The Potential of PD-1 and PD-L1 as Prognostic and Predictive Biomarkers in Colorectal Adenocarcinoma Based on TILs Grading
2024

PD-1 and PD-L1 as Biomarkers in Colorectal Cancer

Sample size: 130 publication 10 minutes Evidence: moderate

Author Information

Author(s): Rasyid Nur Rahmah, Miskad Upik Anderiani, Cangara Muhammad Husni, Wahid Syarifuddin, Achmad Djumadi, Tawali Suryani, Mardiati Mardiati

Primary Institution: Hasanuddin University

Hypothesis

High PD-1 expression on TILs and high PD-L1 expression on tumor cells are positively correlated with a higher TIL grading, which may indicate a worse prognosis in colorectal adenocarcinoma.

Conclusion

The expression of PD-1 on TILs and PD-L1 on tumor cells significantly correlates with the grading of TILs in colorectal adenocarcinoma, suggesting their potential as predictive biomarkers for therapy.

Supporting Evidence

  • PD-1 expression on TILs significantly correlated with higher TIL grading (p < 0.001).
  • PD-L1 expression in tumors showed an inverse correlation with TIL grading (p < 0.001).
  • 83.8% of samples exhibited strong PD-1 expression on TILs.
  • 88.5% of samples showed strong PD-L1 expression in tumors.

Takeaway

This study found that higher levels of PD-1 on immune cells in colorectal cancer are linked to more immune cells in the tumor, while higher levels of PD-L1 on tumor cells are linked to fewer immune cells.

Methodology

A cross-sectional design was employed to analyze 130 colorectal adenocarcinoma samples using immunohistochemistry to assess PD-1 and PD-L1 expression.

Potential Biases

The study only included samples from one center, which may limit generalizability.

Limitations

The sample size is limited, and the study's cross-sectional nature may not capture temporal dynamics of PD-1/PD-L1 expression.

Participant Demographics

Most participants were older than 50 years, with a male-to-female ratio of approximately 1.13:1.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/curroncol31120552

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