Evidence map›Paper›PMID 42321710›Full record

ArticleBMC cancer2026

PD-L1 copy number loss is associated with lower survival in women with advanced breast cancer in Indonesian cohort.

Ramadhan Karsono, Muhammad Al Azhar, Anggana Dyah Utari, Adhitya Bayu Perdana, Ermita Rizki Umaya

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Article in BMC cancer, 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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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ramadhan KarsonoDepartment of Surgical Oncology, Dharmais Cancer Hospital - National Cancer Center, Jakarta, Indonesia. ramadhan@dharmais-surgonc.com.
Muhammad Al AzharFunctional Medical Staff of Surgical Oncology Department, Dharmais Cancer Hospital - National Cancer Center, Jakarta, Indonesia.
Anggana Dyah UtariFunctional Medical Staff of Surgical Oncology Department, Dharmais Cancer Hospital - National Cancer Center, Jakarta, Indonesia.
Adhitya Bayu PerdanaClinical Research Unit, Dharmais Cancer Hospital - National Cancer Center, Jakarta, Indonesia.
Ermita Rizki UmayaFunctional Medical Staff of Surgical Oncology Department, Dharmais Cancer Hospital - National Cancer Center, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic value of PD-L1 copy number variation (CNV) in advanced breast cancer (BC) patients remains unclear. This study investigated the association between PD-L1 CNV and its prognostic significance in advanced BC.

methodsPD-L1 CNV was analyzed using real-time PCR in advanced BC patients (n = 132) who received chemotherapy or hormonal therapy, along with a non-malignant control group (n = 5) obtained from patients with histopathologically confirmed fibroadenoma used as reference controls. The association of PD-L1 CNV with overall survival and clinicopathological features was determined.

resultsPD-L1 CNVs were identified in 22% (29/132) of advanced BC cases, comprising 9 CN losses and 20 CN gains. PDL-1 CN loss was associated with low overall survival (OS) (HR = 2.61; 95% CI = 1.10-6.21; p = 0.024) and remained significant after multivariate adjustment (HR = 3.13; 95% CI = 1.23-7.94; p = 0.016). The adverse prognostic effect was pronounced in HR-positive (p = 0.004) and HER2-negative patients (p = 0.040). PD-L1 CNVs were more frequent in patients > 40 years (p = 0.027) and HER2-negative tumors (p = 0.019).

conclusionsPD-L1 CN loss was associated with lower OS, particularly in HR(+) and HER2(-) patients. This result revealed the prognostic value of PD-L1 CNV in Indonesian advanced BC who received primary systemic therapy.

Indexed as

B7-H1 AntigenBiomarkers, TumorBreast NeoplasmsDNA Copy Number VariationsAdultAgedFemaleHumansIndonesiaMiddle AgedNeoplasm StagingPrognosisB7-H1 AntigenBiomarkers, TumorCD274 protein, humanBreast cancerChemotherapyCopy number variationHormonal therapyPD-L1

Identifiers

PMID42321710
PMCPMC13528003

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