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. 2015 Jul;6(4):534-8.
doi: 10.1111/1759-7714.12247. Epub 2015 Mar 5.

Circulating PD-L1 in NSCLC patients and the correlation between the level of PD-L1 expression and the clinical characteristics

Affiliations

Circulating PD-L1 in NSCLC patients and the correlation between the level of PD-L1 expression and the clinical characteristics

Jie Zhang et al. Thorac Cancer. 2015 Jul.

Abstract

Background: The programmed cell death-1/programmed cell death-1 ligand (PD-1/PD-L1) pathway plays a crucial role in tumor evasion. This study evaluated the association between circulating PD-L1 expression and clinical characteristics in patients with advanced non-small cell lung cancer (NSCLC).

Methods: A total of 109 advanced NSCLC and 65 healthy patients from the Beijng Cancer Hospital were enrolled in the study. Circulating PD-L1 expression was tested by enzyme-linked immunosorbent assay. The associations between the level of PD-L1 expression and clinicopathologic features and prognosis were statistically analyzed.

Results: The expression of PD-L1 in advanced NSCLC patients was significantly upregulated compared with the healthy control (P < 0.001). The expression of PD-L1 was significantly correlated with abdominal organ metastasis (P = 0.004). A high PD-L1 expression had a worse prognosis than a low expression in patients (18.7 vs. 26.8 month, P < 0.001).

Conclusions: PD-L1 was elevated in advanced NSCLC patients and may play an important role in tumor immune evasion and patient prognosis.

Keywords: Enzyme-linked immunosorbent assay (ELISA); PD-L1; immunotherapy; lung cancer.

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Figures

Figure 1
Figure 1
Receiver operating characteristic curve for patients with advanced non-small cell lung cancer.
Figure 2
Figure 2
Kaplan–Meier overall survival curves in patients with low and high expression. formula image, PD-L1 low expression; formula image, PD-L1 high expression; formula image, censored.

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