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High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer

  • Authors:
    • Bian Shi
    • Qiujian Li
    • Xuhui Ma
    • Qilong Gao
    • Lu Li
    • Junfeng Chu
  • View Affiliations / Copyright

    Affiliations: Department of Integrated Traditional Chinese and Western Medical Oncology, Zhengzhou University Affiliated Cancer Hospital, Zhengzhou, Henan 450001, P.R. China, Department of Oncology, Zhengzhou University Affiliated Cancer Hospital, Zhengzhou, Henan 450001, P.R. China
    Copyright: © Shi et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 4448-4454
    |
    Published online on: July 23, 2018
       https://doi.org/10.3892/ol.2018.9190
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Abstract

Immune checkpoints in solid tumors serve important roles in metastasis. The present study was designed to explore the expression of programmed cell death protein 1 (PD‑1) on peripheral blood T‑cell subsets and its role in the clinicopathological features and prognosis of patients with metastatic gastric cancer. The expression of PD‑1 in peripheral blood T‑cell subsets was detected in 100 metastatic gastric cancer patients prior to the first line chemotherapy by flow cytometric analysis. The potential associaton between the peripheral blood T‑cell subsets PD‑1 level and the clinicopathological features of patients with metastatic gastric cancer and the clinical outcomes was analyzed. The percent of high PD‑1 expressed cluster of differentiation (CD)3+, CD3+CD4+ and CD3+CD8+ T‑cells was 20.4, 13.0 and 9.4%, respectively in patients with metastatic gastric cancer. The overall survival (OS) and progression‑free survival (PFS) rate of the 100 patients with metastatic gastric cancer was 12.2 and 3.9 months, respectively. Kaplan‑Meier curve with long‑rank analysis indicated that patients with higher PD‑1+/CD3+, PD‑1+/CD3+CD4+ and PD‑1+/CD3+CD8+ levels had a worse prognosis (all P<0.05). Univariate and multivariate analysis revealed that high PD‑1+/CD3+ [hazard ratio (HR), 2.145; P=0.015], high PD‑1+/CD3+CD4+ (HR, 1.866; P=0.034) and high PD‑1+/CD3+CD8+ (HR, 1.817; P=0.033) level in peripheral blood were independent risk factors for predicting the survival time of patients with metastatic gastric cancer. High PD‑1+/CD3+, high PD‑1+/CD3+CD4+ and high PD‑1+/CD3+CD8+ expression conferred a lower overall survival rate in patients with metastatic gastric cancer. These results suggest that high PD‑1 expression on peripheral blood T‑cell subsets may potentially be novel prognostic biomarker for metastatic gastric cancer.
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Copy and paste a formatted citation
Spandidos Publications style
Shi B, Li Q, Ma X, Gao Q, Li L and Chu J: High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer. Oncol Lett 16: 4448-4454, 2018.
APA
Shi, B., Li, Q., Ma, X., Gao, Q., Li, L., & Chu, J. (2018). High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer. Oncology Letters, 16, 4448-4454. https://doi.org/10.3892/ol.2018.9190
MLA
Shi, B., Li, Q., Ma, X., Gao, Q., Li, L., Chu, J."High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer". Oncology Letters 16.4 (2018): 4448-4454.
Chicago
Shi, B., Li, Q., Ma, X., Gao, Q., Li, L., Chu, J."High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer". Oncology Letters 16, no. 4 (2018): 4448-4454. https://doi.org/10.3892/ol.2018.9190
Copy and paste a formatted citation
x
Spandidos Publications style
Shi B, Li Q, Ma X, Gao Q, Li L and Chu J: High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer. Oncol Lett 16: 4448-4454, 2018.
APA
Shi, B., Li, Q., Ma, X., Gao, Q., Li, L., & Chu, J. (2018). High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer. Oncology Letters, 16, 4448-4454. https://doi.org/10.3892/ol.2018.9190
MLA
Shi, B., Li, Q., Ma, X., Gao, Q., Li, L., Chu, J."High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer". Oncology Letters 16.4 (2018): 4448-4454.
Chicago
Shi, B., Li, Q., Ma, X., Gao, Q., Li, L., Chu, J."High expression of programmed cell death protein 1 on peripheral blood T‑cell subsets is associated with poor prognosis in metastatic gastric cancer". Oncology Letters 16, no. 4 (2018): 4448-4454. https://doi.org/10.3892/ol.2018.9190
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