DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays

PD-L1 immunohistochemistry (IHC) assays are used as a companion diagnostic for immunotherapy with immune checkpoint inhibitors (ICIs). However, despite the association between PD-L1 expression and clinical benefit from ICIs, the PD-L1 IHC assay is not sufficiently accurate in predicting response to...

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Main Authors: Muralidharan Mani, Seong Hee Choi, Hyuk Nam Kwon, Jeong Woo Park
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/56
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author Muralidharan Mani
Seong Hee Choi
Hyuk Nam Kwon
Jeong Woo Park
author_facet Muralidharan Mani
Seong Hee Choi
Hyuk Nam Kwon
Jeong Woo Park
author_sort Muralidharan Mani
collection DOAJ
description PD-L1 immunohistochemistry (IHC) assays are used as a companion diagnostic for immunotherapy with immune checkpoint inhibitors (ICIs). However, despite the association between PD-L1 expression and clinical benefit from ICIs, the PD-L1 IHC assay is not sufficiently accurate in predicting response to ICIs; some patients with high PD-L1 expression do not respond to ICIs. Recently, researchers provided insights into why some patients with high PD-L1 expression fail to respond to ICIs. They discovered that DRG2 is a critical regulator of PD-L1 endosomal trafficking in cancer cells, which is essential for the proper localization of PD-L1 on the cell surface. Although DRG2-depleted cells express high levels of PD-L1 and are PD-L1 IHC-positive, the PD-L1 sequestered in early endosomes does not respond to ICIs. Therefore, a companion diagnostic combining DRG2 expression with a PD-L1 IHC assay may improve the therapeutic response to PD-1/PD-L1 ICIs.
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institution Kabale University
issn 2227-9059
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publishDate 2024-12-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj-art-f5120afe29204779ad2aff5163ef3a962025-01-24T13:23:52ZengMDPI AGBiomedicines2227-90592024-12-011315610.3390/biomedicines13010056DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry AssaysMuralidharan Mani0Seong Hee Choi1Hyuk Nam Kwon2Jeong Woo Park3Department of Biochemistry, University of Wisconsin-Madison, Madison, WI 53715-1218, USARopheLBio, B102, Seoul Forest M Tower, Seoul 04778, Republic of KoreaDepartment of Biological Sciences, University of Ulsan, Ulsan 44610, Republic of KoreaDepartment of Biological Sciences, University of Ulsan, Ulsan 44610, Republic of KoreaPD-L1 immunohistochemistry (IHC) assays are used as a companion diagnostic for immunotherapy with immune checkpoint inhibitors (ICIs). However, despite the association between PD-L1 expression and clinical benefit from ICIs, the PD-L1 IHC assay is not sufficiently accurate in predicting response to ICIs; some patients with high PD-L1 expression do not respond to ICIs. Recently, researchers provided insights into why some patients with high PD-L1 expression fail to respond to ICIs. They discovered that DRG2 is a critical regulator of PD-L1 endosomal trafficking in cancer cells, which is essential for the proper localization of PD-L1 on the cell surface. Although DRG2-depleted cells express high levels of PD-L1 and are PD-L1 IHC-positive, the PD-L1 sequestered in early endosomes does not respond to ICIs. Therefore, a companion diagnostic combining DRG2 expression with a PD-L1 IHC assay may improve the therapeutic response to PD-1/PD-L1 ICIs.https://www.mdpi.com/2227-9059/13/1/56DRG2PD-L1endosomal traffickingICIpredictive efficacy
spellingShingle Muralidharan Mani
Seong Hee Choi
Hyuk Nam Kwon
Jeong Woo Park
DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays
Biomedicines
DRG2
PD-L1
endosomal trafficking
ICI
predictive efficacy
title DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays
title_full DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays
title_fullStr DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays
title_full_unstemmed DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays
title_short DRG2 as a Biomarker to Enhance the Predictive Efficacy of PD-L1 Immunohistochemistry Assays
title_sort drg2 as a biomarker to enhance the predictive efficacy of pd l1 immunohistochemistry assays
topic DRG2
PD-L1
endosomal trafficking
ICI
predictive efficacy
url https://www.mdpi.com/2227-9059/13/1/56
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AT seongheechoi drg2asabiomarkertoenhancethepredictiveefficacyofpdl1immunohistochemistryassays
AT hyuknamkwon drg2asabiomarkertoenhancethepredictiveefficacyofpdl1immunohistochemistryassays
AT jeongwoopark drg2asabiomarkertoenhancethepredictiveefficacyofpdl1immunohistochemistryassays