PMID- 22125456 OWN - NLM STAT- MEDLINE DCOM- 20120327 LR - 20211021 IS - 1537-744X (Electronic) IS - 2356-6140 (Print) IS - 1537-744X (Linking) VI - 11 DP - 2011 TI - Human leukocyte antigen class I and II alleles and overall survival in diffuse large B-cell lymphoma and follicular lymphoma. PG - 2062-70 LID - 10.1100/2011/373876 [doi] AB - Genetic variation in the 6p21 chromosomal region, including human leukocyte antigen (HLA) genes and tumor necrosis factor (TNF), has been linked to both etiology and clinical outcomes of lymphomas. We estimated the effects of HLA class I (A, B, and C), class II DRB1 alleles, and the ancestral haplotype (AH) 8.1 (HLAA*01-B*08-DRB1*03-TNF-308A) on overall survival (OS) among patients with diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL) in a population-based study of non-Hodgkin lymphoma. During a median followup of 89 months, 31% (52 of 166) DLBCL and 28% (46 of 165) FL patients died. Using multivariate Cox regression models, we observed statistically significant associations between genetic variants and survival: HLA-Cw*07:01 was associated with poorer OS among DLBCL patients (Hazard ratio [HR] = 1.76, 95% confidence interval [CI] = 1.01-3.05); HLA-A*01:01 was associated with poorer OS (HR = 2.23, 95% CI = 1.24-4.01), and HLA-DRB1*13 (HR = 0.12, 95% CI = 0.02-0.90) and HLA-B Bw4 (HR = 0.36, 95% CI = 0.20-0.63) with better OS among FL patients. These results support a role for HLA in the prognosis of DLBCL and FL and represent a promising class of prognostic factors that warrants further evaluation. FAU - Lu, Yani AU - Lu Y AD - Division of Cancer Etiology, Department of Population Sciences, Beckman Research Institute, City of Hope, Duarte, CA 91010, USA. FAU - Abdou, Amr M AU - Abdou AM FAU - Cerhan, James R AU - Cerhan JR FAU - Morton, Lindsay M AU - Morton LM FAU - Severson, Richard K AU - Severson RK FAU - Davis, Scott AU - Davis S FAU - Cozen, Wendy AU - Cozen W FAU - Rothman, Nathaniel AU - Rothman N FAU - Bernstein, Leslie AU - Bernstein L FAU - Chanock, Stephen AU - Chanock S FAU - Hartge, Patricia AU - Hartge P FAU - Wang, Sophia S AU - Wang SS LA - eng GR - N01 PC067010/PC/NCI NIH HHS/United States GR - N01 PC067008/PC/NCI NIH HHS/United States GR - N01-PC-67009/PC/NCI NIH HHS/United States GR - N01 PC065064/PC/NCI NIH HHS/United States GR - R01 CA096704/CA/NCI NIH HHS/United States GR - R01 CA96704/CA/NCI NIH HHS/United States GR - HHSN261200800001C/RC/CCR NIH HHS/United States GR - HHSN261200800001E/CA/NCI NIH HHS/United States GR - N01 PC067009/CN/NCI NIH HHS/United States GR - N02-PC-71105/PC/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111101 PL - United States TA - ScientificWorldJournal JT - TheScientificWorldJournal JID - 101131163 SB - IM MH - *Alleles MH - Chromosomes, Human, Pair 6 MH - Female MH - *Genes, MHC Class I MH - *Genes, MHC Class II MH - Humans MH - Lymphoma, Follicular/*genetics/pathology MH - Lymphoma, Large B-Cell, Diffuse/*genetics/pathology MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Survival Rate PMC - PMC3217596 OTO - NOTNLM OT - diffuse large B-cell lymphoma OT - follicular lymphoma OT - human leukocyte antigen OT - survival OT - tumor necrosis factor EDAT- 2011/11/30 06:00 MHDA- 2012/03/28 06:00 PMCR- 2011/11/01 CRDT- 2011/11/30 06:00 PHST- 2011/07/29 00:00 [received] PHST- 2011/10/03 00:00 [accepted] PHST- 2011/11/30 06:00 [entrez] PHST- 2011/11/30 06:00 [pubmed] PHST- 2012/03/28 06:00 [medline] PHST- 2011/11/01 00:00 [pmc-release] AID - 10.1100/2011/373876 [doi] PST - ppublish SO - ScientificWorldJournal. 2011;11:2062-70. doi: 10.1100/2011/373876. Epub 2011 Nov 1.