woon Yea2, Jae Won Park2

  • 1Department of Radiation Oncology, School of Medicine, Kyungpook National University, Daegu, South Korea.

Thoracic Cancer
|May 1, 2026
PubMed
Summary

Programmed death-ligand 1 (PD-L1) expression is linked to poorer survival in early-stage non-small-cell lung cancer (NSCLC) patients treated with stereotactic body radiotherapy (SBRT). This finding suggests PD-L1 may help identify high-risk patients for better treatment strategies.

Keywords:
non‐small‐cell lung cancerprogrammed death‐ligand 1stereotactic body radiotherapy

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Area of Science:

  • Oncology
  • Radiotherapy
  • Biomarker Research

Background:

  • Stereotactic body radiotherapy (SBRT) is a standard treatment for early-stage, non-small-cell lung cancer (NSCLC) in medically inoperable patients.
  • Programmed death-ligand 1 (PD-L1) is a known biomarker for predicting immunotherapy response, but its prognostic role in NSCLC treated with SBRT is unclear.

Purpose of the Study:

  • To evaluate the prognostic significance of PD-L1 expression in early-stage NSCLC patients treated with SBRT.
  • To determine if PD-L1 can serve as a biomarker for risk stratification in this patient population.

Main Methods:

  • Retrospective analysis of 54 early-stage NSCLC patients treated with SBRT.
  • PD-L1 expression assessed by SP263 immunohistochemistry and quantified by tumor proportion score.
  • Prognostic impact evaluated using continuous PD-L1 and an exploratory 2% cutoff, with outcomes including local recurrence-free survival (LRFS), recurrence-free survival (RFS), disease-free survival (DFS), and overall survival (OS).

Main Results:

  • SBRT demonstrated a high 2-year LRFS rate of 98%.
  • Higher PD-L1 expression as a continuous variable was independently associated with inferior RFS, DFS, and OS (HRs ranging from 1.04 to 1.07, p < 0.01).
  • PD-L1-positive patients showed a higher incidence of regional recurrence (30.0% vs. 5.9%, p=0.041).

Conclusions:

  • PD-L1 expression is an independent prognostic biomarker associated with worse survival outcomes in early-stage NSCLC patients undergoing SBRT.
  • PD-L1 may aid in risk stratification for personalized treatment approaches in this cohort.