B7 score and T cell infiltration stratify immune status in prostate cancer
BackgroundAlthough immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat margin...
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Published in | Journal for immunotherapy of cancer Vol. 9; no. 8; p. e002455 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
BMJ Publishing Group LTD
01.08.2021
BMJ Publishing Group |
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Abstract | BackgroundAlthough immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat marginal. This study aimed to assess the feasibility of B7-H3 or HHLA2 as alternative immunotherapeutic targets in PCa.MethodsImmunohistochemistry was performed to evaluate the expression pattern of PD-L1, B7-H3 and HHLA2 and the infiltration of CD8+ and Foxp3+ lymphocytes in 239 PCa tissues from two independent cohorts. The correlations between B7-H3 and HHLA2 and clinicopathological features, including the presence of CD8+ and Foxp3+ tumor-infiltrating lymphocytes (TILs), were explored.ResultsHHLA2 expression was much higher than PD-L1 expression but lower than B7-H3 expression in PCa tissues. High expression of both B7-H3 and HHLA2 was significantly associated with higher Gleason score and tumor stage, lymph node metastasis and dismal overall survival (OS) and cancer-specific survival (CSS). Moreover, a high B7 score, defined as high B7-H3 expression and/or high HHLA2 expression, was an independent prognostic predictor for PCa. Of note, a high B7 score was negatively correlated with CD8+ TILs. Importantly, a new immune classification, based on the B7 score and CD8+ TILs, successfully stratified OS and CSS in PCa.ConclusionsBoth B7-H3 and HHLA2 have a critical impact on the immunosuppressive microenvironment, and the B7 score could be used as an independent prognostic factor for PCa. The B7 score combined with CD8+ TILs could be used as a new immune classification to stratify the risk of death, especially cancer-related death, for patients with PCa. These findings may provide insights that could improve response to immune-related comprehensive therapy for PCa in the future. |
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AbstractList | Although immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat marginal. This study aimed to assess the feasibility of B7-H3 or HHLA2 as alternative immunotherapeutic targets in PCa.BACKGROUNDAlthough immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat marginal. This study aimed to assess the feasibility of B7-H3 or HHLA2 as alternative immunotherapeutic targets in PCa.Immunohistochemistry was performed to evaluate the expression pattern of PD-L1, B7-H3 and HHLA2 and the infiltration of CD8+ and Foxp3+ lymphocytes in 239 PCa tissues from two independent cohorts. The correlations between B7-H3 and HHLA2 and clinicopathological features, including the presence of CD8+ and Foxp3+ tumor-infiltrating lymphocytes (TILs), were explored.METHODSImmunohistochemistry was performed to evaluate the expression pattern of PD-L1, B7-H3 and HHLA2 and the infiltration of CD8+ and Foxp3+ lymphocytes in 239 PCa tissues from two independent cohorts. The correlations between B7-H3 and HHLA2 and clinicopathological features, including the presence of CD8+ and Foxp3+ tumor-infiltrating lymphocytes (TILs), were explored.HHLA2 expression was much higher than PD-L1 expression but lower than B7-H3 expression in PCa tissues. High expression of both B7-H3 and HHLA2 was significantly associated with higher Gleason score and tumor stage, lymph node metastasis and dismal overall survival (OS) and cancer-specific survival (CSS). Moreover, a high B7 score, defined as high B7-H3 expression and/or high HHLA2 expression, was an independent prognostic predictor for PCa. Of note, a high B7 score was negatively correlated with CD8+ TILs. Importantly, a new immune classification, based on the B7 score and CD8+ TILs, successfully stratified OS and CSS in PCa.RESULTSHHLA2 expression was much higher than PD-L1 expression but lower than B7-H3 expression in PCa tissues. High expression of both B7-H3 and HHLA2 was significantly associated with higher Gleason score and tumor stage, lymph node metastasis and dismal overall survival (OS) and cancer-specific survival (CSS). Moreover, a high B7 score, defined as high B7-H3 expression and/or high HHLA2 expression, was an independent prognostic predictor for PCa. Of note, a high B7 score was negatively correlated with CD8+ TILs. Importantly, a new immune classification, based on the B7 score and CD8+ TILs, successfully stratified OS and CSS in PCa.Both B7-H3 and HHLA2 have a critical impact on the immunosuppressive microenvironment, and the B7 score could be used as an independent prognostic factor for PCa. The B7 score combined with CD8+ TILs could be used as a new immune classification to stratify the risk of death, especially cancer-related death, for patients with PCa. These findings may provide insights that could improve response to immune-related comprehensive therapy for PCa in the future.CONCLUSIONSBoth B7-H3 and HHLA2 have a critical impact on the immunosuppressive microenvironment, and the B7 score could be used as an independent prognostic factor for PCa. The B7 score combined with CD8+ TILs could be used as a new immune classification to stratify the risk of death, especially cancer-related death, for patients with PCa. These findings may provide insights that could improve response to immune-related comprehensive therapy for PCa in the future. Although immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat marginal. This study aimed to assess the feasibility of B7-H3 or HHLA2 as alternative immunotherapeutic targets in PCa. Immunohistochemistry was performed to evaluate the expression pattern of PD-L1, B7-H3 and HHLA2 and the infiltration of CD8 and Foxp3 lymphocytes in 239 PCa tissues from two independent cohorts. The correlations between B7-H3 and HHLA2 and clinicopathological features, including the presence of CD8 and Foxp3 tumor-infiltrating lymphocytes (TILs), were explored. HHLA2 expression was much higher than PD-L1 expression but lower than B7-H3 expression in PCa tissues. High expression of both B7-H3 and HHLA2 was significantly associated with higher Gleason score and tumor stage, lymph node metastasis and dismal overall survival (OS) and cancer-specific survival (CSS). Moreover, a high B7 score, defined as high B7-H3 expression and/or high HHLA2 expression, was an independent prognostic predictor for PCa. Of note, a high B7 score was negatively correlated with CD8 TILs. Importantly, a new immune classification, based on the B7 score and CD8 TILs, successfully stratified OS and CSS in PCa. Both B7-H3 and HHLA2 have a critical impact on the immunosuppressive microenvironment, and the B7 score could be used as an independent prognostic factor for PCa. The B7 score combined with CD8 TILs could be used as a new immune classification to stratify the risk of death, especially cancer-related death, for patients with PCa. These findings may provide insights that could improve response to immune-related comprehensive therapy for PCa in the future. BackgroundAlthough immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat marginal. This study aimed to assess the feasibility of B7-H3 or HHLA2 as alternative immunotherapeutic targets in PCa.MethodsImmunohistochemistry was performed to evaluate the expression pattern of PD-L1, B7-H3 and HHLA2 and the infiltration of CD8+ and Foxp3+ lymphocytes in 239 PCa tissues from two independent cohorts. The correlations between B7-H3 and HHLA2 and clinicopathological features, including the presence of CD8+ and Foxp3+ tumor-infiltrating lymphocytes (TILs), were explored.ResultsHHLA2 expression was much higher than PD-L1 expression but lower than B7-H3 expression in PCa tissues. High expression of both B7-H3 and HHLA2 was significantly associated with higher Gleason score and tumor stage, lymph node metastasis and dismal overall survival (OS) and cancer-specific survival (CSS). Moreover, a high B7 score, defined as high B7-H3 expression and/or high HHLA2 expression, was an independent prognostic predictor for PCa. Of note, a high B7 score was negatively correlated with CD8+ TILs. Importantly, a new immune classification, based on the B7 score and CD8+ TILs, successfully stratified OS and CSS in PCa.ConclusionsBoth B7-H3 and HHLA2 have a critical impact on the immunosuppressive microenvironment, and the B7 score could be used as an independent prognostic factor for PCa. The B7 score combined with CD8+ TILs could be used as a new immune classification to stratify the risk of death, especially cancer-related death, for patients with PCa. These findings may provide insights that could improve response to immune-related comprehensive therapy for PCa in the future. Background Although immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit prominent antitumor effects against numerous malignancies, their benefit for patients with prostate cancer (PCa) has been somewhat marginal. This study aimed to assess the feasibility of B7-H3 or HHLA2 as alternative immunotherapeutic targets in PCa.Methods Immunohistochemistry was performed to evaluate the expression pattern of PD-L1, B7-H3 and HHLA2 and the infiltration of CD8+ and Foxp3+ lymphocytes in 239 PCa tissues from two independent cohorts. The correlations between B7-H3 and HHLA2 and clinicopathological features, including the presence of CD8+ and Foxp3+ tumor-infiltrating lymphocytes (TILs), were explored.Results HHLA2 expression was much higher than PD-L1 expression but lower than B7-H3 expression in PCa tissues. High expression of both B7-H3 and HHLA2 was significantly associated with higher Gleason score and tumor stage, lymph node metastasis and dismal overall survival (OS) and cancer-specific survival (CSS). Moreover, a high B7 score, defined as high B7-H3 expression and/or high HHLA2 expression, was an independent prognostic predictor for PCa. Of note, a high B7 score was negatively correlated with CD8+ TILs. Importantly, a new immune classification, based on the B7 score and CD8+ TILs, successfully stratified OS and CSS in PCa.Conclusions Both B7-H3 and HHLA2 have a critical impact on the immunosuppressive microenvironment, and the B7 score could be used as an independent prognostic factor for PCa. The B7 score combined with CD8+ TILs could be used as a new immune classification to stratify the risk of death, especially cancer-related death, for patients with PCa. These findings may provide insights that could improve response to immune-related comprehensive therapy for PCa in the future. |
Author | Li, Kaiwen Zhan, Xiangyu Huang, Jian Huang, Hai Zhou, Qianghua Yao, Wei Lai, Yiming Yao, Kai Peng, Shirong Cai, Wenli Wang, Qiong Zang, Xingxing Xu, Kewei |
AuthorAffiliation | 4 Department of Radiology , Massachusetts General Hospital , Boston , Massachusetts , USA 6 Guangdong Provincial Clinical Research Center for Urological Diseases , Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University , Guangzhou , Guangdong , China 2 Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University , Guangzhou , Guangdong , China 1 Department of Urology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , Guangdong , China 5 Department of Oncology , Albert Einstein College of Medicine , Bronx , New York , USA 3 Department of urology , Sun Yat-sen University Cancer Center , Guangzhou , Guangdong , China 7 Department of Urology , The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital , Qingyuan , Guangdong , china |
AuthorAffiliation_xml | – name: 3 Department of urology , Sun Yat-sen University Cancer Center , Guangzhou , Guangdong , China – name: 4 Department of Radiology , Massachusetts General Hospital , Boston , Massachusetts , USA – name: 5 Department of Oncology , Albert Einstein College of Medicine , Bronx , New York , USA – name: 6 Guangdong Provincial Clinical Research Center for Urological Diseases , Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University , Guangzhou , Guangdong , China – name: 2 Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University , Guangzhou , Guangdong , China – name: 1 Department of Urology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , Guangdong , China – name: 7 Department of Urology , The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital , Qingyuan , Guangdong , china |
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Keywords | tumor microenvironment tumor biomarkers costimulatory and inhibitory T-cell receptors prostatic neoplasms |
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PublicationDate | 2021-08-00 |
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PublicationPlace | England |
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PublicationTitle | Journal for immunotherapy of cancer |
PublicationTitleAlternate | J Immunother Cancer |
PublicationYear | 2021 |
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human T cells via CD28H publication-title: Nat Commun doi: 10.1038/ncomms3043 – volume: 8 year: 2020 ident: 2021102823400544000_9.8.e002455.25 article-title: HHLA2 and PD-L1 co-expression predicts poor prognosis in patients with clear cell renal cell carcinoma publication-title: J Immunother Cancer doi: 10.1136/jitc-2019-000157 – volume: 2 start-page: 269 year: 2001 ident: 2021102823400544000_9.8.e002455.18 article-title: B7-H3: a costimulatory molecule for T cell activation and IFN-gamma production publication-title: Nat Immunol doi: 10.1038/85339 – volume: 373 start-page: 1803 year: 2015 ident: 2021102823400544000_9.8.e002455.6 article-title: Nivolumab versus everolimus in advanced renal-cell carcinoma publication-title: N Engl J Med doi: 10.1056/NEJMoa1510665 – volume: 16 start-page: 257 year: 2015 ident: 2021102823400544000_9.8.e002455.7 article-title: Activity and safety of nivolumab, an anti-PD-1 immune checkpoint inhibitor, for patients with advanced, refractory squamous non-small-cell lung cancer (CheckMate 063): a phase 2, single-arm trial publication-title: Lancet Oncol doi: 10.1016/S1470-2045(15)70054-9 – volume: 173 start-page: 2500 year: 2004 ident: 2021102823400544000_9.8.e002455.19 article-title: Murine B7-H3 is a negative regulator of T cells publication-title: J Immunol doi: 10.4049/jimmunol.173.4.2500 – volume: 75 start-page: 2139 year: 2015 ident: 2021102823400544000_9.8.e002455.38 article-title: Classifying cancers based on T-cell infiltration and PD-L1 publication-title: Cancer Res doi: 10.1158/0008-5472.CAN-15-0255 – volume: 67 start-page: 7893 year: 2007 ident: 2021102823400544000_9.8.e002455.11 article-title: B7-H3 ligand expression by prostate cancer: a novel marker of prognosis and potential target for therapy publication-title: Cancer Res doi: 10.1158/0008-5472.CAN-07-1068 – volume: 69 start-page: 7 year: 2019 ident: 2021102823400544000_9.8.e002455.1 article-title: Cancer statistics, 2019 publication-title: CA A Cancer J Clin doi: 10.3322/caac.21551 – volume: 10 start-page: 1728 year: 2003 ident: 2021102823400544000_9.8.e002455.35 article-title: Mouse B7-H3 induces antitumor immunity publication-title: Gene Ther doi: 10.1038/sj.gt.3302070 |
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Snippet | BackgroundAlthough immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers,... Although immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers, exhibit... Background Although immune checkpoint inhibitors (ICIs), especially programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) axis blockers,... |
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SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
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SubjectTerms | Adult Aged Aged, 80 and over Biomarkers, Tumor - metabolism Cancer Cancer therapies Humans Immune checkpoint inhibitors Immunotherapy Immunotherapy Biomarkers Kidney cancer Ligands Lung cancer Lymphocytes, Tumor-Infiltrating - immunology Male Medical prognosis Middle Aged Prostate cancer Prostatic Neoplasms - immunology Retrospective Studies Tumor Microenvironment Tumors |
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Title | B7 score and T cell infiltration stratify immune status in prostate cancer |
URI | https://jitc.bmj.com/content/9/8/e002455.full https://www.ncbi.nlm.nih.gov/pubmed/34417325 https://www.proquest.com/docview/2593648778 https://www.proquest.com/docview/2563422649 https://pubmed.ncbi.nlm.nih.gov/PMC8381330 https://doaj.org/article/7bd4bb9a49a84c72bd9a154b19491040 |
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