Cancer Management and Research (Aug 2023)

Exploring the Expression and Prognosis of Mismatch Repair Proteins and PD-L1 in Colorectal Cancer in a Chinese Cohort

  • Han L,
  • Zhang Y,
  • Li L,
  • Zhang Q,
  • Liu Z,
  • Niu H,
  • Hu J,
  • Ding Z,
  • Shi X,
  • Qian X

Journal volume & issue
Vol. Volume 15
pp. 791 – 801

Abstract

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Lu Han,1,2,* Yaping Zhang,2– 4,* Li Li,2,* Qun Zhang,2 Zhihao Liu,2,3 Haiqing Niu,1,2 Jing Hu,2 Zhou Ding,2 Xiao Shi,2 Xiaoping Qian1,2 1Department of Oncology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China; 2The Comprehensive Cancer Centre of Drum Tower Hospital, Medical School of Nanjing University, Nanjing, People’s Republic of China; 3Department of Oncology, Nanjing Drum Tower Hospital Clinical College of Xuzhou Medical University, Nanjing, People’s Republic of China; 4Department of Pathology, The First People’s Hospital of Yangzhou, Yangzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaoping Qian, Department of Oncology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, People’s Republic of China, Tel +86-13951743162, Fax +86-25-68182342, Email [email protected]: Exploring the expression and prognosis of mismatch repair proteins and PD-L1 in colorectal cancer.Patients and Methods: A total of 272 patients with surgically resected CRC were enrolled in the study from January 2018 to May 2022 at Nanjing Drum Tower Hospital (The Affiliated Hospital of Nanjing University Medical School). Surgically resected samples were collected from patients along with general, clinicopathological, and imaging data for each patient. Immunohistochemistry (IHC) was used to detect expression of MSH2, MSH6, MLH1, and PMS2 proteins in tumor tissue. X-squared (X2) testing was performed to investigate the correlation between expression of MMR proteins and PD-L1 in CRC tumor tissues and clinicopathological characteristics. Correlation analysis was also used to compare the deletion of four MMR proteins in CRC tumor tissues. A survival curve and Log rank test were used to investigate the relationship between the expression of MMR proteins and PD-L1 with regard to CRC patient prognosis and survival.Results: MMR protein expression deletion was correlated with tumor location, the degree of tissue differentiation, and TNM stage (P< 0.05). PD-L1 expression was correlated with TNM stage (P

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