Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29636988
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 ESMO+Open
2018 ; 3
(3
): e000326
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Four distinct immune microenvironment subtypes in gastric adenocarcinoma with
special reference to microsatellite instability
#MMPMID29636988
Cho J
; Chang YH
; Heo YJ
; Kim S
; Kim NK
; Park JO
; Kang WK
; Lee J
; Kim KM
ESMO Open
2018[]; 3
(3
): e000326
PMID29636988
show ga
INTRODUCTION: Programmed death-ligand 1 (PD-L1) can be overexpressed in tumours
other than Epstein-Barr virus (EBV)-positive (EBV(+)) or microsatellite
instability-high (MSI-H) gastric cancer (GC) subtypes. We aimed to determine the
tumour immune microenvironment (TME) classification of GC to better understand
tumour-immune interactions and help patient selection for future immunotherapy
with special reference to MSI-H. METHODS: Immunohistochemistry (IHC) for PD-L1
and CD8(+) T cells in three distinct subtypes of GC (43 EBV(+), 79 MSI-H and 125
EBV(-)/MSS) were performed and analysed. In 66 MSI-H GC, mutation counts were
compared with PD-L1 expression and survival of the patients. RESULTS: GC TME
divided by PD-L1 IHC and tumour-infiltrating lymphocytes (TIL) measured by
intratumoural CD8 density showed: (1) about 40% of GC are type I
(PD-L1(+)/TIL(+)) consisting ~70% of MSI-H or EBV(+) GC, and ~15% of
EBV(-)/microsatellite?stable (MSS) GC patients show the best survival in both
disease-free (HR 2.044) and overall survival (HR 1.993); this type would respond
to a checkpoint blockade therapy; (2) almost 30% of GC are type II
(PD-L1(-)/TIL(-)) with the worst survival; (3) approximately 10% of GC are type
III (PD-L1(+)/TIL(-)); and (4) up to 20% are type IV (PD-L1(-)/TIL(+)) and,
unexpectedly, ~25% of EBV(+) or MSI-H GC are within this subtype. In MSI-H GC,
frequent frameshift mutations were observed in ARID1A, RNF43, NF1, MSH6, BRD3,
NCOA3, BCORL1, TNKS2 and NPM1 and the numbers of frameshift mutation correlated
significantly with PD-L1 expression (P<0.05). DISCUSSION: GC can be classified
into four TME types based on PD-L1 and TIL, and numbers of frameshift mutation
correlate well with PD-L1 expression in MSI-H GC.