PMID- 19751235 OWN - NLM STAT- MEDLINE DCOM- 20100318 LR - 20220331 IS - 1349-7006 (Electronic) IS - 1347-9032 (Linking) VI - 100 IP - 12 DP - 2009 Dec TI - Human leukocyte antigen class I down-regulation in muscle-invasive bladder cancer: its association with clinical characteristics and survival after cystectomy. PG - 2331-4 LID - 10.1111/j.1349-7006.2009.01329.x [doi] AB - Using a novel monoclonal anti-pan human leukocyte antigen (HLA) class I heavy chain antibody (EMR 8-5) reacting with paraffin-embedded sections, we examined the prognostic significance of HLA class I molecules in muscle-invasive bladder cancer patients who underwent radical cystectomy. Immunohistochemical staining for HLA class I molecules with monoclonal antibody EMR 8-5 was performed on specimens from 65 clinically muscle-invasive bladder cancer patients who underwent radical cystectomy and pelvic lymph node dissection without neoadjuvant chemotherapy. We analyzed the clinicopathological and prognostic significance of HLA class I expression. Immunohistochemical analysis revealed HLA class I down-regulation in 22 (33.8%) invasive bladder cancers. This down-regulation had no correlation with clinicopathological parameters such as pathologic stage, nodal status, and grade. The recurrence-free survival of patients with HLA class I-positive tumors was significantly better than that of those with down-regulation (log rank, P = 0.0337). Multivariate analysis revealed that HLA class I expression was a significant factor influencing the recurrence-free survival of bladder cancer patients after cystectomy (P = 0.0155). Our data demonstrate that HLA class I down-regulation in tumor cells was clearly observed in about one-third of the patients. HLA class I expression could be a prognostic marker for muscle-invasive bladder cancer patients after cystectomy. FAU - Homma, Ichiya AU - Homma I AD - Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan. ichiya@sapmed.ac.jp FAU - Kitamura, Hiroshi AU - Kitamura H FAU - Torigoe, Toshihiko AU - Torigoe T FAU - Tanaka, Toshiaki AU - Tanaka T FAU - Sato, Eiji AU - Sato E FAU - Hirohashi, Yoshihiko AU - Hirohashi Y FAU - Masumori, Naoya AU - Masumori N FAU - Sato, Noriyuki AU - Sato N FAU - Tsukamoto, Taiji AU - Tsukamoto T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090827 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 SB - IM MH - Adult MH - Aged MH - *Cystectomy MH - Down-Regulation MH - Female MH - *Genes, MHC Class I MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Invasiveness MH - T-Lymphocytes, Cytotoxic/immunology MH - Urinary Bladder Neoplasms/*immunology/mortality/pathology/surgery EDAT- 2009/09/16 06:00 MHDA- 2010/03/20 06:00 CRDT- 2009/09/16 06:00 PHST- 2009/09/16 06:00 [entrez] PHST- 2009/09/16 06:00 [pubmed] PHST- 2010/03/20 06:00 [medline] AID - CAS1329 [pii] AID - 10.1111/j.1349-7006.2009.01329.x [doi] PST - ppublish SO - Cancer Sci. 2009 Dec;100(12):2331-4. doi: 10.1111/j.1349-7006.2009.01329.x. Epub 2009 Aug 27.