High-Grade Neuroendocrine Carcinoma of the Head and Neck: Human Papillomavirus Status and PD-L1 Expression

被引:5
作者
Bahr, Katharina [1 ]
Zimmer, Stefanie [2 ]
Springer, Erik [3 ]
Fottner, Christian [4 ]
Becker, Sven [1 ]
Ernst, Benjamin P. [1 ]
Matthias, Christoph [1 ]
Kuenzel, Julian [1 ,5 ]
机构
[1] Univ Med Ctr Mainz, Dept Otorhinolaryngol Head & Neck Surg, Mainz, Germany
[2] Univ Med Ctr Mainz, Inst Pathol & Tissue Biobank, Mainz, Germany
[3] Univ Med Ctr Mainz, Inst Mol Pathol, Mainz, Germany
[4] Univ Med Ctr Mainz, Dept Endocrine & Neuroendocrine Tumors, Mainz, Germany
[5] Univ Hosp Regensburg, Dept Otorhinolaryngol Head & Neck Surg, Franz Josef Str Allee 11, DE-55131 Regensburg, Germany
来源
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY | 2019年 / 81卷 / 5-6期
关键词
Neuroendocrine carcinoma; Human papillomavirus; PD-L1; Head and neck; Immunotherapy; CELL LUNG-CANCER; PREDICTIVE BIOMARKER; PROGNOSTIC-FACTORS; OPEN-LABEL; OROPHARYNX; IMMUNOTHERAPY; PEMBROLIZUMAB; MULTICENTER; NIVOLUMAB; DISTINCT;
D O I
10.1159/000502325
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: Human papillomavirus (HPV)-related head and neck squamous cell carcinoma represents an important subgroup of head and neck cancer, but HPV occurs also in the less common neuroendocrine carcinomas (NEC). The PD-1/PD-L1 pathway appears to be activated in pulmonary NEC and correlates with a higher mutation burden, but the potential of NEC to respond to checkpoint inhibitors is unknown to a large extent. Objectives: To determine the HPV status of NEC of the head and neck region and to investigate the expression of PD-1 and its ligands PD-L1 and PD-L2. Methods: Surgical tumor samples from 2006 to 2017 were analyzed. HPV status was determined by p16 immunohistochemistry (IHC) and multiplex PCR. IHC using the Cologne Score was performed for PD-1, PD-L1, and PD-L2. Results: Seven NEC tumor samples were analyzed, three of them showed HPV type 18. Expression of PD-1 and PD-L1 differed widely and showed no correlation to HPV status. IHC showed an overexpression of PD-L2 in most of the patients.
引用
收藏
页码:309 / 316
页数:8
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