PMID- 23401227 OWN - NLM STAT- MEDLINE DCOM- 20130927 LR - 20230413 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 19 IP - 7 DP - 2013 Apr 1 TI - LOH in the HLA class I region at 6p21 is associated with shorter survival in newly diagnosed adult glioblastoma. PG - 1816-26 LID - 10.1158/1078-0432.CCR-12-2861 [doi] AB - PURPOSE: Glioblastoma (GBM) shows downregulated expression of human leukocyte antigen (HLA) class I, thereby escaping from cytotoxic T cells and limiting the efficacy of immunotherapy. Loss of heterozygosity (LOH) of HLA class I (6p21) and/or beta-2 microglobulin (B2m) (15q21) regions represents irreversible downregulation. In this study, we examined the prevalence of these LOH events and their relations with overall survival in GBM. EXPERIMENTAL DESIGN: In a cross-sectional analysis on 60 adult patients with GBM, DNA from formalin-fixed, paraffin-embedded specimens were evaluated for 10 microsatellite regions of HLA class I, B2m, HLA class II, HLA class III, and 6q by PCR as well as immunohistochemical evaluation of HLA class I expression and CD8(+) T-cell infiltration. RESULTS: LOH in HLA class I, B2m, HLA class II, HLA class III, and 6q regions was present in 41.4%, 18.2%, 9.4%, 77.8%, and 36.0% of informative cases, respectively. LOH of HLA class I was associated with shorter overall survival (HR = 4.89, P = 0.0078). HLA class I was downregulated in 22% to 43% of cases based on immunohistochemistry. Cases that displayed negative staining were significantly younger. HLA class I expression correlated with intratumoral CD8(+) T-cell infiltration. CONCLUSION: LOH in the HLA class I region is frequent in adult GBMs. The association of shorter survival with LOH in this region suggests a crucial role for these genes in immunosurveillance. CI - (c)2013 AACR. FAU - Yeung, Jacky T AU - Yeung JT AD - Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. FAU - Hamilton, Ronald L AU - Hamilton RL FAU - Ohnishi, Koji AU - Ohnishi K FAU - Ikeura, Maki AU - Ikeura M FAU - Potter, Douglas M AU - Potter DM FAU - Nikiforova, Marina N AU - Nikiforova MN FAU - Ferrone, Soldano AU - Ferrone S FAU - Jakacki, Regina I AU - Jakacki RI FAU - Pollack, Ian F AU - Pollack IF FAU - Okada, Hideho AU - Okada H LA - eng GR - 1P01 CA132714/CA/NCI NIH HHS/United States GR - 2R01 NS055140/NS/NINDS NIH HHS/United States GR - P01 CA132714/CA/NCI NIH HHS/United States GR - P30 CA047904/CA/NCI NIH HHS/United States GR - R01 NS055140/NS/NINDS NIH HHS/United States GR - P30CA047904/CA/NCI NIH HHS/United States GR - P01 NS040923/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130211 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - CD8-Positive T-Lymphocytes/pathology MH - Chromosomes, Human, Pair 15 MH - *Chromosomes, Human, Pair 6 MH - Cluster Analysis MH - Female MH - Glioblastoma/*genetics/metabolism/*mortality MH - Histocompatibility Antigens Class I/*genetics/metabolism MH - Humans MH - *Loss of Heterozygosity MH - Lymphocytes, Tumor-Infiltrating/pathology MH - Male MH - Microsatellite Repeats MH - Middle Aged MH - Prognosis PMC - PMC3618546 MID - NIHMS444909 EDAT- 2013/02/13 06:00 MHDA- 2013/09/28 06:00 PMCR- 2014/04/01 CRDT- 2013/02/13 06:00 PHST- 2013/02/13 06:00 [entrez] PHST- 2013/02/13 06:00 [pubmed] PHST- 2013/09/28 06:00 [medline] PHST- 2014/04/01 00:00 [pmc-release] AID - 1078-0432.CCR-12-2861 [pii] AID - 10.1158/1078-0432.CCR-12-2861 [doi] PST - ppublish SO - Clin Cancer Res. 2013 Apr 1;19(7):1816-26. doi: 10.1158/1078-0432.CCR-12-2861. Epub 2013 Feb 11.