PMID- 10203751 OWN - NLM STAT- MEDLINE DCOM- 19990902 LR - 20191103 IS - 1357-4310 (Print) IS - 1357-4310 (Linking) VI - 5 IP - 4 DP - 1999 Apr TI - HLA class I antigen downregulation in human cancers: T-cell immunotherapy revives an old story. PG - 178-86 AB - Human leukocyte antigen (HLA) class I molecule downregulation occurs frequently in many cancers, and this abnormality might adversely affect the clinical course of cancer and the outcome of T-cell-based immunotherapy. Mutations in the HLA class I genes themselves, abnormalities in their regulation and/or defects in HLA class I-dependent antigen processing can underlie HLA class I downregulation. These mutations modulate the susceptibility of tumor cells to in vitro lysis by cytotoxic T lymphocytes (CTLs) and natural killer (NK) cells. Immune selection of CTL- and NK-cell-resistant tumor cells might explain the rapid progression and poor prognosis of cancers that exhibit HLA class I downregulation. These findings provide compelling evidence that HLA class I downregulation represents a significant challenge for the successful application of T-cell-based immunotherapy of cancer. FAU - Hicklin, D J AU - Hicklin DJ AD - Dept of Immunology, ImClone Systems Incorporated, New York, NY 10014, USA. FAU - Marincola, F M AU - Marincola FM FAU - Ferrone, S AU - Ferrone S LA - eng GR - CA51814/CA/NCI NIH HHS/United States GR - CA67988/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - England TA - Mol Med Today JT - Molecular medicine today JID - 9508560 RN - 0 (HLA Antigens) SB - IM MH - Down-Regulation MH - *Gene Expression Regulation, Neoplastic MH - HLA Antigens/*genetics MH - Humans MH - Immunotherapy MH - Neoplasms/genetics/*immunology/therapy MH - T-Lymphocytes/*immunology RF - 50 EDAT- 1999/05/18 00:00 MHDA- 1999/05/18 00:01 CRDT- 1999/05/18 00:00 PHST- 1999/05/18 00:00 [pubmed] PHST- 1999/05/18 00:01 [medline] PHST- 1999/05/18 00:00 [entrez] AID - S1357-4310(99)01451-3 [pii] AID - 10.1016/s1357-4310(99)01451-3 [doi] PST - ppublish SO - Mol Med Today. 1999 Apr;5(4):178-86. doi: 10.1016/s1357-4310(99)01451-3.