Table 4

Comparison of PD-L1 IHC evaluations

ReferenceType of specimenPD-L1 cloneMethodCut-offMembranous/cytoplasmic stainingPositive cases (%)
Konishi et al.43ResectionaM1H1 (homemade)Manual11% (median percentage of tumor cells expressing PD-L1)Membranous and/or cytoplasmic staining of tumor cells26 (50.0)
Mu et al.45ResectionaN/AManualMedian value of all semiquantitative H-scoresMembranous and/or cytoplasmic staining of tumor cells58 (53.2)
Chen et al.38ResectionbClone 236A/E7 polyclonal (Abcam)ManualIRS≥3eMembranous and/or cytoplasmic staining of tumor cells69 (57.5)
Chen et al.39Resction or CT-guided biopsyaRabbit polyclonal (Abcam)ManualIRS≥3eMembranous and/or cytoplasmic staining of tumor cells (expression on tumor associated macrophages was separately evaluated)136 (65.3)
Velcheti et al.46Tissue microarraya5H1 (Yale)AQUAPD-L1 protein cutoff for expression in our study was defined as the AQUA score of first signal detection beyond the signal intensity in FFPE samples from normal lung and negative controlsMembranous staining on tumor cellsGreece: 75 (24.9), US: 56 (36.1)
D’Incecco et al.41N/AaAb58810 (Abcam)ManualStaining intensity with score 2 or more in ≥5% tumor cellsNot reported68 (55.3)
Azuma et al.35ResectionaRabbit polyclonal (Lifespan Biosciences)Ventana automated systemNo cut-off: H-score was applieddMembranous and/or cytoplasmic staining of tumor cells82 (50)
Mao et al.44ResectionbClone 2H11 (no vender available)ManualIRS≥2Membranous and/or cytoplasmic staining of tumor cells96 (72.7)
Tang et al.18N/AcPD-L1 E1L3N (CST)Manual≥5% (regardless of intensity)Membranous and/or cytoplasmic staining of tumor cells112 (65.9)
Cooper et al.40Resectiona22C3 (DAKO)DAKO Automated system≥50% (regardless of intensity)Membranous staining on tumor cells50 (7.4%): 5.1% in ADC, 8.1% on SCC, 12.1%
Boland et al.36ResectionaClone 5H1Manual≥1% (regardless of intensity)Membranous and circumferential staining on tumor cells42 (19.6)
Kim et al.42ResectionbPD-L1 E1L3N (CST)Ventana automated systemIHC 2 (moderate) and 3 (strong) in >10% of tumor cellsMembranous staining on tumor cells89 (26.9)
Yang et al.47ResectionbMouse anti PD-L1/CD274 monoclonal (Proteintech Group)Manual≥5% (regardless of intensity)Membranous staining on tumor cells65 (39.9)
Zhang et al.21ResectionbSAB2900365 (Sigma-Aldrich)Manual≥8 (median quick score 0-18)Membranous and/or cytoplasmic staining of tumor cells70 (49)
Koh et al.19ResectionbPD-L1 E1L3N (CST)Ventana automated systemIHC 2 (moderate) and 3 (strong) in >10% of tumor cellsMembranous and/or cytoplasmic staining of tumor cells293 (59)
Lin et al.20Resection or biopsyaab58810 (Abcam)ManualMean value of all semiquantitative H-scoresdMembranous and/or cytoplasmic staining of tumor cells30 (53.6)
Calles et al.37N/AaClone 9A11 (Gordon Freeman's laboratory, DFCI)Manual≥5% (regardless of intensity)Membranous staining on tumor cells27 (24)

a: information regarding treatment prior procurement of the specimen is not available; b: no patients received any treatment prior procurement of the specimen; c: asubset of the patients received treatment prior procurement of the specimen; d: calculated by multiplying proportion of tumor cells with PD-L1 (0-3) by staining intensity score (0-3); e: calculated by multiplying staining intensity (0-3) x fraction of positive cells (0-3 based on % of positive tumor cells).