Beta
362442

PD-L1 Expression in Colorectal Cancer and Its Relation to Microsatellite Instability and Cytotoxic Tumor-Infiltrating Lymphocytes

Article

Last updated: 01 Feb 2025

Subjects

-

Tags

-

Abstract

Background: Colorectal cancer (CRC) is the third most common cancer worldwide. Tumor cell PD-L1 expression has been shown to enable immune evasion by suppressing the immune system's active T-cell-mediated response. Aim: To investigate the expression of PD-L1 in CRC and its correlation with microsatellite instability (MSI) and cytotoxic tumor-infiltrating lymphocytes. Methods: The pathological specimens of 49 cases of CRC were studied for PD-L1 expression and its correlation with different clinicopathological parameters, including MSI and cytotoxic CD8+ve tumor-infiltrating lymphocytes. Results: High PD-L1 expression in the microenvironment was significantly higher in low-grade tumors compared to high-grade tumors (50% vs. 12%, respectively; p = 0.008). Additionally, high PD-L1 expression in the microenvironment was significantly associated with a lack of mucinous change (p = 0.019), low T stage (p = 0.001), and non-infiltrative (pushing) tumor borders (p = 0.037). High PD-L1 expression in cancer cells was more prevalent in low T stage tumors and those with a high peritumoral CD8+ lymphocyte count. All cases of high PD-L1 expression in cancer cells also showed high PD-L1 expression in the microenvironment (p < 0.001). There was a significant relationship between intratumoral CD8+ lymphocyte count and MSI (p = 0.026), with all MSI-low cases showing a high intratumoral CD8+ lymphocyte count. There was no significant relationship between PD-L1 expression and MSI. Conclusions: PD-L1 expression in the microenvironment was significantly correlated with tumor grade, mucinous change, type of tumor border, and T stage. This suggests a prognostic role for PD-L1 expression in colon cancer.

DOI

10.21608/resoncol.2024.213776.1196

Keywords

colorectal cancer, Cytotoxic tumor-infiltrating lymphocytes, Microenvironment, Microsatellite instability, PD-L1

Authors

First Name

Suzan

Last Name

Talaat

MiddleName

M.

Affiliation

Pathology Department, Ahmed Maher Teaching Hospital, Cairo, Egypt

Email

suzabella0000@gmail.com

City

Cairo

Orcid

-

First Name

Hany

Last Name

William

MiddleName

-

Affiliation

Clinical Oncology Department, Ahmed Maher Teaching Hospital, Cairo, Egypt

Email

hanywelliamz@yahoo.com

City

-

Orcid

-

First Name

Nouran

Last Name

Roby

MiddleName

M.

Affiliation

Clinical Oncology Department, Ahmed Maher Teaching Hospital, Cairo, Egypt

Email

nouran.elroby@gmail.com

City

-

Orcid

-

First Name

Eman

Last Name

Keshk

MiddleName

M. S.

Affiliation

Pathology Department, Ahmed Maher Teaching Hospital, Cairo, Egypt

Email

dr.emanmostafa@gmail.com

City

-

Orcid

-

Volume

20

Article Issue

2

Related Issue

53348

Issue Date

2024-12-01

Receive Date

2023-07-01

Publish Date

2024-12-01

Page Start

24

Page End

32

Print ISSN

2357-0687

Online ISSN

2357-0695

Link

https://resoncol.journals.ekb.eg/article_362442.html

Detail API

http://journals.ekb.eg?_action=service&article_code=362442

Order

1

Type

Original Article

Type Code

200

Publication Type

Journal

Publication Title

Research in Oncology

Publication Link

https://resoncol.journals.ekb.eg/

MainTitle

PD-L1 Expression in Colorectal Cancer and Its Relation to Microsatellite Instability and Cytotoxic Tumor-Infiltrating Lymphocytes

Details

Type

Article

Created At

01 Feb 2025