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Exploring the expression of DLL3 in gastroenteropancreatic neuroendocrine neoplasms and its potential diagnostic value.

Sci Rep

January 2025

State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Beijing Key Laboratory of Carcinogenesis and Translational Research, Department of Pathology, Peking University Cancer Hospital and Institute, 52 Fucheng Road, Haidian District, Beijing, 100142, China.

Delta-like protein (DLL3) is a novel therapeutic target. DLL3 expression in gastroenteropancreatic neuroendocrine tumors (GEP-NECs) is poorly understood, complicating the distinction between well-differentiated neuroendocrine tumors G3 (NET G3) and poorly differentiated NEC. DLL3 immunohistochemistry (IHC) was performed on 248 primary GEP-NECs, correlating with clinicopathological parameters, NE markers, PD-L1, Ki67 index, and prognosis.

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Article Synopsis
  • The study investigated the effectiveness of using two immunohistochemical markers (PMS2 and MSH6) as a replacement for four markers (MLH1, PMS2, MSH2, MSH6) in detecting mismatch repair deficient (dMMR) cancers across nearly 8,000 cases.
  • The results indicated high consistency between the two marker sets, with Cohen κ values ranging from 0.88 to 1.00, and overall sensitivity and specificity for 2-MMR at 99.6% and 100%, respectively.
  • The findings suggest that the more streamlined 2-MMR could effectively replace 4-MMR for dMMR screening due to its high reliability, with only a minuscule
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PD-L1 as a Biomarker in Gastric Cancer Immunotherapy.

J Gastric Cancer

January 2025

Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Combining chemotherapy with immune checkpoint inhibitors (ICIs) that target the programmed death-1 (PD-1) protein has been shown to be a clinically effective first-line treatment for human epidermal growth factor receptor 2 (HER2)-negative and -positive advanced or metastatic gastric cancer (GC). Currently, PD-1 inhibitors combined with chemotherapy are the standard treatment for patients with HER2-negative/positive locally advanced or metastatic GC. Programmed death-ligand 1 (PD-L1) expression, as assessed using immunohistochemistry (IHC), is a crucial biomarker for predicting response to anti-PD-1/PD-L1 agents in various solid tumors, including GC.

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