Association of combined PD-L1 expression and tumor-infiltrating lymphocytes features with survival and treatment outcomes in patients with metastatic melanoma
Journal of the European Academy of Dermatology and Venereology Oct 30, 2019
Bence C, Hofman V, Chamorey E, et al. - In patients with metastatic melanoma, researchers ascertained if the presence and the characteristics of pretreatment CD8+ tumor-infiltrating T lymphocytes (TILs) could be a complementary prognostic or predictive biomarker. Among 51 patients treated with ICIs and 54 patients treated with other treatment options (non-ICIs), the relationship of PD-L1 expression ≥ 5% of tumor cells combined with TILs features (CD8, CD28, Ki67) with the overall survival (OS), was evaluated. According to this retrospective study, PD-L1 positivity was noted in 33% and 39% of primary melanomas and matched metastases, with poor concordance, however, between the primary and matched metastatic site. There was no significant association between PD-L1 expression and CD8+TILs profile analyzed as single markers and OS or response to immunotherapy. Findings suggested that the pretreatment combination of PD-L1 expression with CD8+TILs level can help determine OS and predict clinical response of patients with metastatic melanoma if treated with immunotherapy or other treatment regimens.
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