高 PD-L1 表达与低 T-脂肪素表达相关,且在人乳头瘤病毒阴性头颈鳞状细胞癌中预后不良。
High PD-L1 expression associates with low T-cadherin expression and poor prognosis in human papillomavirus-negative head and neck squamous cell carcinoma.
发表日期:2023 Mar 20
作者:
Qiuju Wang, Yanzhen Zhao, Yan Chen, Yibo Chen, Xiaoyu Song, Li Zhang, Qiao He, Bo Ye, Lichun Wu, Xinyue Huang, Dongsheng Wang
来源:
Cell Death & Disease
摘要:
本研究旨在探讨T-cadherin与程序化死亡配体1(PD-L1)之间的相关性,以及它们在人乳头瘤病毒(HPV)阴性头颈鳞状细胞癌(HNSCC)患者中的预后价值。采用免疫组化染色技术确立T-cadherin和PD-L1的蛋白表达情况,采用Spearman线性相关分析确定它们之间的关系,采用Kaplan-Meier分析绘制总生存期(OS)和无病生存期(DFS)曲线,采用Cox比例风险回归分析进行单因素和多因素分析。结果显示T-cadherin和PD-L1的蛋白表达呈负相关(r = -0.760,p <0.001),T-cadherin的阳性表达与更好的OS(p <0.001)和DFS(p <0.001)相关,而PD-L1的阳性表达与更差的OS(p = 0.002)和DFS(p <0.001)相关。T-cadherin和PD-L1的表达是OS和DFS的独立预后因子。总之,T-cadherin和PD-L1的表达在HPV阴性HNSCC患者中具有较大的负相关性和独立的预后因子。© 2023 Wiley Periodicals LLC.
This study aimed at exploring the correlation between T-cadherin and programmed death-ligand 1 (PD-L1), as well as their prognostic value in patients with human papillomavirus (HPV)-negative head and neck squamous cell carcinoma (HNSCC).Immunohistochemical staining was used to identify the protein expression of T-cadherin and PD-L1. Spearman linear correlation analysis was used to determine their association. Kaplan-Meier analysis was utilized to plot overall survival (OS) and disease-free survival (DFS) curves. Cox proportional hazards regression was used to conduct univariate and multivariate analysis.The results showed a negative association between protein expression of T-cadherin and PD-L1 (r = -0.760, p < 0.001), positive expression of T-cadherin was associated with a better OS (p < 0.001) and DFS (p < 0.001), while positive PD-L1 expression was associated with a worse OS (p = 0.002) and DFS (p < 0.001). The expression of T-cadherin and PD-L1 were independent prognostic predictors for OS and DFS.In conclusion, expression of T-cadherin and PD-L1 were largely inversely correlated and independent prognostic factors for patients with HPV-negative HNSCC.© 2023 Wiley Periodicals LLC.