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Using 22C3 Anti-PD-L1 Antibody Concentrate on Biopsy and Cytology Samples from Non-small Cell Lung Cancer Patients
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肺细胞学中的PD-L1:标准化的道路

Mohammed S I Mansour, Gennaro Acanfora, Giancarlo Troncone

    Acta cytologica
    |May 14, 2025
    PubMed
    概括

    在细胞学中通过免疫组织化学 (IHC) 评估编程死亡配体1 (PD-L1) 是复杂的. 本次审查强调了验证,质量控制和观察者间变异性方面的挑战,以准确地做出肺癌治疗决定.

    科学领域:

    • 在瘤学瘤学.
    • 病理学 病理学 病理学
    • 免疫组织化学 免疫组织化学

    背景情况:

    • 编程死亡-1 (PD-1) /PD-L1抑制剂已经改变了肺癌治疗.
    • 准确的PD-L1免疫组织化学 (IHC) 评估对于治疗选择至关重要.
    • 与组织学样本相比,在细胞学样本上进行PD-L1测试存在重大挑战.

    研究的目的:

    • 在细胞学样本中审查和解决PD-L1 IHC测试的复杂性.
    • 专注于验证准则,质量评估,细胞组织学相关性和观察者之间的变异性.
    • 综合当前的指导方针和研究,以便在细胞学中可靠地评估PD-L1.

    主要方法:

    • 审查当前的指导方针,特别是来自美国病理学家学院 (CAP).
    • 分析了48篇关于PD-L1表达的细胞组织学一致性的原始文章.
    • 讨论质量评估中的挑战和细胞学样本中观察者间的变异性.

    主要成果:

    • 最近的CAP指南强调对非正式固定标本进行严格的验证.
    • 对于PD-L1表达的细胞组织学一致性显示出显著的变异性 (1%切断时为54-100%,50%切断时为82-100%).
    • 在1-49%的PD-L1表达范围内,观察者间的变异性尤其显著.

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    Last Updated: May 16, 2025

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    结论:

    • 细胞学中的PD-L1测试在验证,质量控制和观察者间协议方面面临障碍.
    • 标准化的指导方针和彻底的验证对于在细胞学样本中准确评估PD-L1至关重要.
    • 解决这些挑战对于优化肺癌患者免疫治疗至关重要.