Retrospective Analyses of PD-L1, LAG-3, TIM-3, OX40L Expressions and MSI Status in Gastroenteropancreatic Neuroendocrine Neoplasms

Cancer Invest. 2024 Feb;42(2):141-154. doi: 10.1080/07357907.2024.2330102. Epub 2024 Mar 14.

Abstract

We investigated expressions of PD-L1, LAG-3, TIM-3, and OX40L as immune checkpoint proteins, and MSI (repetitive short-DNA-sequences due to defective DNA-repair system) status were analyzed with immunohistochemistry from tissue blocks. Of 83 patients, PD-L1 expression was observed in 18.1% (n = 15) of the patients. None of the patients exhibited LAG-3 expression. TIM-3 expression was 4.9% (n = 4), OX40L was 22.9% (n = 19), and 8.4% (n = 7) of the patients had MSI tumor. A low-to-intermediate positive correlation was observed between PD-L1 and TIM-3 expressions (rho: 0.333, p < 0.01). Although PD-L1 expression was higher in grade 3 NET/NEC, MSI status was prominent in grade 1/2 NET.

Keywords: LAG-3; MSI; OX40L; PD-L1; TIM-3.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • B7-H1 Antigen* / analysis
  • B7-H1 Antigen* / metabolism
  • DNA Repair
  • Female
  • Gastrointestinal Neoplasms* / chemistry
  • Gastrointestinal Neoplasms* / pathology
  • Hepatitis A Virus Cellular Receptor 2* / analysis
  • Hepatitis A Virus Cellular Receptor 2* / metabolism
  • Humans
  • Immune Checkpoint Proteins* / analysis
  • Immune Checkpoint Proteins* / metabolism
  • Immunohistochemistry
  • Lymphocyte Activation Gene 3 Protein / analysis
  • Lymphocyte Activation Gene 3 Protein / metabolism
  • Male
  • Middle Aged
  • Neoplasm Grading
  • Neuroendocrine Tumors* / chemistry
  • Neuroendocrine Tumors* / pathology
  • OX40 Ligand / analysis
  • OX40 Ligand / metabolism
  • Pancreatic Neoplasms* / chemistry
  • Pancreatic Neoplasms* / pathology
  • Retrospective Studies
  • Young Adult

Substances

  • B7-H1 Antigen
  • HAVCR2 protein, human
  • Hepatitis A Virus Cellular Receptor 2
  • Immune Checkpoint Proteins
  • Lymphocyte Activation Gene 3 Protein
  • OX40 Ligand