HLA class I defects in malignant lesions : What have we learned?
スポンサーリンク
概要
- 論文の詳細を見る
Depending on the tumor types, HLA class I antigen downregulation or loss has been found in 16% to 50% of malignant lesions in many malignancies with a clinical association with histopathological markers of poor prognosis of the disease and with reduced free interval and survival. These findings may reflect the escape of tumor cells with HLA class I abnormalities from recognition and destruction by HLA class I-restricted, tumor-associated antigen-specific cytotoxic T lymphocytes. This possibility has stimulated investigations on the mechanisms underlying HLA class I antigen abnormalities in malignant cells. Distinct molecular defects underlying an abnormal HLA class I phenotype have been identified and characterized. These defects range from structural alterations of the genes which encode HLA class I antigen subunits to deregulation of antigen processing machinery components responsible for a functional HLA class I antigen expression. These findings, in conjunction with those of clinical recurrence of lesions with HLA class I antigen loss following T cell-based immunotherapy in patients, suggests that immunoselection may play a role in the generation of malignant lesions with HLA class I antigen abnormalities. This possibility has stressed the need to effectively monitor functional HLA class I antigen expression in malignant lesions in the application of T cell-based immunotherapy as well as to develop strategies to circumvent the negative impact of immunoselection.
- The Keio Journal of Medicineの論文
- 2003-12-01
著者
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FERRONE Soldano
Department of Immunology, Roswell Park Cancer Institute
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CHANG Chien-Chung
Department of Microbiology and Immunology, Chang Gung University College of Medicine
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Ferrone Soldano
Department Of Immunology Roswell Park Cancer Institute
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Chang Chien-chung
Department Of Immunology Roswell Park Cancer Institute
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CAMPOLI Michael
Department of Immunology, Roswell Park Cancer Institute
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Campoli Michael
Department Of Immunology Roswell Park Cancer Institute
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- HLA class I defects in malignant lesions : What have we learned?