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Genomic Amplification of CD274 (PD-L1) in Small-Cell Lung Cancer.


ABSTRACT: Purpose: Programmed death ligand-1 (PD-L1), encoded by the CD274 gene, is a target for immune checkpoint blockade; however, little is known about genomic CD274 alterations. A subset of small-cell lung cancer (SCLC) exhibits increased copy number of chromosome 9p24, on which CD274 resides; however, most SCLCs show low expression of PD-L1. We therefore examined whether CD274 is a target of recurrent genomic alterations.Experimental Design: We examined somatic copy number alterations in two patient cohorts by quantitative real-time PCR in 72 human SCLC cases (cohort 1) and SNP array analysis in 138 human SCLC cases (cohort 2). Whole-genome sequencing revealed the detailed genomic structure underlying focal amplification. PD-L1 expression in amplified cases from cohorts 1 and 2 was further examined by transcriptome sequencing and immunohistochemical (IHC) staining.Results: By examining somatic copy number alterations in two cohorts of primary human SCLC specimens, we observed 9p24 copy number gains (where CD274 resides) and focal, high-level amplification of CD274 We found evidence for genomic targeting of CD274, suggesting selection during oncogenic transformation. CD274 amplification was caused by genomic rearrangements not affecting the open reading frame, thus leading to massively increased CD274 transcripts and high level expression of PD-L1.Conclusions: A subset (4/210, 1.9%) of human SCLC patient cases exhibits massive expression of PD-L1 caused by focal amplification of CD274 Such tumors may be particularly susceptible to immune checkpoint blockade. Clin Cancer Res; 23(5); 1220-6. ©2016 AACR.

SUBMITTER: George J 

PROVIDER: S-EPMC6329376 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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Genomic Amplification of <i>CD274</i> (PD-L1) in Small-Cell Lung Cancer.

George Julie J   Saito Motonobu M   Tsuta Koji K   Iwakawa Reika R   Shiraishi Kouya K   Scheel Andreas H AH   Uchida Shinsuke S   Watanabe Shun-Ichi SI   Nishikawa Ryo R   Noguchi Masayuki M   Peifer Martin M   Jang Se Jin SJ   Petersen Iver I   Büttner Reinhard R   Harris Curtis C CC   Yokota Jun J   Thomas Roman K RK   Kohno Takashi T  

Clinical cancer research : an official journal of the American Association for Cancer Research 20160912 5


<b>Purpose:</b> Programmed death ligand-1 (PD-L1), encoded by the <i>CD274</i> gene, is a target for immune checkpoint blockade; however, little is known about genomic <i>CD274</i> alterations. A subset of small-cell lung cancer (SCLC) exhibits increased copy number of chromosome 9p24, on which <i>CD274</i> resides; however, most SCLCs show low expression of PD-L1. We therefore examined whether <i>CD274</i> is a target of recurrent genomic alterations.<b>Experimental Design:</b> We examined soma  ...[more]

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