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pmid:33479394
PD-L1 overexpression in EBV-positive gastric cancer is caused by unique genomic or epigenomic mechanisms.
Hiroshi Nakano · Motonobu Saito · Shotaro Nakajima · Katsuharu Saito · Yuko Nakayama · Koji Kase · Leo Yamada · Yasuyuki Kanke · Hiroyuki Hanayama · Hisashi Onozawa · Hirokazu Okayama · Shotaro Fujita · Wataru Sakamoto · Zenichiro Saze · Tomoyuki Momma · Kosaku Mimura · Shinji Ohki · Akiteru Goto · Koji Kono
Scientific reports · 2021 doi:10.1038/s41598-021-81667-w
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Complete file
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Here, we examined resected GC samples and publicly available microarray data and The Cancer Genome Atlas (TCGA) database to identify the mechanism underlying overexpression of PD-L1 in EBV (+) GC. We found that high levels of PD-L1 overexpression in EBV (+) GC were caused by focal amplification of CD274. By contrast, relatively high expression of PD-L1 in tumor tissue and infiltrating immune cells correlated with CD8 lymphocyte infiltration and IFN-γ expression via IRF3 activation. Since we reported previously that PD-L1 expression is associated both with the presence of CD8 T cells in the tumor microenvironment and with IFN-γ expression in GC, we examined a database to see whether IFN-γ-associated overexpression of PD-L1 plays a significant role in EBV (+) GC. Immunohistochemical staining showed that expression of the IRF3 signature in clinical GC samples was higher in EBV (+) than in EBV (-) cases. 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