TMA sections were further stained with the rabbit monoclonal antibody EPR 1394Y (Abcam, UK; dilution 1:200) and mouse monoclonal antibody C8/144B (Dako/Agilent, USA; dilution 1:200) for MHC I and CD8, respectively. Human tonsil tissue served as staining control on each of the TMA slides. All IHC stainings were performed using a Bond Max automated system (Leica Biosystems; Wetzlar, Germany) in accordance with the manufacturer’s protocol. Evaluation of the data was determined semiquantitatively by three pathologists (KP or SEG and AQ). Discrepant results, which occurred only in a small number of samples, were resolved by consensus review.
For PD-L1 expression on TC and macrophages <1% was defined as negative, whereas ≥1% of expression was categorized as positive.
For CD8 expression <50 lymphocytes/mm2 were assessed as negative and ≥50 lymphocytes/mm2 were defined as positive considering peritumoral and intratumoral distribution.
For MHC I evaluation <20% were assessed as negative, whereas ≥20% was defined as positive.