PMID- 22014037 OWN - NLM STAT- MEDLINE DCOM- 20120123 LR - 20220318 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 11 DP - 2011 Oct 20 TI - Clinical implication of HLA class I expression in breast cancer. PG - 454 LID - 10.1186/1471-2407-11-454 [doi] AB - BACKGROUND: Human leukocyte antigen (HLA)-class I molecules on tumor cells have been regarded as crucial sites where cytotoxic T lymphocytes (CTL) can recognize tumor-specific antigens and are strongly associated with anti-tumor activity. However, the clinical impact of HLA class I expression in breast cancer has not been clarified. METHODS: A total of 212 breast cancer patients who received curative surgery from 1993 to 2003 were enrolled in the current study. HLA class I expression was examined immunohistochemically using an anti-HLA class I monoclonal antibody. The correlation between HLA class I positivity and clinical factors was analyzed. RESULTS: The downregulation of HLA class I expression in breast cancer was observed in 69 patients (32.5%). HLA class I downregulation was significantly associated with nodal involvement (p < 0.05), TNM stage (p < 0.05), lymphatic invasion (p < 0.01), and venous invasion (p < 0.05). Patients with preserved HLA class I had significantly better disease-free interval (DFI) than those with loss of HLA class I (p < 0.05). However, in multivariable analysis, HLA class I was not selected as one of the independent prognostic factors of disease-free interval. CONCLUSION: The examination of HLA class I expression is useful for the prediction of tumor progression and recurrent risk of breast cancer via the antitumor immune system. FAU - Kaneko, Koichi AU - Kaneko K AD - Department of Surgical Oncology, Breast and Endocrine Surgery, Kagoshima University School of Medicine, Japan. FAU - Ishigami, Sumiya AU - Ishigami S FAU - Kijima, Yuko AU - Kijima Y FAU - Funasako, Yawara AU - Funasako Y FAU - Hirata, Munetsugu AU - Hirata M FAU - Okumura, Hiroshi AU - Okumura H FAU - Shinchi, Hiroyuki AU - Shinchi H FAU - Koriyama, Chihaya AU - Koriyama C FAU - Ueno, Shinichi AU - Ueno S FAU - Yoshinaka, Heiji AU - Yoshinaka H FAU - Natsugoe, Shoji AU - Natsugoe S LA - eng PT - Journal Article DEP - 20111020 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Antibodies, Monoclonal) RN - 0 (Biomarkers, Tumor) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal MH - Biomarkers, Tumor/metabolism MH - Breast Neoplasms/*immunology/pathology/surgery MH - Disease-Free Survival MH - Down-Regulation MH - Female MH - Histocompatibility Antigens Class I/*metabolism MH - Humans MH - Immunohistochemistry MH - Lymph Nodes/pathology MH - Lymphatic Metastasis MH - Middle Aged MH - Multivariate Analysis MH - T-Lymphocytes, Cytotoxic/*immunology MH - Young Adult PMC - PMC3214195 EDAT- 2011/10/22 06:00 MHDA- 2012/01/24 06:00 PMCR- 2011/10/20 CRDT- 2011/10/22 06:00 PHST- 2011/01/10 00:00 [received] PHST- 2011/10/20 00:00 [accepted] PHST- 2011/10/22 06:00 [entrez] PHST- 2011/10/22 06:00 [pubmed] PHST- 2012/01/24 06:00 [medline] PHST- 2011/10/20 00:00 [pmc-release] AID - 1471-2407-11-454 [pii] AID - 10.1186/1471-2407-11-454 [doi] PST - epublish SO - BMC Cancer. 2011 Oct 20;11:454. doi: 10.1186/1471-2407-11-454.