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April 24, 2026JACC CardioOncology3 citationsOpen Access

Myocardial Expression of PD-L1 as a Marker of Poor Prognosis in Immune Checkpoint Inhibitor–Associated Myocarditis

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TITakuro ImaokaSSShingo SakashitaSMSatoshi Matsuoka

Key Result

High myocardial PD-L1 expression is associated with greater disease severity and a higher risk of major adverse cardiotoxic events in immune checkpoint inhibitor-associated myocarditis.

Key Points

  • To evaluate the role of myocardial PD-L1 expression as a prognostic marker in ICI-associated myocarditis.
  • Assessing PD-L1 expression through endomyocardial biopsy specimens
  • Analyzing the relationship between PD-L1 levels and disease severity
  • Monitoring the occurrence of major adverse cardiotoxic events
  • Higher PD-L1 expression correlates with increased disease severity
  • Patients with elevated PD-L1 are at greater risk for adverse cardiotoxic events
  • Identifying high-risk patients may facilitate early intervention and improved monitoring

Structured PICO

Does high myocardial PD-L1 expression predict greater disease severity and higher risk of major adverse cardiotoxic events in patients with ICI-associated myocarditis?

P
Population
Patients with immune checkpoint inhibitor (ICI)-associated myocarditis
I
Intervention
Assessment of high myocardial PD-L1 expression in endomyocardial biopsy specimens
O
Outcome
Disease severity and risk of major adverse cardiotoxic eventscomposite

Assessment of PD-L1 expression in endomyocardial biopsy specimens may serve as a prognostic marker to identify high-risk patients with ICI-associated myocarditis who may benefit from early intervention.

Abstract

High myocardial PD-L1 expression is associated with greater disease severity and a higher risk of major adverse cardiotoxic events in ICI-associated myocarditis. Assessment of PD-L1 expression in endomyocardial biopsy specimens may help identify patients at high risk who may benefit from early intervention and closer monitoring.

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Cite This Study

Imaoka et al. (2026) studied this question. High myocardial PD-L1 expression is associated with greater disease severity and a higher risk of major adverse cardiotoxic events in immune checkpoint inhibitor-associated myocarditis.

synapsesocial.com/papers/69eb07a4553a5433e34b3144https://doi.org/10.1016/j.jaccao.2026.03.006
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