PMID- 19536817 OWN - NLM STAT- MEDLINE DCOM- 20090820 LR - 20210102 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 125 IP - 6 DP - 2009 Sep 15 TI - Undifferentiated nasopharyngeal carcinoma from a nonendemic area: protective role of HLA allele products presenting conserved EBV epitopes. PG - 1358-64 LID - 10.1002/ijc.24515 [doi] AB - The role of genetic factors involved in the development of undifferentiated nasopharyngeal carcinoma (UNPC) in nonendemic areas has been poorly investigated. High-resolution human leukocyte antigen (HLA) class I genotyping carried out in 82 Italian UNPC patients and 286 bone marrow donors born in the same province showed that A*0201, B*1801, and B*3501, known to efficiently present Epstein-Barr virus (EBV)-derived epitopes, were significantly under-represented in UNPC patients. Moreover, the A*0201/B*1801 haplotype was significantly less frequent in UNPC cases, with a 90% reduced risk (odds ratio [OR] 0.1, 95% confidence interval [CI] = 0.0-0.5) to develop UNPC, suggesting an additive effect. Notably, all 5 BARF1 epitopes and 7 of the 8 LMP-2 epitopes known to bind A*0201 showed a fully conserved sequence in all the 31 Italian EBV isolates investigated. The 4 amino acid changes affecting the 436-447 LMP-2 epitope do not reduce, but rather increase in two cases, the predicted ability of "variant" epitopes to bind the HLA-A*0201 allele, as shown by immunoinformatic analysis. Moreover, a significantly increased risk for UNPC was associated with A*2601 (OR 2.4, 95% CI = 1.1-4.9) and B*4101 (OR 9.2, 95% CI = 2.5-34.3). These findings indicate that Italian UNPC patients have a distinct HLA-A and -B genotypic profile and suggest that the decreased risk for UNPC conferred by definite HLA class I molecules is probably related to their ability to efficiently present LMP-2 and BARF1 epitopes that are highly conserved in EBV isolates from this geographic region. These results have practical implications for the immunotherapy of UNPC. CI - 2009 UICC FAU - Pasini, Elisa AU - Pasini E AD - Cancer Bioimmunotherapy Unit, IRCCS-National Cancer Institute, Aviano (PN), Italy. FAU - Caggiari, Laura AU - Caggiari L FAU - Dal Maso, Luigino AU - Dal Maso L FAU - Martorelli, Debora AU - Martorelli D FAU - Guidoboni, Massimo AU - Guidoboni M FAU - Vaccher, Emanuela AU - Vaccher E FAU - Barzan, Luigi AU - Barzan L FAU - Franchin, Giovanni AU - Franchin G FAU - Gloghini, Annunziata AU - Gloghini A FAU - De Re, Valli AU - De Re V FAU - Sacchi, Nicoletta AU - Sacchi N FAU - Serraino, Diego AU - Serraino D FAU - Carbone, Antonino AU - Carbone A FAU - Rosato, Antonio AU - Rosato A FAU - Dolcetti, Riccardo AU - Dolcetti R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (BARF1 protein, Human herpesvirus 4) RN - 0 (EBV-associated membrane antigen, Epstein-Barr virus) RN - 0 (Epitopes) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (Viral Matrix Proteins) RN - 0 (Viral Proteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Cell Differentiation MH - Epitopes/*immunology MH - Epstein-Barr Virus Infections/*genetics/immunology/virology MH - Female MH - Genotype MH - HLA-A Antigens/*genetics MH - HLA-B Antigens/*genetics MH - Herpesvirus 4, Human/physiology MH - Humans MH - Immunoenzyme Techniques MH - Lymphocytes/immunology MH - Male MH - Middle Aged MH - Nasopharyngeal Neoplasms/*genetics/virology MH - Viral Matrix Proteins/*immunology MH - Viral Proteins/*immunology MH - Young Adult EDAT- 2009/06/19 09:00 MHDA- 2009/08/21 09:00 CRDT- 2009/06/19 09:00 PHST- 2009/06/19 09:00 [entrez] PHST- 2009/06/19 09:00 [pubmed] PHST- 2009/08/21 09:00 [medline] AID - 10.1002/ijc.24515 [doi] PST - ppublish SO - Int J Cancer. 2009 Sep 15;125(6):1358-64. doi: 10.1002/ijc.24515.