@article{3030335, title = "Impact of PD-L1 Protein Expression on Renal Cell Carcinoma Histo-differentiation", author = "Tziakou, Paraskevi and Theodoropoulos, Grigorios and Tsiambas, Evangelos and and Zizi-sermpetzoglou, Adamantia and Peschos, Dimitrios and and Mastronikoli, Sofianiki and Thomopoulou, Georgia and Thymara, Eirini and and Kavantzas, Nikolaos and Lazaris, Andreas C.", journal = "ANTICANCER RESEARCH", year = "2021", volume = "41", number = "8", pages = "3809-3813", publisher = "INT INST ANTICANCER RESEARCH", issn = "0250-1291", doi = "10.21873/anticanres.15173", keywords = "Renal; carcinoma; PD-L1; protein; immunotherapy; differentiation", abstract = "Background/Aim: Renal cell carcinoma (RCC) comprises a variety of pathological entities. Many RCCs are aggressive, demanding efficient targeted and immune-therapeutic strategies. Programmed cell death ligand-1 (PD-L1) is expressed mainly in hematopoietic cells and also in epithelial cells. The aim of this study was to correlate PD-L1 protein expression in a series of RCC tissues with their histo-pathological features. Materials and Methods: One hundred (n=100) archival, formalin-fixed and paraffin-embedded RCC tissue specimens were analysed by immunohistochemistry. Conventional tumor proportion score (TPS) qualitative assay was applied for evaluating protein expression levels. Results: Based on the TPS evaluation, 8 (8%) cases were characterized as positive, and the rest of them (n=92; 92%) as negative. A progressive increase in PD-L1 positivity was significantly associated with the differentiation grade of the examined malignancies (p=0.001). Conclusion: Although PD-L1 over-expression is detected in low rates in RCCs, its correlation with differentiation grade should be considered as a factor for discriminating sub-groups of patients with specific histo-pathological features eligible for targeted anti-PD-L1 immunotherapy strategies." }