RT Journal Article SR Electronic T1 The Expression Level of PD-L1 (CD274) mRNA in Peripheral Blood Is a Potential Biomarker for Predicting Recurrence in Breast Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 3733 OP 3742 DO 10.21873/anticanres.14362 VO 40 IS 7 A1 TAKAAKI MASUDA A1 MIWA NODA A1 AKIHIRO KITAGAWA A1 QINGJIANG HU A1 ATSUSHI FUJII A1 SHUHEI ITO A1 KEISUKE KOSAI A1 YUKI ANDO A1 YOSHIHIRO MATSUMOTO A1 HAJIME OHTSU A1 HIROKI UCHIDA A1 SHINJI OHNO A1 KOSHI MIMORI YR 2020 UL http://ar.iiarjournals.org/content/40/7/3733.abstract AB Background/Aim: Programmed death-ligand 1 (PD-L1/CD274) elicits T-cell anergy, leading to immune suppression. We aimed to determine the prognostic relevance of PD-L1 expression in the blood of breast cancer (BC) patients. Materials and Methods: We measured PD-L1 mRNA expression in blood and tumor tissues of BC patients using RT-qPCR and a dataset from The Cancer Genome Atlas, and performed a survival analysis of PD-L1 expression in the blood of 330 BC patients. Flow cytometric analysis was performed using blood cells. Results: No statistical difference in PD-L1 expression was seen between normal controls and BC in blood or tissues. There was a significant positive correlation between the PD-L1 expression levels in blood and tissues. Decreased PD-L1 expression in blood or tissues was associated with poor recurrence-free survival. PD-L1 is mainly expressed in polymorphonuclear leukocytes. Conclusion: Low expression of PD-L1 in the blood could serve as a biomarker of poor prognosis in BC patients.