Title REGULACIJA MOLEKULA PD-1 / PD-L1 SIGNALNOG PUTA U
MALIGNOM MELANOMU
Title (english) REGULATION OF PD-1/PD-L1 PATHWAY IN MALIGNANT
MELANOMA
Author Damir Vučinić https://orcid.org/0000-0002-5804-0799
Mentor Gordana Zamolo (mentor)
Committee member Sandra Peternel (predsjednik povjerenstva)
Committee member Jasmina Marić Brozić (član povjerenstva)
Committee member Pero Lučin (član povjerenstva)
Granter University of Rijeka Faculty of Medicine Rijeka
Defense date and country 2024-01-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pathology
Universal decimal classification (UDC ) 616 - Pathology. Clinical medicine
Thesaurus (MESH - Medical Subject Headings )
Melanoma
etiology
Melanoma
pathology
Melanoma
immunology
Programmed Cell Death 1 Receptor
Lymphocytes, Tumor-Infiltrating
Microphthalmia-Associated Transcription Factor
Prognosis
Survival Rate
Abstract Cilj istraživanja: Da bi se predvidjela učinkovitost i optimiziranje anti-PD-1 i anti-PD L1 terapije važno je razjasniti regulaciju tih molekula. Imunohistokemijskim metodama i metodama molekularne dijagnostike ispitivali smo ulogu tri skupine regulacije: promjene u genetskom materijalu i signalnim putevima melanomske stanice, regulacija od strane imunološkog sustava i regulacija od strane enzima tumorskog mikrookoliša. Ispitanici i metode: Iz reprezentativnog dijela tkiva melanoma koristilo se 3 cilindra promjera 1 mm za izradu tkivnih mikroareja (TMA). U istraživanje smo uključili 39 bioptata primarnih melanoma (Breslow 1,5 mm) te 31 uzorak metastaza melanoma. Uz određivanje ekspresije PD 1 i PD-L1 molekula identificirali smo limfocite koji infiltriraju tumor (TIL) imunohistokemijskim bojanjem na CD3 molekulu. Nadalje, ispitivali smo prisutnost CD8+ , CD4+ i Foxp3+ limfocita kao i CD20+ B limfocita. TIL je kategoriziran u BRISK kategorije. Određen je odnos ekspresije MITF, ciklina D1 i Bcl-2 proteina kao i enzima metaloproteinaza s istraživanim molekulama. Genetska preuredba MITF gena analizirana je metodom qReal-time PCR.
Rezultati: Molekule PD-1 i PD-L1 jače su izražene u melanomima svrstanim u kategoriju Breslow > 1.5 mm. Ekspresija PD-L1 proteina na tumorskim stanica gotovo uvijek iznosi > 50% kada je TIL u kategoriji BRISK B. U kategoriji BRISK B statistički je značajna razlika u ekspresiji PD-1 molekule (p=0.003). Nismo dokazali dominantno prisustvo određenih limfocita (CD8+ , CD4+ ili Treg) u nekom od kategorija TIL-a. Dokazana je statistički značajna korelacija ekspresije PD-1 i PD-L1 proteina s ekspresijom ciklina D1 u jezgri stanice i MITF te Bcl-2 proteina u citoplazmi tumorskih stanica stanica (p<0.001). Razlika u ekspresiji PD-L1 je statistički značajna ovisno o tome postoji li MUTF amplifikacija, u grupi metastaza(p=0.008). Nije pronađena povezanost između ekspresije metaloproteinaza s ekspresijom PD-1 i PD-L1 (p=0.723).
Zaključak: Ekspresija proteina uključenih u PD-1/PD-L1 signalni put regulirana je međusobnim djelovanjem stanice melanoma i stanica imunološkog sustava. Ovisi o smještaju limfocita i gustoći TIL-a, a ne o njihovoj vrsti. Ekspresija PD-L1 ovisna je o aktivnosti MITF čimbenika i njegovih ciljnih proteina, regulatora staničnog ciklusa
Abstract (english) SUMMARY
Objectives: Immunohistochemical methods and molecular diagnostic methods have
been used to examine the role of three groups of regulation: changes in the genetic
material and signalling pathways of the melanoma cell, regulation by the immune
system, and regulation by the enzyme of the tumour microenvironment. Patients and
methods: From a representative part of the melanoma tissue, 3 cylinders with a
diameter of 1 mm were used for the preparation of tissue microarrays (TMAs). The
study included 39 biopsies of primary melanoma (Breslow < 1.5 mm), 42 samples of
primary melanoma (Breslow > 1.5 mm) and 31 samples of metastatic melanoma. In
addition to determining the expression of the PD-1 and PD-L1 molecules, by
immunohistochemical staining of the CD3 molecule we identified tumour infiltrating
lymphocytes (TILs). Furthermore, we examined the presence of CD8+, CD4+ Foxp3+
and CD20+ B lymphocytes. TIL is classified into BRISK categories. The relationship
between the expression of MITF, cyclin D1 and Bcl-2 proteins, as well as the
metalloproteinase (MMPs) enzymes, and the investigated molecules has been
determined. The genetic rearrangement of the MITF gene was analysed using the
qReal-time PCR method. Results: PD-1 and PD-L1 are more strongly expressed in
melanomas categorized as Breslow > 1.5 mm. The expression of PD-1 and PD-L1
almost always > 50% when TIL is in BRISK B category. We did not prove the dominant
presence of certain lymphocytes (CD8+, CD4+ or Treg) in any of the TIL categories.
We proved a statistically significant correlation of expression of PD-1 and PD-L1
proteins with expression of cyclin D1 in the cell nucleus and MITF, as well as Bcl-2
proteins in the cytoplasm of tumour cells (p< 0.001). The difference in PD-L1
expression was statistically significant, depending on whether MITF amplification was
present, in the metastasis group (p=0.008). No correlation was found between the
expression of MMPs and the expression of PD-1 and PD-L1 (p=0.723). Conclusion:
The expression of proteins involved in the PD-1/PD-L1 signalling pathway is regulated
by the interaction of the melanoma cell and the immune system cells. It depends on
the location of the lymphocytes and the density of the TIL, not on their type. The
expression of PD-L1 is dependent on the activity of the MITF factor and its target
proteins, the cell cycle regulators.
Keywords
PD-1 protein
PD-L1 protein
transkripcijski faktor povezan s mikroftalmijom
tumor-infiltrirajući limfocit
Keywords (english)
PD-1 protein
PD-L1 protein
microphthalmia-associated transcription factor
tumour-infiltrating lymphocytes
Language croatian
URN:NBN urn:nbn:hr:184:802730
Project Number: uniri-biomed-18-183 Title: Regulacija molekula PD-1 / PD-L1 signalnog puta u malignom melanomu Title: Regulation of PD-1/PD-L1 pathway in malignant melanoma Leader: Gordana Zamolo Jurisdiction: Croatia Funder: Sveučilište u Rijeci
Study programme Title: Biomedicine Postgraduate (doctoral) study programme Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
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Created on 2024-04-30 08:34:29