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PD-L1 testing - new challenge in predictive diagnostics of non-small cell lung carcinoma

Publication at Faculty of Medicine in Hradec Králové |
2016

Abstract

Emergence of immunotherapy into systemic treatment of lung cancer represents a major breakthrough. Unfortunately, benefit of this treatment is observed in only minority of patients.

Thus, we are facing a task to select optimal candidates for immunotherapy. Immunohistochemical detection of PD-L1 in tumor tissue seems to be a promising approach for selection of patients potentially treated with molecules blocking the PD-1-PD-L1 interaction.

There are, however, several issues, such as heterogeneity of expression, potential changes of expression due to concurrent treatment (chemotherapy, steroids, etc.) and availability of several methods of detection.