PMID- 20156510 OWN - NLM STAT- MEDLINE DCOM- 20100709 LR - 20151119 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 71 IP - 5 DP - 2010 May TI - Prognostic relevance of soluble human leukocyte antigen-G and total human leukocyte antigen class I molecules in lung cancer patients. PG - 489-95 LID - 10.1016/j.humimm.2010.02.015 [doi] AB - The aim of this study was to determine the prognostic significance of soluble human leukocyte antigen (HLA) class I (sHLA-I) and HLA-G molecules in lung cancer patients. A total of 23 small-cell lung cancer (SCLC) and 114 non-small-cell lung cancer (NSCLC) patients, including 55 adenocarcinoma, 46 squamous cell carcinoma (SCC), and 13 patients with undifferentiated carcinoma, were prospectively enrolled. Levels of sHLA-G and sHLA-I were analyzed by specific enzyme-linked immunosorbent assay. Median levels of sHLA-G and sHLA-I were significantly increased in patients compared with controls (34 ng/ml [3.6-160] vs 14 ng/ml [0-98], p < 0.0001; 2580 ng/ml [749-5770] vs 1370 ng/ml [274-2670], p < 0.0001, respectively). Regarding the different subgroups, patients with NSCLC or SCLC showed increased sHLA-I levels, whereas sHLA-G was exclusively elevated in NSCLC, especially in patients with SCC. Patients with sHLA-I<2800 ng/ml (p = 0.008) or sHLA-G<40 ng/ml (p = 0.073) showed prolonged overall survival (OS). Using these cut-offs in patients with SCC, a pronounced prognostic significance for sHLA-G (p = 0.003) and sHLA-I (p = 0.004) was observed for the prediction of OS. Here, multivariate analysis confirmed sHLA-G and sHLA-I in addition to disease stage as independent prognostic factors. The prognostic power was further enhanced by combining the two factors and comparing the OS of patients with low sHLA-I and low sHLA-G against the remaining ones. In conclusion, plasma levels of sHLA-G and sHLA-I are potent predictors for OS in lung cancer patients. CI - Copyright 2010 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Schutt, Philipp AU - Schutt P AD - Department of Medicine (Cancer Research), West German Cancer Center, University of Duisburg-Essen, Essen, Germany. philipp.schuett@uni-due.de FAU - Schutt, Birgit AU - Schutt B FAU - Switala, Magdalena AU - Switala M FAU - Bauer, Sebastian AU - Bauer S FAU - Stamatis, Georgios AU - Stamatis G FAU - Opalka, Bertram AU - Opalka B FAU - Eberhardt, Wilfried AU - Eberhardt W FAU - Schuler, Martin AU - Schuler M FAU - Horn, Peter A AU - Horn PA FAU - Rebmann, Vera AU - Rebmann V LA - eng PT - Journal Article DEP - 20100310 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Biomarkers, Tumor) RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Biomarkers, Tumor/*blood/immunology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - HLA Antigens/*blood MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/*blood MH - Humans MH - Kaplan-Meier Estimate MH - Lung Neoplasms/*blood/*immunology/mortality MH - Male MH - Middle Aged MH - Prognosis EDAT- 2010/02/17 06:00 MHDA- 2010/07/10 06:00 CRDT- 2010/02/17 06:00 PHST- 2009/11/23 00:00 [received] PHST- 2010/01/27 00:00 [revised] PHST- 2010/02/09 00:00 [accepted] PHST- 2010/02/17 06:00 [entrez] PHST- 2010/02/17 06:00 [pubmed] PHST- 2010/07/10 06:00 [medline] AID - S0198-8859(10)00058-3 [pii] AID - 10.1016/j.humimm.2010.02.015 [doi] PST - ppublish SO - Hum Immunol. 2010 May;71(5):489-95. doi: 10.1016/j.humimm.2010.02.015. Epub 2010 Mar 10.