PMID- 22878150 OWN - NLM STAT- MEDLINE DCOM- 20130618 LR - 20191210 IS - 1095-8673 (Electronic) IS - 0022-4804 (Linking) VI - 181 IP - 2 DP - 2013 May TI - Prognostic implications of human leukocyte antigen class I expression in patients who underwent surgical resection for non-small-cell lung cancer. PG - e57-63 LID - S0022-4804(12)00669-5 [pii] LID - 10.1016/j.jss.2012.07.029 [doi] AB - BACKGROUND: The purpose of the present study was to clarify the prognostic significance of human leukocyte antigen (HLA) class I expression in patients with non-small-cell lung cancer who underwent complete surgical resection. PATIENTS AND METHODS: The expression of HLA class I molecules was evaluated in 403 resected NSCLC specimens using immunohistochemistry. The results were scored as the percentage of stained tumor cells and were categorized into three groups: 0%-24% (decreased), 25%-79% (heterogeneous), and 80% or more (normal). RESULTS: The expression of HLA class I was evaluated in 124 tumors in the normal expression group, 181 tumors in the heterogeneous expression group, and 98 tumors in the decreased expression group. The 5-year survival rate of all patients after surgery according to the HLA class I expression in the normal, heterogeneous, and decreased groups was 76.6%, 65.9%, and 76.1%, respectively. The prognosis was significantly better in the normal expression group than in the heterogeneous group. Normal HLA class I expression also correlated with favorable survival in patients with stage I disease. CONCLUSIONS: The normal expression of HLA class I was associated with a favorable prognosis compared with the heterogeneous expression group, but no significant difference was observed between the normal expression and decreased expression groups. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Hanagiri, Takeshi AU - Hanagiri T AD - Second Department of Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan. hanagiri@med.uoeh-u.ac.jp FAU - Shigematsu, Yoshiki AU - Shigematsu Y FAU - Kuroda, Koji AU - Kuroda K FAU - Baba, Tetsuro AU - Baba T FAU - Shiota, Hironobu AU - Shiota H FAU - Ichiki, Yoshinobu AU - Ichiki Y FAU - Nagata, Yoshika AU - Nagata Y FAU - Yasuda, Manabu AU - Yasuda M FAU - Uramoto, Hidetaka AU - Uramoto H FAU - So, Tomoko AU - So T FAU - Takenoyama, Mitsuhiro AU - Takenoyama M FAU - Tanaka, Fumihiro AU - Tanaka F LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120731 PL - United States TA - J Surg Res JT - The Journal of surgical research JID - 0376340 RN - 0 (Biomarkers, Tumor) RN - 0 (HLA Antigens) SB - IM MH - Adenocarcinoma/metabolism/mortality/*surgery MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*metabolism MH - Carcinoma, Non-Small-Cell Lung/metabolism/mortality/*surgery MH - Carcinoma, Squamous Cell/metabolism/mortality/*surgery MH - Female MH - Follow-Up Studies MH - HLA Antigens/*metabolism MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Lung Neoplasms/metabolism/mortality/*surgery MH - Male MH - Middle Aged MH - Survival Rate MH - Treatment Outcome EDAT- 2012/08/11 06:00 MHDA- 2013/06/19 06:00 CRDT- 2012/08/11 06:00 PHST- 2012/05/03 00:00 [received] PHST- 2012/07/11 00:00 [revised] PHST- 2012/07/11 00:00 [accepted] PHST- 2012/08/11 06:00 [entrez] PHST- 2012/08/11 06:00 [pubmed] PHST- 2013/06/19 06:00 [medline] AID - S0022-4804(12)00669-5 [pii] AID - 10.1016/j.jss.2012.07.029 [doi] PST - ppublish SO - J Surg Res. 2013 May;181(2):e57-63. doi: 10.1016/j.jss.2012.07.029. Epub 2012 Jul 31.