Publication: PD-L1 positive lympho-epithelial lesions in inflammatory prostate
Authors
Dikov, Dorian ; Koleva, Maria ; Simitchiev, Kiril ; Baltov, Marin ; Sarafian, Victoria
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Publisher
Universidad de Murcia, Departamento de Biologia Celular e Histiologia
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DOI
https://doi.org/10.14670/HH-18-479
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info:eu-repo/semantics/article
Description
Abstract
Objectives. Ductal epithelial changes
(lympho-epithelial lesions-LEL) in prostatic chronic
inflammation (CI) are not well studied so far.
Aim. To investigate LEL immediately adjacent to
prostatic CI.
Methods. We studied LEL in 144 prostatic surgical
and autopsy specimens in various types of prostatic CI:
NIH-category IV prostatitis (histologic prostatitis-HP),
nonspecific granulomatous prostatitis (NSGP), and the
reactive lymphoid infiltrates in the vicinity of benign
prostatic hyperplasia (BPH) and prostate adenocarcinoma (PCa). CI is scored as low and high grade
(LG, HG) according to the severity of inflammation.
Results. LEL was identified in all types of prostatic
specimens and in all types of prostatic CI: in 70.9% of
patients with HP; in 100% of cases with NSGP; in
68.7% and in 80% adjacent to BPH and PCa
respectively. Statistical analysis showed a significant
correlation of the presence of LEL with HG CI
(p<0.001). LEL showed strong membranous PD-L1
expression.
Conclusions. The study presents the first attempt to
examine LEL in inflammatory human prostate. PD-L1
positive LEL have no diagnostic organ specificity,
although they are a constant histological finding in HG
prostatic CI. LEL, inducible after birth by CI, are an
integral part of prostate-associated lymphoid tissue
(PALT) and of the inflammatory prostatic
microenvironment
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Citation
Histology and Histopathology Vol. 37, nº8 (2022)
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