PMID- 23784959 OWN - NLM STAT- MEDLINE DCOM- 20131204 LR - 20210103 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 134 IP - 1 DP - 2014 Jan 1 TI - Immune escape of cancer cells with beta2-microglobulin loss over the course of metastatic melanoma. PG - 102-13 LID - 10.1002/ijc.28338 [doi] AB - Cancer cells escape T-cell-mediated destruction by losing human leukocyte antigen (HLA) class I expression via various mechanisms, including loss of beta2-microglobulin (beta2m). Our study illustrates the immune escape of HLA class I-negative tumor cells and chronological sequence of appearance of tumor beta2m gene mutation in successive lesions obtained from a patient with metastatic melanoma. We observed a gradual decrease in HLA expression in consecutive lesions with few HLA-negative nodules in the primary tumor and the emergence of a totally negative lesion at later stages of the disease. We detected loss of beta2m in beta2m-negative nests of the primary tumor caused by a combination of two alterations: (i) a mutation (G to T substitution) in codon 67 in exon 2 of beta2m gene, producing a stop codon and (ii) loss of the second gene copy by loss of heterozygosity (LOH) in chromosome 15. The same beta2m mutation was found in a homogeneously beta2m-negative metastasis 10 months later and in a cell line established from a biopsy of a postvaccination lymph node. Microsatellite analysis revealed the presence of LOH in chromosomes 6 and 15 in tumor samples, showing an accumulation of chromosomal loss at specific short tandem repeats in successive metastases during disease progression. HLA loss correlated with decreased tumor CD8+ T-cell infiltration. Early incidence of beta2m defects can cause an immune selection and expansion of highly aggressive melanoma clones with irreversible genetic defects causing total loss of HLA class I expression and should be taken into consideration as a therapeutic target in the development of cancer immunotherapy protocols. CI - (c) 2013 UICC. FAU - del Campo, Ana B AU - del Campo AB AD - Department of Clinical Analysis and Immunology, University Hospital Virgen de las Nieves, Granada, Spain; Department of Biochemistry, Molecular Biology III and Immunology, University of Granada Medical School, Granada, Spain. FAU - Kyte, Jon Amund AU - Kyte JA FAU - Carretero, Javier AU - Carretero J FAU - Zinchencko, Svitlana AU - Zinchencko S FAU - Mendez, Rosa AU - Mendez R FAU - Gonzalez-Aseguinolaza, Gloria AU - Gonzalez-Aseguinolaza G FAU - Ruiz-Cabello, Francisco AU - Ruiz-Cabello F FAU - Aamdal, Steinar AU - Aamdal S FAU - Gaudernack, Gustav AU - Gaudernack G FAU - Garrido, Federico AU - Garrido F FAU - Aptsiauri, Natalia AU - Aptsiauri N LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130716 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (beta 2-Microglobulin) SB - IM MH - Aged MH - Cell Line, Tumor MH - Flow Cytometry MH - Histocompatibility Antigens Class I/*biosynthesis/genetics/immunology MH - Humans MH - Immunohistochemistry MH - Loss of Heterozygosity MH - Melanoma/*genetics/immunology/pathology MH - Mutation MH - Neoplasm Invasiveness/genetics/pathology MH - Neoplasm Metastasis MH - Reverse Transcriptase Polymerase Chain Reaction MH - Tumor Escape/*genetics/immunology MH - beta 2-Microglobulin/*genetics/immunology OTO - NOTNLM OT - beta2-microglobulin mutation OT - immune escape OT - metastatic melanoma OT - tumor HLA class I loss EDAT- 2013/06/21 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/06/21 06:00 PHST- 2013/03/29 00:00 [received] PHST- 2013/03/31 00:00 [accepted] PHST- 2013/06/21 06:00 [entrez] PHST- 2013/06/21 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 10.1002/ijc.28338 [doi] PST - ppublish SO - Int J Cancer. 2014 Jan 1;134(1):102-13. doi: 10.1002/ijc.28338. Epub 2013 Jul 16.