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HHLA2 is a novel immune checkpoint protein in pancreatic ductal adenocarcinoma and predicts post-surgical survival

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机构: [a]The Department of Pathology & Cell Biology, Columbia University Medical Center, New York, NY, 10032, USA [b]Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, 10032, USA [c]Pancreas Center, First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China [d]Pancreas Institute, Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China [e]Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, MOE Key Laboratory of Major Diseases in Children, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, 100045, China [f]Department of Otolaryngology and Head & Neck Surgery, Columbia University Medical Center, New York, NY, 10032, USA [g]Pancreas Center, Columbia University Medical Center, New York, NY, 10032, USA [h]Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA
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关键词: HHLA2 Checkpoint costimulator Pancreatic ductal adenocarcinoma IPMN Prognostic significance

摘要:
HHLA2 is a newly identified member of the B7 immune checkpoint family, but its function and crosstalk with immune cells is not fully understood. To gain insights into the HHLA2 expression profile and to determine the clinical significance and function of HHLA2 in pancreatic cancer, we performed immunohistochemistry (IHC) analyses on tissue microarrays (TMAs) of pancreatic ductal adenocarcinoma (PDAC, n = 92) with matched peritumoral tissues as well as in cohorts of precancerous lesions: pancreatic intraepithelial neoplasia (PanIN) and intraductal papillary mucinous neoplasm (IPMN). We found that HHLA2 was rarely detected in normal acinar, islet, and ductal cells but widely expressed from early pancreatic precancerous lesions to invasive PDAC. The overall HHLA2 positivity was 95% (19/20) in low grade PanIN and 70.73% (29/41) in IPMN. HHLA2 expression was detected in 77.17% (71/92) of the PDAC cases and was significantly associated with better prognosis in this cohort. Our findings suggest that HHLA2 may behave as a costimulatory ligand in pancreatic cancer, which differs from other B7 family members that are largely characterized as checkpoint inhibitors. Further investigation of the HHLA2 signaling pathway and its receptors is warranted by our data and may lead to novel therapeutic interventions.

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出版当年[2018]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学
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第一作者机构: [a]The Department of Pathology & Cell Biology, Columbia University Medical Center, New York, NY, 10032, USA [b]Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, 10032, USA [c]Pancreas Center, First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China [d]Pancreas Institute, Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China
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通讯机构: [a]The Department of Pathology & Cell Biology, Columbia University Medical Center, New York, NY, 10032, USA [b]Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, 10032, USA [c]Pancreas Center, First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China [d]Pancreas Institute, Nanjing Medical University, Nanjing, 210029, Jiangsu Province, China [f]Department of Otolaryngology and Head & Neck Surgery, Columbia University Medical Center, New York, NY, 10032, USA [g]Pancreas Center, Columbia University Medical Center, New York, NY, 10032, USA [*1]Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, 1130 St. Nicholas Ave. ICRC 1004, New York, NY, 10032, USA. [*2]Pancreas Center, First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China
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