Study of Serum Soluble Programmed Death Ligand 1 as a Prognostic Factor in Hepatocellular Carcinoma in Egyptian Patients

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BACKGROUND: The expression of programmed cell death ligands on tumor cells has a role in the suppression of antitumor immunity, resulting in tumor immune evasion.

OBJECTIVE: In this study, we evaluated the prognostic value of the soluble form of programmed death-ligand1 (sPD-L1) in Egyptian hepatocellular carcinoma (HCC) patients.

METHODS: This prospective cohort study was performed between November 2016 to November 2018 on 85 individuals (25 HCC patients, 25 HCC with vascular invasion and/or extrahepatic metastasis, 25 patients with liver cirrhosis, 10 healthy controls). The levels of sPD-L1 were determined in all subjects and compared in different groups and stages of cirrhosis and HCC. The association between sPD-L1 levels and overall survival (OS) was assessed.

RESULTS: Significant statistical difference in sPD-L1 was detected between different study groups. The cut-off value for normal sPD-L1 was defined by high sPD-L1 levels determined in a healthy control cohort. It was 2.522 ng/ml. In HCC patients, cut-off value was 7.42 ng/ml (sensitivity 88%, specificity 100%). In HCC with vascular invasion or metastasis, cut-off value was 9.62 ng/ml (sensitivity 88%, specificity 88%). Patients with high serum sPD-L1 or serum bilirubin concentrations had an increased risk of mortality.

CONCLUSION: High sPD-L1 level could be a possible prognostic indicator for a poor outcome in liver cirrhosis and HCC patients. The predictive value of sPD-L1 levels for a successful anti- PD1/PD-L1 therapy should be investigated in the future.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Current cancer drug targets - 19(2019), 11 vom: 19., Seite 896-905

Sprache:

Englisch

Beteiligte Personen:

El-Gebaly, Fatma [VerfasserIn]
Abou-Saif, Sabry [VerfasserIn]
Elkadeem, Mahmoud [VerfasserIn]
Helmy, Amal [VerfasserIn]
Abd-Elsalam, Sherief [VerfasserIn]
Yousef, Mohamed [VerfasserIn]
Elkhouly, Reham Abdelkader [VerfasserIn]
Amer, Ibrahim Fathi [VerfasserIn]
El-Demerdash, Taher [VerfasserIn]

Links:

Volltext

Themen:

Antitumor immunity
B7-H1 Antigen
Biomarkers, Tumor
CD274 protein, human
Hepatocellular carcinoma
Journal Article
Metastasis
Prognosis
Programmed cell death ligand-1
Tumor.

Anmerkungen:

Date Completed 08.09.2020

Date Revised 08.09.2020

published: Print

Citation Status MEDLINE

doi:

10.2174/1568009619666190718141647

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM301469156