PD-L1 expression in peripheral blood granulocytes at diagnosis as prognostic factor in classical Hodgkin lymphoma

Vittoria Rufini, Valerio De Stefano, Stefan Hohaus, Annarosa Cuccaro, Silvia Bellesi, Eugenio Galli, Francesco Corrente, Elisa Cupelli, Federica Fatone, Eleonora Alma, Marcello Viscovo, Salvatore Annunziata, Luigi Maria Larocca

Risultato della ricerca: Contributo in rivistaArticolo in rivista


Hodgkin lymphoma (HL) is a neoplastic disease in which the inflammatory microenvironment plays a pivotal role in the tumorigenesis. Neutrophilia is a typical finding in HL at diagnosis and, in particular, in association with lymphocytopenia, is a negative prognostic factor. As the immune checkpoint Programmed Death (PD)-L1/PD-1 has become an important therapeutic target, we were interested in the expression of PD-L1 in peripheral blood (PB) leukocytes using flow cytometry and RT-PCR in patients with HL and healthy controls. Granulocytes were the major PB cell fraction expressing PD-L1. PD-L1 expression on granulocytes was higher in patients with HL than in controls and correlated with lower T-cell numbers in PB. We analyzed for associations between PD-L1 expression in PB granulocytes at the time of diagnosis with patient characteristics and outcome in 126 patients with HL treated with standard chemotherapy adriamycin, bleomycin, vinblastine, and dacarbazine. Increased PD-L1 expression in PB associated with advanced disease, systemic symptoms, positive interim positron emission tomography, and inferior progression-free survival (PFS). PFS at 4 years was 81% (95% C.I., 71–87%) in patients with normal PD-L1 expression and 56% (95% C.I., 35–72%) in patients with higher-than-normal PD-L1 expression (p = 0.002). In conclusion, PD-L1 expression in PB could become a potentially actionable prognostic factor in HL.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaJournal of Leukocyte Biology
Stato di pubblicazionePubblicato - 2022


  • Hodgkin lymphoma
  • prognosis
  • immune checkpoint
  • PD-L1


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