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Expression of Programmed Cell Death 1 Ligands (PD-L1 and PD-L2) in Histiocytic and Dendritic Cell Disorders.

组织细胞和树突状细胞疾病中程序性细胞死亡1配体(PD-L1 和 PD-L2)的表达

Xu J,Sun HH,Fletcher CD,Hornick JL,Morgan EA,Freeman GJ,Hodi FS,Pinkus GS,Rodig SJ

Abstract

Programmed cell death 1 ligands 1 and 2 (PD-L1 and PD-L2) are cell surface proteins expressed by activated antigen-presenting cells and by select malignancies that bind PD-1 on T cells to inhibit immune responses. Antibodies targeting PD-1 or PD-L1 elicit antitumor immunity in a subset of patients, and clinical response correlates with PD-1 ligand expression by malignant or immune cells within the tumor microenvironment. We examined the expression of PD-1 ligands on subsets of antigen-presenting cells and 87 histiocytic and dendritic cell disorders including those that are benign, borderline, and malignant. Within reactive lymphoid tissue, strong PD-L1 is detected on most macrophages, subsets of interdigitating dendritic cells, and plasmacytoid dendritic cells, but not on follicular dendritic cells or Langerhans cells. Macrophage/dendritic cell subsets do not express discernible PD-L2. Seven of 7 cases of sarcoidosis (100%), 6 of 6 cases of histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease) (100%), 2 of 11 cases of Rosai-Dorfman disease (18%), and 3 of 15 cases of Langerhans cell histiocytosis (20%) exhibited positivity for PD-L1. All cases of sarcoidosis were also positive for PD-L2. Seven of 14 histiocytic sarcomas (50%), 2 of 5 interdigitating dendritic cell sarcomas (40%), 10 of 20 follicular dendritic cell sarcomas (50%), and none of 9 blastic plasmacytoid dendritic cell neoplasms were positive for PD-L1. Eleven of 20 (55%) follicular dendritic cell sarcomas were also positive for PD-L2. PD-L1 and PD-L2 are useful new markers for identifying select histiocyte and dendritic cell disorders and reveal novel patient populations as rational candidates for immunotherapy.

摘要

   程序性细胞死亡1配体(PD-L1 和 PD-L2)是一种细胞表面蛋白,表达于活化的抗原递呈细胞和某些可结合T细胞表面PD-1从而抑制免疫反应的肿瘤细胞。一些患者体内针对PD-1或PD-L1进行靶向治疗可产生抗肿瘤免疫反应,且临床效果与肿瘤微环境中肿瘤细胞或免疫细胞表达的PD-1配体有关。我们在一组抗原递呈细胞和87例包括组织细胞及树突状细胞良性、交界性和恶性肿瘤中PD-1配体的表达。反应性淋巴组织中,PD-L1强表达于大多数巨噬细胞、部分交指状树突细胞和浆细胞样树突状细胞,不表达于滤泡树突状细胞或朗格汉斯细胞。部分巨噬细胞/树突状细胞不表达可识别的 PD-L2。结节病、组织细胞坏死性淋巴结炎、Rosai-Dorfman病、朗格汉斯细胞组织细胞增生症中PD-L1的表达率分别为100%(7/7)、100%(6/6)、18%(2/11)、20%(3/15)。组织细胞肉瘤、交指状树突细胞肉瘤、滤泡树突细胞肉瘤表达PD-L1的比例分别为50%(7/14)、40%(2/5)、50%(10/20)。母细胞性浆细胞样树突状细胞肿瘤不表达PD-L1(0/9)。滤泡树突细胞肉瘤中PD-L2的表达比例为55%(11/20)。PD-L1 和PD-L2 的表达情况是组织细胞和树突状细胞疾病鉴别诊断中的有用指标,并且是初发患者进行免疫治疗的理想候选指标。


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