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The prognostic significance of PD-L1 in bladder cancer
Huang Y.1; Zhang S.-D.2; McCrudden C.2; Chan K.-W.3; Lin Y.1,4; Kwok H.-F.2,4
2015
Source PublicationOncology Reports
ISSN1021335X
Volume33Issue:6Pages:3075
Abstract

Immunotherapy is a promising strategy for the treatment of various types of cancer. An antibody that targets programmed death ligand-1 (PD-L1) pathway has been shown to be active towards various types of cancer, including melanoma and lung cancer. MPDL3280A, an anti-PD-L1 antibody, has shown clear clinical activity in PD-L1-overexpressing bladder cancer with an objective response rate of 40-50%, resulting in a breakthrough therapy designation granted by FDA. These events pronounce the importance of targeting the PD-L1 pathway in the treatment of bladder cancer. In the present study, we investigated the prognostic significance of the expression of three genes in the PD-L1 pathway, including PD-L1, B7.1 and PD-1, in three independent bladder cancer datasets in the Gene Expression Omnibus database. PD-L1, B7.1 and PD-1 were significantly associated with clinicopathological parameters indicative of a more aggressive phenotype of bladder cancer, such as a more advanced stage and a higher tumor grade. In addition, a high level expression of PD-L1 was associated with reduced patient survival. Of note, the combination of PD-L1 and B7.1 expression, but not other combinations of the three genes, were also able to predict patient survival. Our findings support the development of anti-PD-L1, which blocks PD-L1-PD-1 and B7.1-PD-L1 interactions, in treatment of bladder cancer. The observations were consistent in the three independent bladder cancer datasets consisting of a total of 695 human bladder specimens. The datasets were then assessed and it was found that the expression levels of the chemokine CC-motif ligand (CCL), CCL3, CCL8 and CCL18, were correlated with the PD-L1 expression level, while ADAMTS13 was differentially expressed in patients with a different survival status (alive or deceased). Additional investigations are required to elucidate the role of these genes in the PD-L1-mediated immune system suppression and bladder cancer progression. In conclusion, findings of this study suggested that PD-L1 is an important prognostic marker and a therapeutic target for bladder cancer.

KeywordBladder Cancer Patient Survival Prognostic Marker Programmed Death Ligand-1 Therapeutic Targets
DOI10.3892/or.2015.3933
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaOncology
WOS SubjectOncology
WOS IDWOS:000355058700052
The Source to ArticleScopus
Scopus ID2-s2.0-84928898064
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionCancer Centre
Faculty of Health Sciences
Corresponding AuthorLin Y.; Kwok H.-F.
Affiliation1.College of Life Sciences, Fujian Normal University, Fuzhou, Fujian, P.R. China
2.Center for Cancer Research and Cell Biology and School of Pharmacy, Queen's University Belfast, Belfast, Northern Ireland, UK
3.Department of Pathology, University of Hong Kong, Hong Kong SAR
4.Faculty of Health Sciences, University of Macau, Taipa, Macau SAR, P.R. China
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Huang Y.,Zhang S.-D.,McCrudden C.,et al. The prognostic significance of PD-L1 in bladder cancer[J]. Oncology Reports, 2015, 33(6), 3075.
APA Huang Y.., Zhang S.-D.., McCrudden C.., Chan K.-W.., Lin Y.., & Kwok H.-F. (2015). The prognostic significance of PD-L1 in bladder cancer. Oncology Reports, 33(6), 3075.
MLA Huang Y.,et al."The prognostic significance of PD-L1 in bladder cancer".Oncology Reports 33.6(2015):3075.
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