PMID- 12445284 OWN - NLM STAT- MEDLINE DCOM- 20030616 LR - 20201215 IS - 0105-2896 (Print) IS - 0105-2896 (Linking) VI - 188 DP - 2002 Oct TI - Immunity to cancer: attack and escape in T lymphocyte-tumor cell interaction. PG - 97-113 AB - Tumor cells may express antigens which are recognized in a form of HLA/peptide complexes by T cells. The frequency at which different antigens are seen by T cells of melanoma patients and healthy donors was evaluated by human leukocyte antigen (HLA)/peptide tetramer technology which stains T cells bearing the specific receptor for a given epitope. By this technique, it was found that the majority of metastatic melanoma patients can recognize differentiation antigens (particularly Melan-A/MART-1), whereas such a recognition is scanty in the early phase of the disease and in healthy subjects. Despite the presence of melanoma-specific T cells infiltrating tumor lesions, tumor rejection rarely occurs. Among the different mechanisms of such inefficient antitumor response, this review discusses the possible anti-T-cell counterattack mediated by FasL-positive tumor cells, and shows that FasL is located in the cytoplasm of melanoma cells and is transported in the tumor microenvironment through the release of melanosomes. Additionally, mechanisms of suboptimal T cell activation through tumor cell expression of peptide analogs with antagonist activity are described, together with the possibility of overcoming such anergy induction by the usage of optimized tumor epitopes. Down-modulation of HLA expression by target tumor cells and its multiple mechanisms is also considered. Finally, we discuss the role of inducible nitric oxide synthases in determining the inhibition of apoptosis in melanoma cells, which can make such tumor cells resistant to the T-cell attack. FAU - Rivoltini, Licia AU - Rivoltini L AD - Units of Human Tumor Immunotherapy and Immunobiology, Istituto Nazionale Tumori, Milan, Italy. FAU - Carrabba, Matteo AU - Carrabba M FAU - Huber, Veronica AU - Huber V FAU - Castelli, Chiara AU - Castelli C FAU - Novellino, Luisa AU - Novellino L FAU - Dalerba, Piero AU - Dalerba P FAU - Mortarini, Roberta AU - Mortarini R FAU - Arancia, Giuseppe AU - Arancia G FAU - Anichini, Andrea AU - Anichini A FAU - Fais, Stefano AU - Fais S FAU - Parmiani, Giorgio AU - Parmiani G LA - eng PT - Journal Article PT - Review PL - England TA - Immunol Rev JT - Immunological reviews JID - 7702118 RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (FASLG protein, human) RN - 0 (Fas Ligand Protein) RN - 0 (HLA Antigens) RN - 0 (Membrane Glycoproteins) RN - 0 (Neoplasm Proteins) RN - 0 (fas Receptor) RN - 31C4KY9ESH (Nitric Oxide) RN - EC 1.14.13.39 (NOS2 protein, human) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) SB - IM MH - Antigen Presentation MH - Antigens, Neoplasm/biosynthesis/immunology MH - Apoptosis/immunology MH - Cancer Vaccines/immunology MH - Cell Membrane/metabolism MH - Clonal Anergy/immunology MH - Cytoplasm/metabolism MH - Epitopes, T-Lymphocyte/immunology MH - Fas Ligand Protein MH - HLA Antigens/biosynthesis/immunology MH - Humans MH - Immunologic Memory/immunology MH - Immunologic Surveillance/*immunology MH - Lymphatic Metastasis MH - Lymphocyte Activation MH - Melanoma/immunology/pathology MH - Melanosomes/metabolism MH - Membrane Glycoproteins/immunology MH - Neoplasm Proteins/immunology/physiology MH - Neoplasms/*immunology MH - Nitric Oxide/physiology MH - Nitric Oxide Synthase/physiology MH - Nitric Oxide Synthase Type II MH - T-Lymphocyte Subsets/*immunology MH - Tumor Escape/*immunology MH - fas Receptor/immunology RF - 123 EDAT- 2002/11/26 04:00 MHDA- 2003/06/17 05:00 CRDT- 2002/11/26 04:00 PHST- 2002/11/26 04:00 [pubmed] PHST- 2003/06/17 05:00 [medline] PHST- 2002/11/26 04:00 [entrez] AID - imr18809 [pii] AID - 10.1034/j.1600-065x.2002.18809.x [doi] PST - ppublish SO - Immunol Rev. 2002 Oct;188:97-113. doi: 10.1034/j.1600-065x.2002.18809.x.