Evidence map›Paper›PMID 32586358›Full record

ArticleClinical epigenetics2020

Prognostic and predictive value of PD-L2 DNA methylation and mRNA expression in melanoma.

Friederike Hoffmann, Romina Zarbl, Dennis Niebel, Judith Sirokay, Anne Fröhlich, Christian Posch, Tobias A W Holderried, Peter Brossart, Gonzalo Saavedra, Pia Kuster and 9 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Clinical epigenetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 46 citations in OpenAlex.

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  6. Journal for immunotherapy of cancer · 2025
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  13. The Crossroads of Cancer Epigenetics and Immune Checkpoint Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 3 countries.

Friederike HoffmannDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Romina ZarblDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Dennis NiebelDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Judith SirokayDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Anne FröhlichDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Christian PoschDepartment of Dermatology and Allergology, Technical University of Munich, Munich, Germany.
Tobias A W HolderriedDepartment of Oncology, Hematology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Peter BrossartDepartment of Oncology, Hematology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Gonzalo SaavedraDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Pia KusterDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Sebastian StriethDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Gerrit H GielenInstitute of Neuropathology, University Hospital Bonn, Bonn, Germany.
Sandra S RingMicrobiology and Immunology PhD Program, University of Zurich, Zurich, Switzerland.
Jörn DietrichDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Torsten PietschInstitute of Neuropathology, University Hospital Bonn, Bonn, Germany.
Lukas FlatzInstitute of Immunobiology, Kantonsspital St Gallen, St Gallen, Switzerland.
Glen KristiansenInstitute of Pathology, University Hospital Bonn, Bonn, Germany.
Jennifer LandsbergDepartment of Dermatology and Allergology, University Hospital Bonn, Bonn, Germany.
Dimo DietrichDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany. dimo.dietrich@gmail.com.ORCID 0000-0001-9794-7927
University Hospital Bonn · DEKantonsspital St. Gallen · CHSigmund Freud Privatuniversität Wien · ATUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPD-L1 (programmed cell death 1 ligand 1) expression in melanoma has been associated with a better response to anti-PD-1 (programmed cell death 1) therapy. However, patients with PD-L1-negative melanomas can respond to anti-PD-1 blockade, suggesting that the other PD-1 ligand, PD-L2 (programmed cell death 1 ligand 2), might also be relevant for efficacy of PD-1 inhibition. We investigated PD-L2 expression and methylation as a prognostic and predictive biomarker in melanoma.

methodsDNA methylation at five CpG loci and gene expression of PD-L2 were evaluated with regard to survival in 470 melanomas from The Cancer Genome Atlas. PD-L2 promoter methylation in correlation with PD-L2 mRNA and protein expression was analyzed in human melanoma cell lines. Prognostic and predictive value of PD-L2 methylation was validated using quantitative methylation-specific PCR in a multicenter cohort of 129 melanoma patients receiving anti-PD-1 therapy. mRNA sequencing data of 121 melanoma patients receiving anti-PD-1 therapy provided by Liu et al. were analyzed for PD-L2 mRNA expression.

resultsWe found significant correlations between PD-L2 methylation and mRNA expression levels in melanoma tissues and cell lines. Interferon-γ inducible PD-L2 protein expression correlated with PD-L2 promoter methylation in melanoma cells. PD-L2 DNA promoter hypomethylation and high mRNA expression were found to be strong predictors of prolonged overall survival. In pre-treatment melanoma samples from patients receiving anti-PD-1 therapy, low PD-L2 DNA methylation and high PD-L2 mRNA expression predicted longer progression-free survival.

conclusionPD-L2 expression seems to be regulated via DNA promoter methylation. PD-L2 DNA methylation and mRNA expression may predict progression-free survival in melanoma patients receiving anti-PD-1 immunotherapy. Assessment of PD-L2 should be included in further clinical trials with anti-PD-1 antibodies.

Indexed as

AdultAgedAged, 80 and overCell LineCohort StudiesCpG IslandsDNA MethylationFemaleGene ExpressionHumansImmune Checkpoint InhibitorsImmunotherapyMaleMelanomaMiddle AgedPredictive Value of TestsImmune Checkpoint InhibitorsProgrammed Cell Death 1 Ligand 2 ProteinRNA, MessengerAnti-PD-1 immunotherapyDNA methylationMelanomaPD-L1PD-L2Predictive biomarkerPrognostic biomarker

Identifiers

PMID32586358
PMCPMC7318478
OpenAlexW3037532599

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.