TY - JOUR TI - Impact of PD-L1 Protein Expression on Renal Cell Carcinoma Histo-differentiation AU - Tziakou, Paraskevi AU - Theodoropoulos, Grigorios AU - Tsiambas, Evangelos AU - and Zizi-sermpetzoglou, Adamantia AU - Peschos, Dimitrios and AU - Mastronikoli, Sofianiki AU - Thomopoulou, Georgia AU - Thymara, Eirini and AU - Kavantzas, Nikolaos AU - Lazaris, Andreas C. JO - ANTICANCER RESEARCH PY - 2021 VL - 41 TODO - 8 SP - 3809-3813 PB - INT INST ANTICANCER RESEARCH SN - 0250-1291 TODO - 10.21873/anticanres.15173 TODO - Renal; carcinoma; PD-L1; protein; immunotherapy; differentiation TODO - 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. ER -