The correlation and prognostic value of serum levels of soluble programmed death protein 1 (sPD-1) and soluble programmed death-ligand 1 (sPD-L1) in patients with hepatocellular carcinoma

Background Blocking the programmed death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) pathway in hepatocellular carcinoma (HCC) is a very promising approach in immunotherapy. However, the correlation and prognostic values of serum soluble PD-1 and PD-L1 (sPD-1/sPD-L1) have not been explored co...

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Veröffentlicht in:Cancer Immunology, Immunotherapy Immunotherapy, 2019-03, Vol.68 (3), p.353-363
Hauptverfasser: Chang, Boyang, Huang, Tao, Wei, Huajun, Shen, Lujun, Zhu, Duo, He, Wenjun, Chen, Qifeng, Zhang, Huihua, Li, Yunjian, Huang, Ruopan, Li, Wang, Wu, Peihong
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container_end_page 363
container_issue 3
container_start_page 353
container_title Cancer Immunology, Immunotherapy
container_volume 68
creator Chang, Boyang
Huang, Tao
Wei, Huajun
Shen, Lujun
Zhu, Duo
He, Wenjun
Chen, Qifeng
Zhang, Huihua
Li, Yunjian
Huang, Ruopan
Li, Wang
Wu, Peihong
description Background Blocking the programmed death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) pathway in hepatocellular carcinoma (HCC) is a very promising approach in immunotherapy. However, the correlation and prognostic values of serum soluble PD-1 and PD-L1 (sPD-1/sPD-L1) have not been explored conjointly in HCC patients. Methods This study retrospectively included 120 HCC patients receiving radical resection. The serum levels of sPD-1/sPD-L1 and inflammatory cytokines were measured by antibody array assay. Immunohistochemistry was applied to assess both the expression of membrane-bound PD-L1, and the number of CD4 + tumor-infiltrating lymphocytes (TILs) and CD8 + TILs. Results The best cut-off values of sPD-1 and sPD-L1 for predicting disease-free survival (DFS) were 33.0 µg/ml and 11.2 µg/ml, respectively. Multivariable analysis showed that sPD-L1 was a negative independent prognostic factor [DFS, Hazard Ratio (HR) 2.58, 95% CI 1.14–5.84, P  = 0.023; overall survival (OS), HR 1.77, 95% CI 1.01–3.12, P  = 0.048], while sPD-1 was a favorable independent prognostic factor (DFS, HR 0.32, 95% CI 0.14–0.74, P  = 0.007; OS, HR 0.54, 95% CI 0.30–0.98, P  = 0.044) in HCC patients. We also observed some similar associations between inflammatory cytokines (IL-10, IL-17, TNF-α) and sPD-1 or sPD-L1, as well as a close positive association between sPD-1 and sPD-L1. No significant associations of sPD-1/sPD-L1 with either intra-tumoral PD-L1 expression, or the numbers of CD4 + TILs and CD8 + TILs were determined. Conclusions Our findings indicate that sPD-1 and sPD-L1 are independent prognostic factors with opposite prognostic roles in predicting both DFS and OS in HCC patients.
doi_str_mv 10.1007/s00262-018-2271-4
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fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6426820</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2140364296</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-a5448a2e3a599310e2d3da97a6cd51f2343d225fd6da1ef92271e73a1be815ad3</originalsourceid><addsrcrecordid>eNp1kk2P0zAQhiMEYsvCD-CCLHFZDoHxR5LmgoR2-ZIqwWE5W9N40nrl2MVOivht_Ll12rJ8SHuyZ-aZ1_NaUxTPObzmAM2bBCBqUQJflkI0vFQPigVXMmeWFX9YLEAqKBsAdVY8SekmXwS07ePiTEIFtaphUfy63hLrQozkcLTBM_SG7WLY-JBG27E9uolY6FmiOA3M0Z5cOsTBTWtHBzbiMJBhhnDczomRrGecXaSvVyV_dZC8Dy-d3cz1E73KeO7d5VnIj4n9sFlxSzkOHTk3OYysw9hZHwZ8Wjzq0SV6djrPi28f3l9ffipXXz5-vny3KjvVwFhipdQSBUms2lZyIGGkwbbBujMV74VU0ghR9aY2yKlv56-kRiJf05JXaOR58faou5vWefAuTxbR6V20A8afOqDV_1a83epN2OtaiXopIAtcnARi-D5RGvVg0-wHPYUpacFVC0I2Dc_oy__QmzBFn-3NFMgs2daZ4keqiyGlSP3dMBz0vBr6uBo6r4ae_WiVe1787eKu4_cuZEAcgZRLfkPxz9P3q94CVufGvA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2140364296</pqid></control><display><type>article</type><title>The correlation and prognostic value of serum levels of soluble programmed death protein 1 (sPD-1) and soluble programmed death-ligand 1 (sPD-L1) in patients with hepatocellular carcinoma</title><source>MEDLINE</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Chang, Boyang ; Huang, Tao ; Wei, Huajun ; Shen, Lujun ; Zhu, Duo ; He, Wenjun ; Chen, Qifeng ; Zhang, Huihua ; Li, Yunjian ; Huang, Ruopan ; Li, Wang ; Wu, Peihong</creator><creatorcontrib>Chang, Boyang ; Huang, Tao ; Wei, Huajun ; Shen, Lujun ; Zhu, Duo ; He, Wenjun ; Chen, Qifeng ; Zhang, Huihua ; Li, Yunjian ; Huang, Ruopan ; Li, Wang ; Wu, Peihong</creatorcontrib><description>Background Blocking the programmed death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) pathway in hepatocellular carcinoma (HCC) is a very promising approach in immunotherapy. However, the correlation and prognostic values of serum soluble PD-1 and PD-L1 (sPD-1/sPD-L1) have not been explored conjointly in HCC patients. Methods This study retrospectively included 120 HCC patients receiving radical resection. The serum levels of sPD-1/sPD-L1 and inflammatory cytokines were measured by antibody array assay. Immunohistochemistry was applied to assess both the expression of membrane-bound PD-L1, and the number of CD4 + tumor-infiltrating lymphocytes (TILs) and CD8 + TILs. Results The best cut-off values of sPD-1 and sPD-L1 for predicting disease-free survival (DFS) were 33.0 µg/ml and 11.2 µg/ml, respectively. Multivariable analysis showed that sPD-L1 was a negative independent prognostic factor [DFS, Hazard Ratio (HR) 2.58, 95% CI 1.14–5.84, P  = 0.023; overall survival (OS), HR 1.77, 95% CI 1.01–3.12, P  = 0.048], while sPD-1 was a favorable independent prognostic factor (DFS, HR 0.32, 95% CI 0.14–0.74, P  = 0.007; OS, HR 0.54, 95% CI 0.30–0.98, P  = 0.044) in HCC patients. We also observed some similar associations between inflammatory cytokines (IL-10, IL-17, TNF-α) and sPD-1 or sPD-L1, as well as a close positive association between sPD-1 and sPD-L1. No significant associations of sPD-1/sPD-L1 with either intra-tumoral PD-L1 expression, or the numbers of CD4 + TILs and CD8 + TILs were determined. Conclusions Our findings indicate that sPD-1 and sPD-L1 are independent prognostic factors with opposite prognostic roles in predicting both DFS and OS in HCC patients.</description><identifier>ISSN: 0340-7004</identifier><identifier>EISSN: 1432-0851</identifier><identifier>DOI: 10.1007/s00262-018-2271-4</identifier><identifier>PMID: 30506460</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; B7-H1 Antigen - blood ; C-Reactive Protein - analysis ; Cancer Research ; Carcinoma, Hepatocellular - blood ; Carcinoma, Hepatocellular - mortality ; Carcinoma, Hepatocellular - pathology ; CD4 antigen ; CD8 antigen ; Cytokines ; Death ; Female ; Hepatocellular carcinoma ; Humans ; Immunohistochemistry ; Immunology ; Immunotherapy ; Inflammation ; Interleukin 10 ; Interleukin 17 ; Ligands ; Liver cancer ; Liver Neoplasms - blood ; Liver Neoplasms - mortality ; Liver Neoplasms - pathology ; Lymphocytes ; Lymphocytes, Tumor-Infiltrating - immunology ; Male ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Original ; Original Article ; PD-1 protein ; PD-L1 protein ; Prognosis ; Programmed Cell Death 1 Receptor - blood ; Retrospective Studies ; Serum levels ; Tumor necrosis factor-α ; Tumor-infiltrating lymphocytes</subject><ispartof>Cancer Immunology, Immunotherapy, 2019-03, Vol.68 (3), p.353-363</ispartof><rights>The Author(s) 2018</rights><rights>Cancer Immunology, Immunotherapy is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-a5448a2e3a599310e2d3da97a6cd51f2343d225fd6da1ef92271e73a1be815ad3</citedby><cites>FETCH-LOGICAL-c470t-a5448a2e3a599310e2d3da97a6cd51f2343d225fd6da1ef92271e73a1be815ad3</cites><orcidid>0000-0001-8008-1872</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426820/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426820/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30506460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Boyang</creatorcontrib><creatorcontrib>Huang, Tao</creatorcontrib><creatorcontrib>Wei, Huajun</creatorcontrib><creatorcontrib>Shen, Lujun</creatorcontrib><creatorcontrib>Zhu, Duo</creatorcontrib><creatorcontrib>He, Wenjun</creatorcontrib><creatorcontrib>Chen, Qifeng</creatorcontrib><creatorcontrib>Zhang, Huihua</creatorcontrib><creatorcontrib>Li, Yunjian</creatorcontrib><creatorcontrib>Huang, Ruopan</creatorcontrib><creatorcontrib>Li, Wang</creatorcontrib><creatorcontrib>Wu, Peihong</creatorcontrib><title>The correlation and prognostic value of serum levels of soluble programmed death protein 1 (sPD-1) and soluble programmed death-ligand 1 (sPD-L1) in patients with hepatocellular carcinoma</title><title>Cancer Immunology, Immunotherapy</title><addtitle>Cancer Immunol Immunother</addtitle><addtitle>Cancer Immunol Immunother</addtitle><description>Background Blocking the programmed death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) pathway in hepatocellular carcinoma (HCC) is a very promising approach in immunotherapy. However, the correlation and prognostic values of serum soluble PD-1 and PD-L1 (sPD-1/sPD-L1) have not been explored conjointly in HCC patients. Methods This study retrospectively included 120 HCC patients receiving radical resection. The serum levels of sPD-1/sPD-L1 and inflammatory cytokines were measured by antibody array assay. Immunohistochemistry was applied to assess both the expression of membrane-bound PD-L1, and the number of CD4 + tumor-infiltrating lymphocytes (TILs) and CD8 + TILs. Results The best cut-off values of sPD-1 and sPD-L1 for predicting disease-free survival (DFS) were 33.0 µg/ml and 11.2 µg/ml, respectively. Multivariable analysis showed that sPD-L1 was a negative independent prognostic factor [DFS, Hazard Ratio (HR) 2.58, 95% CI 1.14–5.84, P  = 0.023; overall survival (OS), HR 1.77, 95% CI 1.01–3.12, P  = 0.048], while sPD-1 was a favorable independent prognostic factor (DFS, HR 0.32, 95% CI 0.14–0.74, P  = 0.007; OS, HR 0.54, 95% CI 0.30–0.98, P  = 0.044) in HCC patients. We also observed some similar associations between inflammatory cytokines (IL-10, IL-17, TNF-α) and sPD-1 or sPD-L1, as well as a close positive association between sPD-1 and sPD-L1. No significant associations of sPD-1/sPD-L1 with either intra-tumoral PD-L1 expression, or the numbers of CD4 + TILs and CD8 + TILs were determined. Conclusions Our findings indicate that sPD-1 and sPD-L1 are independent prognostic factors with opposite prognostic roles in predicting both DFS and OS in HCC patients.</description><subject>Adult</subject><subject>Aged</subject><subject>B7-H1 Antigen - blood</subject><subject>C-Reactive Protein - analysis</subject><subject>Cancer Research</subject><subject>Carcinoma, Hepatocellular - blood</subject><subject>Carcinoma, Hepatocellular - mortality</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>CD4 antigen</subject><subject>CD8 antigen</subject><subject>Cytokines</subject><subject>Death</subject><subject>Female</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Immunology</subject><subject>Immunotherapy</subject><subject>Inflammation</subject><subject>Interleukin 10</subject><subject>Interleukin 17</subject><subject>Ligands</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - blood</subject><subject>Liver Neoplasms - mortality</subject><subject>Liver Neoplasms - pathology</subject><subject>Lymphocytes</subject><subject>Lymphocytes, Tumor-Infiltrating - immunology</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>PD-1 protein</subject><subject>PD-L1 protein</subject><subject>Prognosis</subject><subject>Programmed Cell Death 1 Receptor - blood</subject><subject>Retrospective Studies</subject><subject>Serum levels</subject><subject>Tumor necrosis factor-α</subject><subject>Tumor-infiltrating lymphocytes</subject><issn>0340-7004</issn><issn>1432-0851</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kk2P0zAQhiMEYsvCD-CCLHFZDoHxR5LmgoR2-ZIqwWE5W9N40nrl2MVOivht_Ll12rJ8SHuyZ-aZ1_NaUxTPObzmAM2bBCBqUQJflkI0vFQPigVXMmeWFX9YLEAqKBsAdVY8SekmXwS07ePiTEIFtaphUfy63hLrQozkcLTBM_SG7WLY-JBG27E9uolY6FmiOA3M0Z5cOsTBTWtHBzbiMJBhhnDczomRrGecXaSvVyV_dZC8Dy-d3cz1E73KeO7d5VnIj4n9sFlxSzkOHTk3OYysw9hZHwZ8Wjzq0SV6djrPi28f3l9ffipXXz5-vny3KjvVwFhipdQSBUms2lZyIGGkwbbBujMV74VU0ghR9aY2yKlv56-kRiJf05JXaOR58faou5vWefAuTxbR6V20A8afOqDV_1a83epN2OtaiXopIAtcnARi-D5RGvVg0-wHPYUpacFVC0I2Dc_oy__QmzBFn-3NFMgs2daZ4keqiyGlSP3dMBz0vBr6uBo6r4ae_WiVe1787eKu4_cuZEAcgZRLfkPxz9P3q94CVufGvA</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Chang, Boyang</creator><creator>Huang, Tao</creator><creator>Wei, Huajun</creator><creator>Shen, Lujun</creator><creator>Zhu, Duo</creator><creator>He, Wenjun</creator><creator>Chen, Qifeng</creator><creator>Zhang, Huihua</creator><creator>Li, Yunjian</creator><creator>Huang, Ruopan</creator><creator>Li, Wang</creator><creator>Wu, Peihong</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8008-1872</orcidid></search><sort><creationdate>20190301</creationdate><title>The correlation and prognostic value of serum levels of soluble programmed death protein 1 (sPD-1) and soluble programmed death-ligand 1 (sPD-L1) in patients with hepatocellular carcinoma</title><author>Chang, Boyang ; Huang, Tao ; Wei, Huajun ; Shen, Lujun ; Zhu, Duo ; He, Wenjun ; Chen, Qifeng ; Zhang, Huihua ; Li, Yunjian ; Huang, Ruopan ; Li, Wang ; Wu, Peihong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-a5448a2e3a599310e2d3da97a6cd51f2343d225fd6da1ef92271e73a1be815ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>B7-H1 Antigen - blood</topic><topic>C-Reactive Protein - analysis</topic><topic>Cancer Research</topic><topic>Carcinoma, Hepatocellular - blood</topic><topic>Carcinoma, Hepatocellular - mortality</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>CD4 antigen</topic><topic>CD8 antigen</topic><topic>Cytokines</topic><topic>Death</topic><topic>Female</topic><topic>Hepatocellular carcinoma</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Immunology</topic><topic>Immunotherapy</topic><topic>Inflammation</topic><topic>Interleukin 10</topic><topic>Interleukin 17</topic><topic>Ligands</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - blood</topic><topic>Liver Neoplasms - mortality</topic><topic>Liver Neoplasms - pathology</topic><topic>Lymphocytes</topic><topic>Lymphocytes, Tumor-Infiltrating - immunology</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>PD-1 protein</topic><topic>PD-L1 protein</topic><topic>Prognosis</topic><topic>Programmed Cell Death 1 Receptor - blood</topic><topic>Retrospective Studies</topic><topic>Serum levels</topic><topic>Tumor necrosis factor-α</topic><topic>Tumor-infiltrating lymphocytes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Boyang</creatorcontrib><creatorcontrib>Huang, Tao</creatorcontrib><creatorcontrib>Wei, Huajun</creatorcontrib><creatorcontrib>Shen, Lujun</creatorcontrib><creatorcontrib>Zhu, Duo</creatorcontrib><creatorcontrib>He, Wenjun</creatorcontrib><creatorcontrib>Chen, Qifeng</creatorcontrib><creatorcontrib>Zhang, Huihua</creatorcontrib><creatorcontrib>Li, Yunjian</creatorcontrib><creatorcontrib>Huang, Ruopan</creatorcontrib><creatorcontrib>Li, Wang</creatorcontrib><creatorcontrib>Wu, Peihong</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health &amp; 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However, the correlation and prognostic values of serum soluble PD-1 and PD-L1 (sPD-1/sPD-L1) have not been explored conjointly in HCC patients. Methods This study retrospectively included 120 HCC patients receiving radical resection. The serum levels of sPD-1/sPD-L1 and inflammatory cytokines were measured by antibody array assay. Immunohistochemistry was applied to assess both the expression of membrane-bound PD-L1, and the number of CD4 + tumor-infiltrating lymphocytes (TILs) and CD8 + TILs. Results The best cut-off values of sPD-1 and sPD-L1 for predicting disease-free survival (DFS) were 33.0 µg/ml and 11.2 µg/ml, respectively. Multivariable analysis showed that sPD-L1 was a negative independent prognostic factor [DFS, Hazard Ratio (HR) 2.58, 95% CI 1.14–5.84, P  = 0.023; overall survival (OS), HR 1.77, 95% CI 1.01–3.12, P  = 0.048], while sPD-1 was a favorable independent prognostic factor (DFS, HR 0.32, 95% CI 0.14–0.74, P  = 0.007; OS, HR 0.54, 95% CI 0.30–0.98, P  = 0.044) in HCC patients. We also observed some similar associations between inflammatory cytokines (IL-10, IL-17, TNF-α) and sPD-1 or sPD-L1, as well as a close positive association between sPD-1 and sPD-L1. No significant associations of sPD-1/sPD-L1 with either intra-tumoral PD-L1 expression, or the numbers of CD4 + TILs and CD8 + TILs were determined. Conclusions Our findings indicate that sPD-1 and sPD-L1 are independent prognostic factors with opposite prognostic roles in predicting both DFS and OS in HCC patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30506460</pmid><doi>10.1007/s00262-018-2271-4</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8008-1872</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; PubMed Central; SpringerLink Journals - AutoHoldings
subjects Adult
Aged
B7-H1 Antigen - blood
C-Reactive Protein - analysis
Cancer Research
Carcinoma, Hepatocellular - blood
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
CD4 antigen
CD8 antigen
Cytokines
Death
Female
Hepatocellular carcinoma
Humans
Immunohistochemistry
Immunology
Immunotherapy
Inflammation
Interleukin 10
Interleukin 17
Ligands
Liver cancer
Liver Neoplasms - blood
Liver Neoplasms - mortality
Liver Neoplasms - pathology
Lymphocytes
Lymphocytes, Tumor-Infiltrating - immunology
Male
Medical prognosis
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original
Original Article
PD-1 protein
PD-L1 protein
Prognosis
Programmed Cell Death 1 Receptor - blood
Retrospective Studies
Serum levels
Tumor necrosis factor-α
Tumor-infiltrating lymphocytes
title The correlation and prognostic value of serum levels of soluble programmed death protein 1 (sPD-1) and soluble programmed death-ligand 1 (sPD-L1) in patients with hepatocellular carcinoma
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T06%3A08%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20correlation%20and%20prognostic%20value%20of%20serum%20levels%20of%20soluble%20programmed%20death%20protein%201%20(sPD-1)%20and%20soluble%20programmed%20death-ligand%201%20(sPD-L1)%20in%20patients%20with%20hepatocellular%20carcinoma&rft.jtitle=Cancer%20Immunology,%20Immunotherapy&rft.au=Chang,%20Boyang&rft.date=2019-03-01&rft.volume=68&rft.issue=3&rft.spage=353&rft.epage=363&rft.pages=353-363&rft.issn=0340-7004&rft.eissn=1432-0851&rft_id=info:doi/10.1007/s00262-018-2271-4&rft_dat=%3Cproquest_pubme%3E2140364296%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2140364296&rft_id=info:pmid/30506460&rfr_iscdi=true