LAG-3 in Non-Small-cell Lung Cancer: Expression in Primary Tumors and Metastatic Lymph Nodes Is Associated With Improved Survival

التفاصيل البيبلوغرافية
العنوان: LAG-3 in Non-Small-cell Lung Cancer: Expression in Primary Tumors and Metastatic Lymph Nodes Is Associated With Improved Survival
المؤلفون: Tom Donnem, Sigve Andersen, Inigo Martinez, Sigurd M. Hald, Thomas Karsten Kilvær, Samer Al-Saad, Erna-Elise Paulsen, Lill-Tove Busund, Egil S. Blix, Elin Richardsen, Mehrdad Rakaee, Roy M. Bremnes
المصدر: Clinical lung cancer. 19(3)
سنة النشر: 2017
مصطلحات موضوعية: 0301 basic medicine, Pulmonary and Respiratory Medicine, Oncology, Adult, Male, Cancer Research, medicine.medical_specialty, Stromal cell, Lung Neoplasms, Kaplan-Meier Estimate, Disease-Free Survival, 03 medical and health sciences, 0302 clinical medicine, Lymphocytes, Tumor-Infiltrating, Antigens, CD, Internal medicine, Carcinoma, Non-Small-Cell Lung, medicine, Biomarkers, Tumor, Humans, Stage (cooking), Lung cancer, Aged, Neoplasm Staging, Aged, 80 and over, Univariate analysis, Tissue microarray, business.industry, Middle Aged, medicine.disease, Prognosis, Primary tumor, Lymphocyte Activation Gene 3 Protein, 030104 developmental biology, 030220 oncology & carcinogenesis, Lymphatic Metastasis, Immunohistochemistry, Female, Lymph, business
الوصف: Background Lymphocyte activation gene-3 (LAG-3) is an immune checkpoint receptor and a putative therapeutic target in non–small-cell lung cancer (NSCLC). We explored the prognostic effect of LAG-3+ tumor-infiltrating lymphocytes (TILs) in primary tumors and metastatic lymph nodes in NSCLC and its potential for inclusion in an immunoscore, supplementing the TNM classification. Materials and Methods Primary tumor tissue from 553 stage I-IIIB NSCLC patients and 143 corresponding metastatic lymph nodes were collected. The expression of LAG-3 was evaluated by immunohistochemistry on tissue microarrays. Results On univariate analysis, LAG-3+ TILs in the intraepithelial and stromal compartments of primary tumors and in the intraepithelial and extraepithelial compartments of metastatic lymph nodes were associated with improved disease-specific survival (DSS). On multivariate analysis, stromal LAG-3+ TILs were a significant independent predictor of improved DSS (hazard ratio [HR], 0.59; 95% confidence interval [CI], 0.43-0.82; P = .002). Stromal LAG-3+ TILs did not have prognostic impact across all pathologic stages. In the metastatic lymph nodes, intraepithelial (HR, 0.61; 95% CI, 0.38-0.99; P = .049) and extraepithelial (HR, 0.54; 95% CI, 0.29-0.70; P Conclusion LAG-3+ TILs are an independent positive prognostic factor in stage I-IIIB NSCLC. LAG-3 in metastatic lymph nodes is a candidate marker for an immunoscore in NSCLC.
تدمد: 1938-0690
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2e8e8725e1e23b816284764141f882cc
https://pubmed.ncbi.nlm.nih.gov/29396238
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....2e8e8725e1e23b816284764141f882cc
قاعدة البيانات: OpenAIRE