PMID- 10658979 OWN - NLM STAT- MEDLINE DCOM- 20000302 LR - 20201215 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 61 IP - 1 DP - 2000 Jan TI - The HLA crossroad in tumor immunology. PG - 65-73 AB - It is generally accepted that human and experimental tumor cells can lose major histocompatibility complex (MHC) class I molecules. These human leukocyte antigen (HLA) losses are detected when the primary tumor breaks the basal membrane, invades the surrounding tissues, and starts to metastasize. These altered HLA class I phenotypes probably constitute the major tumor escape mechanism facing anti-tumor T-cell mediated responses. Thus, it is important to characterize these phenotypes in clinical tumor samples, analyze the mechanism(s) responsible for them, and counsel patients before and during peptide anti-cancer immunotherapy. The present paper summarizes the most relevant altered HLA class I phenotypes found in human tumor samples, indicates their frequency, and outlines the mechanisms implicated. This review also points out that the natural killer (NK) escape mechanism of HLA class I deficient cancer cells is yet to be defined. Knowledge accumulated to date reveals that HLA class I molecules are an important crossroad in tumor immunology. FAU - Algarra, I AU - Algarra I AD - Departamento de Ciencias de la Salud, Facultad de Ciencias Experimentales, Universidad de Jaen, Spain. FAU - Cabrera, T AU - Cabrera T FAU - Garrido, F AU - Garrido F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Histocompatibility Antigens Class I/*metabolism MH - Humans MH - Immunotherapy MH - Killer Cells, Natural/immunology MH - Neoplasms/*immunology/therapy MH - Phenotype MH - T-Lymphocytes/immunology MH - Tumor Escape RF - 41 EDAT- 2000/02/05 09:00 MHDA- 2000/03/04 09:00 CRDT- 2000/02/05 09:00 PHST- 2000/02/05 09:00 [pubmed] PHST- 2000/03/04 09:00 [medline] PHST- 2000/02/05 09:00 [entrez] AID - S0198-8859(99)00156-1 [pii] AID - 10.1016/s0198-8859(99)00156-1 [doi] PST - ppublish SO - Hum Immunol. 2000 Jan;61(1):65-73. doi: 10.1016/s0198-8859(99)00156-1.