
Programmed death ligand (PD-L1)-based immune checkpoint blockade therapy for metastatic renal cell carcinoma (RCC) achieves significant response rates in a subgroup of patients. The relevance of PD-L1 gene regulation for disease outcome is not clear.To evaluate PD-L1 expression and its dependence on interferon-γ (IFN-γ) in RCC cell lines and tissues in relation to disease outcome.Regulation of PD-L1-mRNA and PD-L1 protein was studied in cell lines from clear cell RCC (ccRCC) and papillary RCC (pRCC) by quantitative RT-PCR and Western-blot analysis. PD-L1-mRNA correlation and gene-set enrichment analysis (GSEA) of the IFN-γ pathway were conducted with RNA-Seq from ccRCC, pRCC, and skin cutaneous melanoma (SKCM) tissue. In addition, patient overall survival (OS) and disease-free survival (DFS) (cBioPortal for Cancer Genomics) were considered.In ccRCC-like cell lines, PD-L1 was induced by canonical IFN-γ signaling, whereas in a pRCC-like cell line, PD-L1 was refractory towards IFN-γ signaling. In ccRCC and SKCM tissues, GSEA revealed significant IFN-γ pathway activation in tissue samples with high PD-L1-mRNA levels. This was not observed in pRCC tissue. ccRCC and SKMC patients with low PD-L1-mRNA levels had significantly shorter OS and DFS than those with high PD-L1-mRNA levels. In pRCC patients, no significant difference in OS and DFS with regard to PD-L1-mRNA tissue levels was obvious.The findings suggest that ccRCC and pRCC differ with respect to PD-L1 regulation by IFN-γ-signaling. High PD-L1-mRNA levels in tumor tissues with a positive IFN-γ signature favorably affect OS and DFS.
Male, Female [MeSH] ; Humans [MeSH] ; Progression-Free Survival [MeSH] ; Survival Analysis [MeSH] ; Kidney Neoplasms/pathology [MeSH] ; Middle Aged [MeSH] ; Oncology ; B7-H1 Antigen/metabolism [MeSH] ; Immune Checkpoint Inhibitors/therapeutic use [MeSH] ; Carcinoma, Renal Cell/mortality [MeSH] ; Interferon-gamma/genetics [MeSH] ; Male [MeSH] ; Kidney Neoplasms/genetics [MeSH] ; Kidney Neoplasms/mortality [MeSH] ; Biomedicine, general ; Signal Transduction [MeSH] ; Original Research Article ; Carcinoma, Renal Cell/pathology [MeSH] ; Carcinoma, Renal Cell/genetics [MeSH] ; Immune Checkpoint Inhibitors/pharmacology [MeSH], Middle Aged, Survival Analysis, B7-H1 Antigen, Kidney Neoplasms, Progression-Free Survival, Interferon-gamma, Humans, Female, Original Research Article, Carcinoma, Renal Cell, Immune Checkpoint Inhibitors, Signal Transduction
Male, Female [MeSH] ; Humans [MeSH] ; Progression-Free Survival [MeSH] ; Survival Analysis [MeSH] ; Kidney Neoplasms/pathology [MeSH] ; Middle Aged [MeSH] ; Oncology ; B7-H1 Antigen/metabolism [MeSH] ; Immune Checkpoint Inhibitors/therapeutic use [MeSH] ; Carcinoma, Renal Cell/mortality [MeSH] ; Interferon-gamma/genetics [MeSH] ; Male [MeSH] ; Kidney Neoplasms/genetics [MeSH] ; Kidney Neoplasms/mortality [MeSH] ; Biomedicine, general ; Signal Transduction [MeSH] ; Original Research Article ; Carcinoma, Renal Cell/pathology [MeSH] ; Carcinoma, Renal Cell/genetics [MeSH] ; Immune Checkpoint Inhibitors/pharmacology [MeSH], Middle Aged, Survival Analysis, B7-H1 Antigen, Kidney Neoplasms, Progression-Free Survival, Interferon-gamma, Humans, Female, Original Research Article, Carcinoma, Renal Cell, Immune Checkpoint Inhibitors, Signal Transduction
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