Evidence map›Paper›PMID 39936074›Full record

ArticleBreast cancer (Dove Medical Press)2025

Programmed Cell Death Ligand 1 (PD-L1) and Major Histocompatibility Complex Class I (MHC Class I) Expression Patterns and Their Pathologic Associations in Triple-Negative Breast Cancer.

Ponkrit Kaewkedsri, Piyapharom Intarawichian, Sirawich Jessadapattarakul, Waritta Kunprom, Supinda Koonmee, Malinee Thanee, Ongart Somintara, Anongporn Wongbuddha, Payia Chadbunchachai, Supajit Nawapun and 1 more

Abstract read
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Article in Breast cancer (Dove Medical Press), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Ponkrit KaewkedsriDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Piyapharom IntarawichianDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0002-0181-5573
Sirawich JessadapattarakulDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Waritta KunpromDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Supinda KoonmeeDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Malinee ThaneeDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Ongart SomintaraDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Anongporn WongbuddhaDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Payia ChadbunchachaiDepartment of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Supajit NawapunDepartment of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Chaiwat AphivatanasiriDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0001-9185-4121

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aims to investigate the clinicopathological characteristics of triple-negative breast cancer (TNBC) in relation to programmed cell death ligand 1 (PD-L1) and major histocompatibility complex class I (MHC class I) expression, with a focus on their prognostic significance. Patients and Methods: A retrospective analysis was conducted on formalin-fixed paraffin-embedded (FFPE) tissue samples from 148 TNBC patients diagnosed between 2008 and 2021. Immunohistochemical analysis evaluated PD-L1 and MHC class I expression. PD-L1 was assessed using Combine Positive Scores (CPS), with the threshold set at CPS ≥ 1 and CPS ≥ 10. MHC class I expression was categorized into low and high levels. Associations between these markers, clinicopathological features, overall survival (OS), and disease-free survival (DFS) were analyzed. PD-L1 expression was also compared between older FFPE blocks (2008-2018) versus newer blocks (2019-2021). Results: PD-L1 expression was observed in 29.1% of cases with a Combined Positive Score (CPS) ≥1 and 8.8% of CPS ≥10 cases. MHC class I expression was evenly split between low and high levels. Older FFPE blocks (2008-2018) showed lower PD-L1 expression than newer blocks (2019-2021). There was no significant association between PD-L1 expression and overall survival (OS) or disease-free survival (DFS). However, high MHC class I expression was strongly associated with improved OS (HR = 0.469, 95% CI: 0.282-0.780, p=0.004). Patients with negative PD-L1 and high MHC class I expression had the most favorable prognosis, with significant OS for CPS ≥1 (HR = 0.447, 95% CI: 0.236-0.846, p=0.013) and CPS ≥10 (HR = 0.516, 95% CI: 0.307-0.869, p=0.013). Conclusion: These findings support the potential of PD-L1 and MHC class I expression as prognostic markers for TNBC, offering insights to guide treatment decisions and improve patient outcomes.

Indexed as

immunohistochemistrymajor histocompatibility complex class IMHC class IPD-L1prognosisprogrammed cell death ligand 1TNBCtriple-negative breast cancer

Identifiers

PMID39936074
PMCPMC11812676

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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.