Programmed death ligand 1 (PD-L1) immunohistochemistry (IHC) is accepted as a predictive biomarker for the selection of immune checkpoint inhibitors. We evaluated the staining quality and estimation of the tumor proportion score (TPS) in non-small-cell lung cancer during two external quality assessment (EQA) schemes by the European Society of Pathology. Participants received two tissue micro-arrays with three (2017) and four (2018) cases for PD-L1 IHC and a positive tonsil control, for staining by their routine protocol. After the participants returned stained slides to the EQA coordination center, three pathologists assessed each slide and awarded an expert staining score from 1 to 5 points based on the staining concordance. Expert scores significantly (p < 0.01) improved between EQA schemes from 3.8 (n = 67) to 4.3 (n = 74) on 5 points. Participants used 32 different protocols: the majority applied the 22C3 (56.7%) (Dako), SP263 (19.1%) (Ventana), and E1L3N (Cell Signaling) (7.1%) clones. Staining artifacts consisted mainly of very weak or weak antigen demonstration (63.0%) or excessive background staining (19.8%). Participants using CE-IVD kits reached a higher score compared with those using laboratory-developed tests (LDTs) (p < 0.05), mainly attributed to a better concordance of SP263. The TPS was under- and over-estimated in 20/423 (4.7%) and 24/423 (5.7%) cases, respectively, correlating to a lower expert score. Additional research is needed on the concordance of less common protocols, and on reasons for lower LDT concordance. Laboratories should carefully validate all test methods and regularly verify their performance. EQA participation should focus on both staining concordance and interpretation of PD-L1 IHC.
- MeSH
- antigeny CD274 analýza antagonisté a inhibitory MeSH
- artefakty MeSH
- čipová analýza tkání MeSH
- imunohistochemie * MeSH
- inhibitory kontrolních bodů terapeutické užití MeSH
- klinické rozhodování MeSH
- lidé MeSH
- nádorové biomarkery analýza antagonisté a inhibitory MeSH
- nádory plic farmakoterapie imunologie patologie MeSH
- nemalobuněčný karcinom plic farmakoterapie imunologie patologie MeSH
- odchylka pozorovatele MeSH
- prediktivní hodnota testů MeSH
- reprodukovatelnost výsledků MeSH
- testování odbornosti laboratoří MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa MeSH
- MeSH
- cilie patologie MeSH
- dospělí MeSH
- fluorescenční protilátková technika metody MeSH
- gastrointestinální stromální tumory * patologie MeSH
- klinická studie jako téma MeSH
- lidé středního věku MeSH
- lidé MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
