1. Observational Study of PD-L1, TGF-β, and Immune Cell Infiltrates in Hepatocellular Carcinoma
- Author
-
Eveline Frick-Krieger, Isabelle Dussault, P. Alexander Rolfe, Bartholomew J. Naughton, Christian Ihling, Luigi Terracciano, and Yue Zhang
- Subjects
0301 basic medicine ,PD-L1 ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,medicine ,Cytotoxic T cell ,HCC ,Original Research ,lcsh:R5-920 ,biology ,business.industry ,CD68 ,FOXP3 ,General Medicine ,Transforming growth factor beta ,CD8 ,hepatocellular carcinoma ,medicine.disease ,030104 developmental biology ,checkpoint inhibitor ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,biology.protein ,Cancer research ,immune cell infiltrates ,Medicine ,business ,lcsh:Medicine (General) - Abstract
Introduction: Hepatocellular carcinoma (HCC) typically develops in cirrhotic livers, with increased programed death ligand 1 (PD-L1) and transforming growth factor beta (TGF-β) activity implicated in immunosuppression. Methods: In an observational study of HCC liver samples, we determined the incidence of PD-L1 and immune cell (IC) infiltrates, and signs of TGF-β activity. HCCs were characterized by the incidence and distribution of PD-L1+ cells, and CD8+, CD68+, and FoxP3+ infiltrating ICs in HCC and surrounding liver. Gene expression signatures (GESs) associated with TGF-β activity and ICs were evaluated by RNAseq. Results: In non-neoplastic cirrhotic and non-cirrhotic liver, PD-L1 occurred on sinusoidal lining cells (mostly Kupffer cells), endothelial cells and ICs. In HCC, PD-L1+ tumor cells were rare. Most PD-L1+ cells were identified as ICs. CD8+, CD68+, and FoxP3+ ICs were associated with HCC, particularly in the invasive margin. CD8+ cell incidence correlated with PD-L1+ cells, consistent with PD-L1 being upregulated in response to pre-existing cytotoxic T-lymphocyte activity. TGFB1 mRNA levels and TGF-β activation GES correlated with the strength of the tumor-associated macrophage GES. Conclusion: Inhibition of PD-L1+ ICs and TGF-β activity and their respective immunomodulatory pathways may contribute to antitumor effects in HCC.
- Published
- 2018