PMID- 21128238 OWN - NLM STAT- MEDLINE DCOM- 20110921 LR - 20160303 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 129 IP - 6 DP - 2011 Sep 15 TI - Human leukocyte antigen-G expression is associated with a poor prognosis in patients with esophageal squamous cell carcinoma. PG - 1382-90 LID - 10.1002/ijc.25807 [doi] AB - Human leukocyte antigen (HLA)-G inhibits functions of immune component cells and promotes malignant cells evading from antitumor immunity. We investigated the clinical relevance of HLA-G expression in esophageal squamous cell carcinoma (ESCC). In our study, HLA-G expression in 79 primary ESCC lesions and corresponding adjacent normal tissues were analyzed with immunohistochemistry. Soluble HLA-G (sHLA-G) in plasma was detected with enzyme-linked immunosorbent assay (ELISA) in 41 ESCC patients (including 19 case-matched lesions and plasma samples) and in 153 normal healthy controls. HLA-G expression was observed in 65.8% (52/79) of the ESCC lesions but not in adjacent normal esophageal tissues. HLA-G expression was more frequently observed in patients with advanced disease stage (III/IV vs. I/II, p = 0.01). Patients with HLA-G expression had a significantly worse survival, and HLA-G could be an independent prognostic factor. sHLA-G levels in plasma were significantly increased in patients compared to normal controls (median: 152.4 U/ml vs. 8.9 U/ml, p < 0.001). The area under receiver-operating characteristic (ROC) curve for sHLA-G in plasma was 0.992. However, no significant correlation was found between sHLA-G in plasma and clinical parameters studied. In conclusion, our findings indicated that HLA-G expression in ESCC is associated with poor survival and could be a prognostic indicator. Furthermore, increased levels of sHLA-G in plasma might be a useful preoperative biomarker for diagnosis. CI - Copyright (c) 2010 UICC. FAU - Lin, Aifen AU - Lin A AD - Human Tissue Bank, Taizhou Hospital of Zhejiang Province, Wenzhou Medical College, Zhejiang, China. FAU - Zhang, Xia AU - Zhang X FAU - Zhou, Wen-Jun AU - Zhou WJ FAU - Ruan, Yan-Yun AU - Ruan YY FAU - Xu, Dan-Ping AU - Xu DP FAU - Wang, Qing AU - Wang Q FAU - Yan, Wei-Hua AU - Yan WH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110226 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Carcinoma, Squamous Cell/blood/*immunology/mortality MH - Esophageal Neoplasms/blood/*immunology/mortality MH - Female MH - HLA Antigens/*metabolism MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Prognosis EDAT- 2010/12/04 06:00 MHDA- 2011/09/22 06:00 CRDT- 2010/12/04 06:00 PHST- 2010/09/08 00:00 [received] PHST- 2010/11/05 00:00 [accepted] PHST- 2010/12/04 06:00 [entrez] PHST- 2010/12/04 06:00 [pubmed] PHST- 2011/09/22 06:00 [medline] AID - 10.1002/ijc.25807 [doi] PST - ppublish SO - Int J Cancer. 2011 Sep 15;129(6):1382-90. doi: 10.1002/ijc.25807. Epub 2011 Feb 26.