在甲状腺癌中分析编程细胞死亡干1 (PD-L1) 和BRAF突变的表达
Mizuki Sekino1, Manabu Iwadate1, Yukie Yamaya1
1Department of Thyroid and Endocrinology, Fukushima Medical University, 1 Hikariga-oka, Fukushima City 960-1295, Japan.
Cancers
|July 14, 2023
概括
在甲状腺癌中,PD-L1表达升高,特别是与BRAF突变和CD8+T细胞存在相结合时,表明预后不佳. 高CRP水平也预测这些患者的无进展生存率降低.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
背景情况:
- 编程死亡配体1 (PD-L1) 的过度表达与甲状腺癌的进展和预后有关.
- 了解PD-L1,瘤免疫和遗传突变之间的相互作用对于预测治疗反应至关重要.
研究的目的:
- 描述PD-L1表达,BRAF突变状态和甲状腺癌中的免疫细胞透.
- 为了确定抗PD-L1抗体治疗有效性的预测因素.
主要方法:
- 在甲状腺癌样本上对PD-L1和CD8+T细胞进行免疫组织化学染色.
- 在BRAF突变分析.
- 通过刺激指数 (SI) 和C反应蛋白 (CRP) 水平评估T细胞激活.
主要成果:
- 在39.4%的患者中观察到PD-L1表达 (≥1%) 并与较低的T细胞激活 (低SI) 相相关.
- BRAF突变 (72.7%) 与PD-L1表达显著相关.
- 增强的CD8+T细胞表达与PD-L1阳性显著相关.
- 高CRP水平独立预测了不良的无进展生存率.
结论:
- 增加的PD-L1,BRAF突变和CD8+表达,共同成为甲状腺癌的预后指标.
- 对这些标记物和免疫状况的全面评估可以指导抗PD-L1治疗选择.
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