PMID- 23245688 OWN - NLM STAT- MEDLINE DCOM- 20131018 LR - 20220311 IS - 1618-0372 (Electronic) IS - 0065-1281 (Linking) VI - 115 IP - 5 DP - 2013 Jun TI - Down-regulation of human leukocyte antigen class I (HLA-I) is associated with poor prognosis in patients with clear cell renal cell carcinoma. PG - 470-4 LID - S0065-1281(12)00166-3 [pii] LID - 10.1016/j.acthis.2012.11.002 [doi] AB - Human leukocyte antigen class I (HLA-I) molecules are transmembrane glycoproteins that have been reported to be down-regulated in multiple types of human malignancies, including clear cell renal cell carcinoma (CCRCC). However, only one study has investigated its prognostic value in CCRCC. In the present study, HLA-I protein expression was analyzed in 120 archived, paraffin-embedded CCRCC samples and 10 adjacent normal tissues using immunohistochemistry. The correlation between HLA-I expression and clinicopathological factors was evaluated by the chi(2) test. Patients' overall survival was analyzed by the Kaplan-Meier method. HLA-I down-regulation was observed in 38.3% (46/120) of renal tumor samples, but only in 10% (1/10) of adjacent normal tissues. Statistical analysis showed a significant correlation of HLA-I expression with TNM stage, lymph node metastasis, and Fuhrman grade. Patients with tumors displaying down-regulation of HLA-I showed significantly shorter overall survival (P=0.021, log-rank test). More importantly, multivariate analysis indicated that down-regulation of HLA-I was an independent prognostic factor for CCRCC patients (P=0.033). Overall, our data suggest that HLA-I down-regulation is associated with tumor progression and a poor prognosis in CCRCC patients, and emphasize the importance of HLA-I in natural and therapeutic immune surveillance of patients with CCRCC. CI - Copyright (c) 2012 Elsevier GmbH. All rights reserved. FAU - Yuan, Jinyang AU - Yuan J AD - Department of Urology, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, People's Republic of China. FAU - Liu, Sulai AU - Liu S FAU - Yu, Qiuxia AU - Yu Q FAU - Lin, Yang AU - Lin Y FAU - Bi, Yunke AU - Bi Y FAU - Wang, Yi AU - Wang Y FAU - An, Ruihua AU - An R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121212 PL - Germany TA - Acta Histochem JT - Acta histochemica JID - 0370320 RN - 0 (Biomarkers, Tumor) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Renal Cell/*diagnosis/metabolism/mortality MH - China/epidemiology MH - *Down-Regulation MH - Female MH - Histocompatibility Antigens Class I/*metabolism MH - Humans MH - Immunohistochemistry/methods MH - Kaplan-Meier Estimate MH - Kidney Neoplasms/*diagnosis/metabolism/mortality MH - Lymph Nodes/pathology MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - Survival Rate MH - Young Adult EDAT- 2012/12/19 06:00 MHDA- 2013/10/19 06:00 CRDT- 2012/12/19 06:00 PHST- 2012/10/01 00:00 [received] PHST- 2012/10/31 00:00 [revised] PHST- 2012/11/01 00:00 [accepted] PHST- 2012/12/19 06:00 [entrez] PHST- 2012/12/19 06:00 [pubmed] PHST- 2013/10/19 06:00 [medline] AID - S0065-1281(12)00166-3 [pii] AID - 10.1016/j.acthis.2012.11.002 [doi] PST - ppublish SO - Acta Histochem. 2013 Jun;115(5):470-4. doi: 10.1016/j.acthis.2012.11.002. Epub 2012 Dec 12.