Evidence map›Paper›PMID 41784705›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Polymorphisms and overexpression of immune checkpoints PD-1, PD-L1, and CTLA-4 in DLBCL: biomarker insights from a case-control study.

Habibe Sema Arslan Unal, Ozan Salim, Unal Atas, Sule Darbas Aras, Nurten Sayin Ekinci, Yahya Kilinc, Fahri Ucar

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. 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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5 · Who and what money

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7 authors.

Habibe Sema Arslan UnalDepartment of Medical Genetics, School of Medicine, Kirsehir Ahi Evran University, Kirsehir, Turkey.
Ozan SalimDepartment of Internal Medicine, Division of Hematology, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Unal AtasDepartment of Internal Medicine, Division of Hematology, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Sule Darbas ArasDepartment of Medical Biology and Genetics, School of Medicine, Akdeniz University, Antalya, Turkey.
Nurten Sayin EkinciDepartment of Medical Biology and Genetics, School of Medicine, Akdeniz University, Antalya, Turkey.
Yahya KilincDepartment of Medical Biology and Genetics, School of Medicine, Akdeniz University, Antalya, Turkey.
Fahri UcarDepartment of Medical Biology and Genetics, School of Medicine, Akdeniz University, Antalya, Turkey. fahriucar61@yahoo.com.ORCID http://orcid.org/0000-0002-0556-1304

Funding

Akdeniz Üniversitesi 4792
6 · The paper itself

Abstract

backgroundDiffuse large B-cell lymphoma (DLBCL) is a biologically heterogeneous lymphoma with variable treatment outcomes. Immune checkpoints are key regulators of tumor-immune interactions and important targets in cancer therapy. This study investigates the roles of PD-1, PD-L1, and CTLA-4 gene polymorphisms, along with their mRNA and protein expression, in DLBCL pathogenesis.

methodsThis case-control study included 20 patients with newly diagnosed DLBCL and 20 age- and sex-matched healthy controls. SNPs in PD-1 (rs2227981), PD-L1 (rs4143815), and CTLA-4 (rs231775) were genotyped. Gene expression was assessed via RT-qPCR, and protein levels on immune cells were analyzed by flow cytometry.

resultsPD-1, PD-L1, and CTLA-4 mRNA levels were significantly elevated in DLBCL patients (p = 0.018, p = 0.006, p = 0.031, respectively). These SNPs were associated with expression changes (PD-1: p = 0.009; PD-L1: p = 0.007; CTLA-4: p = 0.018). Flow cytometry showed elevated percentages of CD4⁺PD-1⁺ (p = 0.010) and CD4⁺PD-L1⁺ (p = 0.002) cells in patients. No significant clinical differences were found among DLBCL subtypes.

conclusionThese results suggest that overexpression of these checkpoints and related genetic variants may contribute to immune escape and disease progression in DLBCL. PD-1, PD-L1, and CTLA-4 may serve as potential biomarkers for prognosis and personalized therapy. Further large-scale studies are needed to confirm these findings.

Indexed as

B7-H1 AntigenBiomarkers, TumorCTLA-4 AntigenLymphoma, Large B-Cell, DiffusePolymorphism, Single NucleotideProgrammed Cell Death 1 ReceptorAdultAgedCase-Control StudiesFemaleGenotypeHumansMaleMiddle AgedRNA, MessengerB7-H1 AntigenBiomarkers, TumorCD274 protein, humanCTLA-4 AntigenCTLA4 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorRNA, MessengerCTLA-4Diffuse large B-Cell lymphomaGene expressionPD-1PD-L1

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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.