PMID- 12095976 OWN - NLM STAT- MEDLINE DCOM- 20020913 LR - 20190922 IS - 1068-9265 (Print) IS - 1068-9265 (Linking) VI - 9 IP - 6 DP - 2002 Jul TI - Presence of the human leukocyte antigen class II gene DRB1*1101 predicts interferon gamma levels and disease recurrence in melanoma patients. PG - 587-93 AB - BACKGROUND: Increased interferon gamma (IFN-gamma) levels are an independent predictor of melanoma recurrence. Human leukocyte antigen (HLA) class II genes can regulate cytokine production; we investigated whether these genes would predict IFN-gamma levels and recurrence in melanoma patients. METHODS: Of 591 patients who presented with localized melanoma, 579 underwent identification of HLA class II alleles; 233 melanoma patients and 90 controls underwent determination of plasma IFN-gamma levels. HLA class II genes were examined for association with IFN-gamma levels and disease recurrence. RESULTS: After a median follow-up of 60 months, melanoma patients with IFN-gamma levels above the mean control value were more likely to have developed disease recurrence compared with patients with levels below the mean. The HLA class II gene HLA-DRB1*1101 was the strongest predictor of recurrence, and HLA-DRB1*1101-positive melanoma patients had increased levels of IFN-gamma compared with patients lacking the gene. CONCLUSIONS: Among patients with localized melanoma, both HLA-DRB1*1101 and increased IFN-gamma levels were associated with an increased risk for recurrence; HLA-DRB1*1101-positive patients had relatively increased levels of IFN-gamma. HLA class II genes may mediate cytokine production in melanoma patients, and this mechanism may help determine the risk of disease recurrence. FAU - Lee, Jeffrey E AU - Lee JE AD - Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston 77030, USA. jelee@notes.mdacc.tmc.edu FAU - Abdalla, Joseph AU - Abdalla J FAU - Porter, Geoffrey A AU - Porter GA FAU - Bradford, Loretta AU - Bradford L FAU - Grimm, Elizabeth A AU - Grimm EA FAU - Reveille, John D AU - Reveille JD FAU - Mansfield, Paul F AU - Mansfield PF FAU - Gershenwald, Jeffrey E AU - Gershenwald JE FAU - Ross, Merrick I AU - Ross MI LA - eng PT - Journal Article PL - United States TA - Ann Surg Oncol JT - Annals of surgical oncology JID - 9420840 RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 82115-62-6 (Interferon-gamma) SB - IM CIN - Ann Surg Oncol. 2002 Oct;9(8):723-4. PMID: 12374654 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Case-Control Studies MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Humans MH - Interferon-gamma/blood/*genetics MH - Male MH - Melanoma/blood/*genetics/mortality MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Recurrence, Local/epidemiology/*genetics MH - Prognosis MH - Texas/epidemiology EDAT- 2002/07/04 10:00 MHDA- 2002/09/14 10:01 CRDT- 2002/07/04 10:00 PHST- 2002/07/04 10:00 [pubmed] PHST- 2002/09/14 10:01 [medline] PHST- 2002/07/04 10:00 [entrez] AID - 10.1007/BF02573896 [doi] PST - ppublish SO - Ann Surg Oncol. 2002 Jul;9(6):587-93. doi: 10.1007/BF02573896.