2019
DOI: 10.1038/s41598-019-47235-z
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Circulating levels of PD-L1 and Galectin-9 are associated with patient survival in surgically treated Hepatocellular Carcinoma independent of their intra-tumoral expression levels

Abstract: Tumor expression of immune co-inhibitory ligands, such as PD-L1 and Galectin-9, have potential prognostic value in Hepatocellular Carcinoma (HCC). Circulating levels of these molecules, however, have hardly been studied. This study aims to assess the prognostic significance of circulating PD-L1 and circulating Galectin-9 in patients with resected HCC, and to compare their prognostic significance to the intra-tumoral expression of these same molecules. Archived tissues and stored peripheral blood samples from 8… Show more

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Cited by 43 publications
(28 citation statements)
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“…Second, high sPD-L1 is a positive prognostic indicator in a minority of tumor types, including stomach adenocarcinoma. 38,39 Stomach adenocarcinoma is one of the only two malignancies for which our analysis found an association between lower PD-L1 protein-to-mRNA ratios and improved outcomes. Different sPD-L1 cleavage products generated by ADAM10 and/or ADAM17 either alone or in sequence may have different effects on the PD-1 receptor, and different resistance mechanisms may further account for these differences.…”
Section: Discussionmentioning
confidence: 75%
“…Second, high sPD-L1 is a positive prognostic indicator in a minority of tumor types, including stomach adenocarcinoma. 38,39 Stomach adenocarcinoma is one of the only two malignancies for which our analysis found an association between lower PD-L1 protein-to-mRNA ratios and improved outcomes. Different sPD-L1 cleavage products generated by ADAM10 and/or ADAM17 either alone or in sequence may have different effects on the PD-1 receptor, and different resistance mechanisms may further account for these differences.…”
Section: Discussionmentioning
confidence: 75%
“…Although SB cell-derived EVs expressed PD-L1 (Supplemental Figure 2, D and E), incubating BMDMs with SB EVs did not alter macrophage-associated PD-L1 (Supplemental Figure 2F). PD-L1 may also be present in a circulating or soluble form with immunosuppressive properties that facilitate cancer progression (28,29). Indeed, we identified soluble PD-L1 in conditioned medium from SB cells (Figure 2I), implying that Taken together, these results suggest that, although cancer cells transfer a small amount of PD-L1 to TAMs, this transferred soluble PD-L1 is not immunosuppressive based on its impact on T cells.…”
Section: Resultsmentioning
confidence: 85%
“…Another binding partner for TIM-3 is the conserved s-type lectin galectin-9 (Gal-9), which is a pleiotropic immune modulator. Besides TIM-3, Gal-9 has numerous binding partners and can be secreted by cancer cells via various mechanisms [177]. It has been recently recognized that Gal-9 inhibits the production of IFNα by mouse and human pDCs stimulated with various TLR7/9 ligands.…”
Section: Tumor-derived Factorsmentioning
confidence: 99%