Expression of lymphocyte-activating gene 3 and T-cell immunoreceptor with immunoglobulin and ITIM domains in cutaneous melanoma and their correlation with programmed cell death 1 expression in tumor-infiltrating lymphocytes - 21/06/19
Abstract |
Background |
Lymphocyte-activating gene 3 (LAG-3) and T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibition motif (TIGIT) domains are emerging checkpoint proteins.
Objective |
We evaluated LAG-3 and TIGIT protein expression patterns, correlated these patterns with programmed cell death 1 (PD-1) protein expression, and determined their effects on clinicopathologic characteristics and biologic responses in melanoma.
Methods |
Diagnostic tissue from 124 patients with melanoma were evaluated for LAG-3, TIGIT, and PD-1 expression by immunohistochemistry. Clinicopathologic features and survival were analyzed according to the expression of LAG-3, TIGIT, and PD-1.
Results |
LAG-3 and TIGIT expression on tumor-infiltrating lymphocytes were significantly correlated with that of PD-1 and was also significantly associated with negative prognostic factors: deeper Breslow thickness, lymph node involvement, and advanced stage of disease. However, PD-1 expression was not associated with clinicopathologic variables of prognostic significance. High expression of either LAG-3 or TIGIT was associated with worse survival. Subgroup analysis on the basis of Breslow thickness showed that both LAG-3 and TIGIT have prognostic significance regardless of tumor thickness. High expression of PD-1 was not predictive of survival.
Limitations |
Retrospective study in a single institution and possibility of type 1 error.
Conclusion |
Expression of LAG-3 and TIGIT represents an independent unfavorable prognostic factor in cutaneous melanoma.
Le texte complet de cet article est disponible en PDF.Key words : LAG-3, melanoma, PD-1, survival, TIGIT, tumor-infiltrating lymphocytes
Abbreviations used : AJCC, CI, HR, LAG-3, OS, PD-1, PD-L1, PFS, TIGIT, TILs
Plan
Dr W.J. Lee and Dr Chang contributed equally as corresponding authors. |
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Funding sources: Supported by a 2016 Amorepacific-KDA grant. |
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Conflicts of interest: None disclosed. |
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Reprints not available from the authors. |
Vol 81 - N° 1
P. 219-227 - juillet 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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