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223167

Programmed Cell Death Ligand 1(PD-L1) Expression in Molecular Subtypes of Breast Cancer

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Last updated: 24 Dec 2024

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Abstract

Background: Tumor infiltrating lymphocytes and programmed cell death ligand 1 (PD-L1) are un- classic prognostic indicators for breast cancer, they are major players in the immune response. Binding of Programmed cell death protein (PD-1) with PD-L1 plays an important role in the immune suppression and the process of tumor escape. Objective: To evaluate the expression of PD-L 1 in mammary invasive duct carcinoma and its correlation with molecular subtypes and other histopathological parameters. Patients and methods: Fifty paraffin blocks were included. Histopathological examination of H&E and PD-L1 immunostained sections were done. Scores of PD-L1expression: intra tumoral and in the tumor infiltrating lymphocytes (TILs) were evaluated. Molecular subtypes and other classic prognostic parameters were assessed (Tumor size, grade, stage, lympho vascular invasion (LVI) and in situ component). Results: PD-L1 expression in TILs was more frequent than intra tumoral expressionin various molecular subtypes. However, intra tumoral PD-L1 expression was associated with increasing tumor size, grade, the high level of TILs, LVI and molecular subtypes with special trend in Triple Negative Breast Cancer (TNBC) subtype. TNBC achieved the highest relative ratio of positive PD-L1 expression in both: intra tumoral and in TILs. Conclusion: PD-L1 expression was more pronounced in TILs (immune cells) as compared with tumoral cells in all molecular subtypes of breast cancer with maximum ratio in TNBC. These results provide a promising future of PD-L1 as a target therapeutic option.  

DOI

10.21608/ejhm.2022.223167

Keywords

TILs, PD-L1, TNBC

Authors

First Name

Fatma El-Zahraa Salah El-Deen

Last Name

Yassin

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Affiliation

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Email

fatmafm2002@yahoo.com

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Orcid

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First Name

Cherry Gamal Gaballa

Last Name

Shehata

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Affiliation

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Email

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City

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Orcid

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First Name

Eman Muhammad Salah

Last Name

EL-Deen

MiddleName

-

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Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-03-06

Publish Date

2022-04-01

Page Start

1,226

Page End

1,235

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_223167.html

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https://ejhm.journals.ekb.eg/service?article_code=223167

Order

40

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Programmed Cell Death Ligand 1(PD-L1) Expression in Molecular Subtypes of Breast Cancer

Details

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Article

Created At

22 Jan 2023