Status of Programmed Death Ligand 1 (PD-L1) by Immunohistochemistry and Scoring Algorithms

The detection of the Programmed Death Ligand 1 (PD-L1) protein by immunohistochemistry is currently the only approved test predictive of response to drugs targeting the PD1/PDL1 axis. The role of this test is debated since several reagents have been used as companion diagnostics for different drugs...

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Vydáno v:Current drug targets Ročník 21; číslo 13; s. 1286
Hlavní autoři: Giunchi, Francesca, Gevaert, Thomas, Scarpelli, Marina, Fiorentino, Michelangelo
Médium: Journal Article
Jazyk:angličtina
Vydáno: United Arab Emirates 01.01.2020
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ISSN:1873-5592, 1873-5592
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Abstract The detection of the Programmed Death Ligand 1 (PD-L1) protein by immunohistochemistry is currently the only approved test predictive of response to drugs targeting the PD1/PDL1 axis. The role of this test is debated since several reagents have been used as companion diagnostics for different drugs on diverse immunostaining platforms. In addition, different scoring systems for PD-L1 immunohistochemistry have been applied in the registration studies regarding single drugs. This review deals with the various issues that are related to the immunohistochemical test for PD-L1. We discuss currently unsolved problems such as the advantages and the flaws of PD-L1 immunohistochemistry; the choice of the best reagents and the best scoring system. Finally, we review the current experiences on the role of immunohistochemistry for PD-L1 in clinical trials with immune checkpoint inhibitors.
AbstractList The detection of the Programmed Death Ligand 1 (PD-L1) protein by immunohistochemistry is currently the only approved test predictive of response to drugs targeting the PD1/PDL1 axis. The role of this test is debated since several reagents have been used as companion diagnostics for different drugs on diverse immunostaining platforms. In addition, different scoring systems for PD-L1 immunohistochemistry have been applied in the registration studies regarding single drugs. This review deals with the various issues that are related to the immunohistochemical test for PD-L1. We discuss currently unsolved problems such as the advantages and the flaws of PD-L1 immunohistochemistry; the choice of the best reagents and the best scoring system. Finally, we review the current experiences on the role of immunohistochemistry for PD-L1 in clinical trials with immune checkpoint inhibitors.The detection of the Programmed Death Ligand 1 (PD-L1) protein by immunohistochemistry is currently the only approved test predictive of response to drugs targeting the PD1/PDL1 axis. The role of this test is debated since several reagents have been used as companion diagnostics for different drugs on diverse immunostaining platforms. In addition, different scoring systems for PD-L1 immunohistochemistry have been applied in the registration studies regarding single drugs. This review deals with the various issues that are related to the immunohistochemical test for PD-L1. We discuss currently unsolved problems such as the advantages and the flaws of PD-L1 immunohistochemistry; the choice of the best reagents and the best scoring system. Finally, we review the current experiences on the role of immunohistochemistry for PD-L1 in clinical trials with immune checkpoint inhibitors.
The detection of the Programmed Death Ligand 1 (PD-L1) protein by immunohistochemistry is currently the only approved test predictive of response to drugs targeting the PD1/PDL1 axis. The role of this test is debated since several reagents have been used as companion diagnostics for different drugs on diverse immunostaining platforms. In addition, different scoring systems for PD-L1 immunohistochemistry have been applied in the registration studies regarding single drugs. This review deals with the various issues that are related to the immunohistochemical test for PD-L1. We discuss currently unsolved problems such as the advantages and the flaws of PD-L1 immunohistochemistry; the choice of the best reagents and the best scoring system. Finally, we review the current experiences on the role of immunohistochemistry for PD-L1 in clinical trials with immune checkpoint inhibitors.
Author Giunchi, Francesca
Scarpelli, Marina
Gevaert, Thomas
Fiorentino, Michelangelo
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  surname: Giunchi
  fullname: Giunchi, Francesca
  organization: Department of Pathology S.Orsola-Malpighi Hospital, University of Bologna, Italy
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  givenname: Thomas
  surname: Gevaert
  fullname: Gevaert, Thomas
  organization: Department of Development and Regeneration, University of Leuven, Leuven, Belgium
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  givenname: Marina
  surname: Scarpelli
  fullname: Scarpelli, Marina
  organization: Department of Pathology University of Ancona, Italy
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  givenname: Michelangelo
  surname: Fiorentino
  fullname: Fiorentino, Michelangelo
  organization: Department of Pathology Maggiore Hospital, University of Bologna, Italy
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Keywords PD-L1
algorithms
immunohistochemistry
scoring systems
immunotherapy
Cancer
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Title Status of Programmed Death Ligand 1 (PD-L1) by Immunohistochemistry and Scoring Algorithms
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