PMID- 17724722 OWN - NLM STAT- MEDLINE DCOM- 20071130 LR - 20160303 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 121 IP - 12 DP - 2007 Dec 15 TI - Circulating human papillomavirus type 16 specific T-cells are associated with HLA Class I expression on tumor cells, but not related to the amount of viral oncogene transcripts. PG - 2711-5 AB - Human papillomavirus (HPV) is a necessary factor in the pathogenesis of cervical cancer. Circulating HPV-specific T-cells responding to the E6 and E7 HPV proteins can be detected only in half of cervical cancer patients. Potential explanations for the absence of this response are lack of sufficient amounts of antigen to activate the immune response or local immune escape mechanisms. We studied the relationship between HPV 16 E6/E7 oncogene mRNA expression, human leukocyte antigen (HLA) expression on tumor cells and the presence of circulating E6- and E7-specific T-cell responses in cervical cancer patients. The amount of antigen was assessed by HPV E6/E7 mRNA expression levels measured by quantitative polymerase chain reaction. HLA Class I and Class II expression on tumor cells was analyzed by immunohistochemistry. A proliferative HPV-specific T-cell response was detected in 15/29 patients. The amount of HPV E6/E7 mRNA was not related to the presence of immune response. HLA Class I expression was downregulated in 19 patients and completely lost in 7 patients. HLA Class II expression was upregulated in 18 patients. HLA Class I expression on tumor cells showed a strong correlation with immunity (p = 0.001). Explicitly, all patients with complete HLA loss lacked HPV specific T-cell responses. The presence of circulating HPV-specific T-cells might reflect ongoing antitumor response that is sustained by CD8+ T-cells killing HLA Class I positive cancer cells. We hypothesize that HLA Class I expression status on tumor cells might as well influence the response to HPV E6/E7 directed immunotherapy. CI - (c) 2007 Wiley-Liss, Inc. FAU - de Boer, Marjon A AU - de Boer MA AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. m.a.de_boer@lumc.nl FAU - Jordanova, Ekaterina S AU - Jordanova ES FAU - van Poelgeest, Mariette I E AU - van Poelgeest MI FAU - van den Akker, Brendy E AU - van den Akker BE FAU - van der Burg, Sjoerd H AU - van der Burg SH FAU - Kenter, Gemma G AU - Kenter GG FAU - Fleuren, Gert Jan AU - Fleuren GJ LA - eng PT - Journal Article PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (DNA, Viral) RN - 0 (E6 protein, Human papillomavirus type 16) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Oncogene Proteins, Viral) RN - 0 (Papillomavirus E7 Proteins) RN - 0 (RNA, Messenger) RN - 0 (Repressor Proteins) RN - 0 (oncogene protein E7, Human papillomavirus type 16) SB - IM MH - Antigen-Presenting Cells MH - CD8-Positive T-Lymphocytes/*immunology/*virology MH - Carcinoma/immunology/virology MH - DNA, Viral MH - Down-Regulation MH - Female MH - Histocompatibility Antigens Class I/*analysis MH - Histocompatibility Antigens Class II/analysis MH - Human papillomavirus 16/*genetics MH - Humans MH - Immunohistochemistry MH - Lymphatic Metastasis MH - Neoplasm Staging MH - Oncogene Proteins, Viral/analysis MH - Papillomavirus E7 Proteins MH - Papillomavirus Infections/complications/*immunology/virology MH - Polymerase Chain Reaction MH - RNA, Messenger/analysis MH - Repressor Proteins/analysis MH - T-Lymphocytes, Cytotoxic/immunology/virology MH - *Transcription, Genetic MH - Tumor Virus Infections/complications/*immunology/virology MH - Up-Regulation MH - Uterine Cervical Neoplasms/*immunology/pathology/*virology MH - Viral Load EDAT- 2007/08/29 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/08/29 09:00 PHST- 2007/08/29 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/08/29 09:00 [entrez] AID - 10.1002/ijc.23035 [doi] PST - ppublish SO - Int J Cancer. 2007 Dec 15;121(12):2711-5. doi: 10.1002/ijc.23035.