PMID- 23071666 OWN - NLM STAT- MEDLINE DCOM- 20130411 LR - 20220331 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 10 DP - 2012 TI - IRF1 and NF-kB restore MHC class I-restricted tumor antigen processing and presentation to cytotoxic T cells in aggressive neuroblastoma. PG - e46928 LID - 10.1371/journal.pone.0046928 [doi] LID - e46928 AB - Neuroblastoma (NB), the most common solid extracranial cancer of childhood, displays a remarkable low expression of Major Histocompatibility Complex class I (MHC-I) and Antigen Processing Machinery (APM) molecules, including Endoplasmic Reticulum (ER) Aminopeptidases, and poorly presents tumor antigens to Cytotoxic T Lymphocytes (CTL). We have previously shown that this is due to low expression of the transcription factor NF-kB p65. Herein, we show that not only NF-kB p65, but also the Interferon Regulatory Factor 1 (IRF1) and certain APM components are low in a subset of NB cell lines with aggressive features. Whereas single transfection with either IRF1, or NF-kB p65 is ineffective, co-transfection results in strong synergy and substantial reversion of the MHC-I/APM-low phenotype in all NB cell lines tested. Accordingly, linked immunohistochemistry expression patterns between nuclear IRF1 and p65 on the one hand, and MHC-I on the other hand, were observed in vivo. Absence and presence of the three molecules neatly segregated between high-grade and low-grade NB, respectively. Finally, APM reconstitution by double IRF1/p65 transfection rendered a NB cell line susceptible to killing by anti MAGE-A3 CTLs, lytic efficiency comparable to those seen upon IFN-gamma treatment. This is the first demonstration that a complex immune escape phenotype can be rescued by reconstitution of a limited number of master regulatory genes. These findings provide molecular insight into defective MHC-I expression in NB cells and provide the rational for T cell-based immunotherapy in NB variants refractory to conventional therapy. FAU - Lorenzi, Silvia AU - Lorenzi S AD - Paediatric Haematology/Oncology Department, Bambino Gesu Children's Hospital, IRCCS, Rome, Italy. FAU - Forloni, Matteo AU - Forloni M FAU - Cifaldi, Loredana AU - Cifaldi L FAU - Antonucci, Chiara AU - Antonucci C FAU - Citti, Arianna AU - Citti A FAU - Boldrini, Renata AU - Boldrini R FAU - Pezzullo, Marco AU - Pezzullo M FAU - Castellano, Aurora AU - Castellano A FAU - Russo, Vincenzo AU - Russo V FAU - van der Bruggen, Pierre AU - van der Bruggen P FAU - Giacomini, Patrizio AU - Giacomini P FAU - Locatelli, Franco AU - Locatelli F FAU - Fruci, Doriana AU - Fruci D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121005 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antigens) RN - 0 (Antigens, Neoplasm) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (IRF1 protein, human) RN - 0 (Interferon Regulatory Factor-1) RN - 0 (MAGEA3 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Transcription Factor RelA) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Antigen Presentation/drug effects/*immunology MH - Antigens/genetics/immunology/metabolism MH - Antigens, Neoplasm/genetics/immunology/metabolism MH - Blotting, Western MH - Cell Line, Tumor MH - Histocompatibility Antigens Class I/*immunology/metabolism MH - Humans MH - Immunohistochemistry MH - Interferon Regulatory Factor-1/genetics/*immunology/metabolism MH - Interferon-gamma/immunology/pharmacology MH - Jurkat Cells MH - Neoplasm Proteins/genetics/immunology/metabolism MH - Neuroblastoma/immunology/metabolism/pathology MH - RNA Interference MH - Reverse Transcriptase Polymerase Chain Reaction MH - T-Lymphocytes, Cytotoxic/*immunology/metabolism MH - Transcription Factor RelA/genetics/*immunology/metabolism MH - Transfection MH - Up-Regulation/immunology PMC - PMC3465322 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/10/17 06:00 MHDA- 2013/04/12 06:00 PMCR- 2012/10/05 CRDT- 2012/10/17 06:00 PHST- 2012/04/19 00:00 [received] PHST- 2012/09/06 00:00 [accepted] PHST- 2012/10/17 06:00 [entrez] PHST- 2012/10/17 06:00 [pubmed] PHST- 2013/04/12 06:00 [medline] PHST- 2012/10/05 00:00 [pmc-release] AID - PONE-D-12-11015 [pii] AID - 10.1371/journal.pone.0046928 [doi] PST - ppublish SO - PLoS One. 2012;7(10):e46928. doi: 10.1371/journal.pone.0046928. Epub 2012 Oct 5.