%0 Journal Article %T PD©\L1 expression enhancement by infiltrating macrophage©\derived tumor necrosis factor©\¦Á leads to poor pancreatic cancer prognosis %A Akira Chikamoto %A Hideo Baba %A Hirohisa Okabe %A Katsunori Imai %A Kota Arima %A Masahiko Hirota %A Masayo Tsukamoto %A Naoki Umezaki %A Shigeki Nakagawa %A Takanobu Yamao %A Takatoshi Ishiko %A Takatsugu Ishimoto %A Tatsunori Miyata %A Yoshifumi Baba %A Yoshihiro Komohara %A Yo©\ichi Yamashita %A Yuki Kitano %J Archive of "Cancer Science". %D 2019 %R 10.1111/cas.13874 %X Immunotherapy using anti©\PD©\1/PD©\L1 antibodies for several types of cancer has received considerable attention in recent decades. However, the molecular mechanism underlying PD©\L1 expression in pancreatic ductal adenocarcinoma (PDAC) cells has not been clearly elucidated. We investigated the clinical significance and regulatory mechanism of PD©\L1 expression in PDAC cells. Among the various cytokines tested, tumor necrosis factor (TNF)©\¦Á upregulated PD©\L1 expression in PDAC cells through NF©\¦ÊB signaling. The induction of PD©\L1 expression was also caused by co©\culture with activated macrophages, and the upregulation was inhibited by neutralization with anti©\TNF©\¦Á antibody after co©\culture with activated macrophages. PD©\L1 expression in PDAC cells was positively correlated with macrophage infiltration in tumor stroma of human PDAC tissues. In addition, survival analysis revealed that high PD©\L1 expression was significantly associated with poor prognosis in 235 PDAC patients and especially in patients harboring high CD8©\positive T©\cell infiltration. These findings indicate that tumor©\infiltrating macrophage©\derived TNF©\¦Á could be a potential therapeutic target for PDAC %K macrophage %K pancreatic cancer %K PD©\L1 %K TNF©\¦Á %K tumor stroma %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317925/