Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy
Objectives The fact that studies on anti‐programmed cell death 1 (PD‐1) or its relevant ligand 1 (PD‐L1) have yielded such few responses greatly decreases the confidence in immunotherapy with checkpoint inhibitors for advanced osteosarcoma. We intended to characterize the expression of various check...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
|
| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13620 |
| _version_ | 1811162033259806720 |
|---|---|
| author | Lu Xie Chenglong Chen Xin Liang Jie Xu Xin Sun Kunkun Sun Rongli Yang Xiaodong Tang Wei Guo |
| author_facet | Lu Xie Chenglong Chen Xin Liang Jie Xu Xin Sun Kunkun Sun Rongli Yang Xiaodong Tang Wei Guo |
| author_sort | Lu Xie |
| collection | DOAJ |
| description | Objectives The fact that studies on anti‐programmed cell death 1 (PD‐1) or its relevant ligand 1 (PD‐L1) have yielded such few responses greatly decreases the confidence in immunotherapy with checkpoint inhibitors for advanced osteosarcoma. We intended to characterize the expression of various checkpoint molecules with immunohistochemistry in osteosarcoma specimens and analyzed the relationship of the expression of these checkpoint molecules with patients' clinical courses. Methods This study was a retrospective non‐intervention study from August 1st 2017 to March 1st 2020. Immunohistochemistry for B7‐H3 (CD276, Cluster of Differentiation 276), CD47 (Cluster of Differentiation 47), PD‐L1 (programmed cell death ligand 1), TIM3 (mucin‐domain containing‐3), TGF‐β (TransformingGrowth Factor β), CXCR 4 (Chemokine Receptor 4), CD27 (Cluster of Differentiation 27), IDO1 (Indoleamine 2,3‐dioxygenase 1), KIRs (Killer cell Immunoglobulin‐like Receptors), and SDF‐1 (Stromal cell‐Derived Factor‐1) was performed on 35 resected osteosarcoma specimens. Patients progressed upon first‐line chemotherapy with evaluable lesions were qualified for this study, and their specimens previously stored in the pathological department repository would be retrieved for analysis. Associations between the immunohischemistry markers and clinicopathological variables and survival were evaluated by the χ2 displayed by cross‐table, Cox proportional hazards regression model, and Kaplan–Meier plots. Results The positive rates of B7‐H3, CD47, PD‐L1, TIM3, and TGF‐β expression in this sample of 35 heavily treated osteosarcomas were 29% (10/35), 15% (5/35), 9% (3/35), 6% (2/35), and 6% (2/35), respectively, and diverse staining intensities were observed. Among these advanced patients, 15/35 (43%) had positive checkpoint expression, of which 33% (5/15) showed evidence of the co‐expression of more than one checkpoint molecule. We did not find any obvious correlation with clinicopathological characteristics and the positive expression of these molecules. Conclusions The present study highlights that only a small subset of progressive osteosarcomas, which had been heavily‐treated, expressed tumor immune‐associated checkpoint molecules, of which B7‐H3 was the most positively expressed checkpoint and might be a promising target for further osteosarcoma investigation. |
| first_indexed | 2024-04-10T06:23:08Z |
| format | Article |
| id | doaj.art-bb05951cc6aa44cdab147239752a537e |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-10T06:23:08Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-bb05951cc6aa44cdab147239752a537e2023-03-02T00:52:51ZengWileyOrthopaedic Surgery1757-78531757-78612023-03-0115382983810.1111/os.13620Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel ImmunotherapyLu Xie0Chenglong Chen1Xin Liang2Jie Xu3Xin Sun4Kunkun Sun5Rongli Yang6Xiaodong Tang7Wei Guo8Musculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaPathology Department Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaMusculoskeletal Tumor Center Peking University People's Hospital Beijing ChinaObjectives The fact that studies on anti‐programmed cell death 1 (PD‐1) or its relevant ligand 1 (PD‐L1) have yielded such few responses greatly decreases the confidence in immunotherapy with checkpoint inhibitors for advanced osteosarcoma. We intended to characterize the expression of various checkpoint molecules with immunohistochemistry in osteosarcoma specimens and analyzed the relationship of the expression of these checkpoint molecules with patients' clinical courses. Methods This study was a retrospective non‐intervention study from August 1st 2017 to March 1st 2020. Immunohistochemistry for B7‐H3 (CD276, Cluster of Differentiation 276), CD47 (Cluster of Differentiation 47), PD‐L1 (programmed cell death ligand 1), TIM3 (mucin‐domain containing‐3), TGF‐β (TransformingGrowth Factor β), CXCR 4 (Chemokine Receptor 4), CD27 (Cluster of Differentiation 27), IDO1 (Indoleamine 2,3‐dioxygenase 1), KIRs (Killer cell Immunoglobulin‐like Receptors), and SDF‐1 (Stromal cell‐Derived Factor‐1) was performed on 35 resected osteosarcoma specimens. Patients progressed upon first‐line chemotherapy with evaluable lesions were qualified for this study, and their specimens previously stored in the pathological department repository would be retrieved for analysis. Associations between the immunohischemistry markers and clinicopathological variables and survival were evaluated by the χ2 displayed by cross‐table, Cox proportional hazards regression model, and Kaplan–Meier plots. Results The positive rates of B7‐H3, CD47, PD‐L1, TIM3, and TGF‐β expression in this sample of 35 heavily treated osteosarcomas were 29% (10/35), 15% (5/35), 9% (3/35), 6% (2/35), and 6% (2/35), respectively, and diverse staining intensities were observed. Among these advanced patients, 15/35 (43%) had positive checkpoint expression, of which 33% (5/15) showed evidence of the co‐expression of more than one checkpoint molecule. We did not find any obvious correlation with clinicopathological characteristics and the positive expression of these molecules. Conclusions The present study highlights that only a small subset of progressive osteosarcomas, which had been heavily‐treated, expressed tumor immune‐associated checkpoint molecules, of which B7‐H3 was the most positively expressed checkpoint and might be a promising target for further osteosarcoma investigation.https://doi.org/10.1111/os.13620Checkpoint MoleculesCo‐expressionImmunotherapyOsteosarcomaPrognosis |
| spellingShingle | Lu Xie Chenglong Chen Xin Liang Jie Xu Xin Sun Kunkun Sun Rongli Yang Xiaodong Tang Wei Guo Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy Orthopaedic Surgery Checkpoint Molecules Co‐expression Immunotherapy Osteosarcoma Prognosis |
| title | Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy |
| title_full | Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy |
| title_fullStr | Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy |
| title_full_unstemmed | Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy |
| title_short | Expression and Clinical Significance of Various Checkpoint Molecules in Advanced Osteosarcoma: Possibilities for Novel Immunotherapy |
| title_sort | expression and clinical significance of various checkpoint molecules in advanced osteosarcoma possibilities for novel immunotherapy |
| topic | Checkpoint Molecules Co‐expression Immunotherapy Osteosarcoma Prognosis |
| url | https://doi.org/10.1111/os.13620 |
| work_keys_str_mv | AT luxie expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT chenglongchen expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT xinliang expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT jiexu expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT xinsun expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT kunkunsun expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT rongliyang expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT xiaodongtang expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy AT weiguo expressionandclinicalsignificanceofvariouscheckpointmoleculesinadvancedosteosarcomapossibilitiesfornovelimmunotherapy |