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Cisplatin potentiates PD-L1 expression more robustly than pemetrexed in malignant pleural mesothelioma: Temporal dynamics revealed by cellular and xenograft analyses

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机构: [1]Department of Medical Imaging, The First Affiliated Hospital of Kunming Medical University, Kunming, China. [2]Pathology Department,The First Affiliated Hospital of Kunming Medical University, Kunming, China. [3]Department of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou, China.
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关键词: Malignant pleural mesothelioma (MPM) Programmed death ligand 1 (PD-L1) Chemotherapy Immunotherapy Immune checkpoint inhibitors (ICIs)

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Chemotherapy may modulate PD-L1 expression in malignant pleural mesothelioma (MPM), influencing immune checkpoint inhibitor (ICI) efficacy. We compared cisplatin (CDDP) and pemetrexed (PEM) on PD-L1 dynamics in MPM.H226 (epithelial) and MSTO-211H (biphasic) cells were treated with CDDP/PEM for 12-48 h, with apoptosis analyzed by flow cytometry and PD-L1 by Western blot. Xenograft models (CDDP/PEM-treated mice) assessed tumor growth and PD-L1 via immunohistochemistry.Both drugs inhibited cell growth and induced apoptosis (CDDP > PEM, P < 0.05). Baseline PD-L1 was higher in MSTO-211H vs. H226 (P < 0.05). Chemotherapy upregulated PD-L1, peaking at 48 h (CDDP > PEM, P < 0.05). In xenografts, MSTO-211H tumors showed faster growth and higher PD-L1 (P < 0.05), further amplified by CDDP during progression.CDDP robustly potentiates PD-L1 in MPM, especially in biphasic subtypes. Temporal PD-L1 dynamics suggest chemotherapy-ICI synergy may depend on drug selection and treatment timing.Copyright © 2025. Published by Elsevier GmbH.

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大类 | 4 区 医学
小类 | 3 区 病理学
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Q2 PATHOLOGY

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第一作者机构: [1]Department of Medical Imaging, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
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