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Targeted Oncology
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Targeted Oncology
Article
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Co-Regulation of Immune Checkpoint PD-L1 with Interferon-Gamma Signaling is Associated with a Survival Benefit in Renal Cell Cancer

Authors: Jörg Hänze; Moritz Wegner; Elfriede Noessner; Rainer Hofmann; Axel Hegele;

Co-Regulation of Immune Checkpoint PD-L1 with Interferon-Gamma Signaling is Associated with a Survival Benefit in Renal Cell Cancer

Abstract

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.

Keywords

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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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
18
Top 10%
Average
Top 10%
Green
hybrid