PMID- 24367763 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140624 LR - 20220317 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 3 DP - 2013 Dec 9 TI - Human leukocyte antigens and epstein-barr virus-associated nasopharyngeal carcinoma: old associations offer new clues into the role of immunity in infection-associated cancers. PG - 299 LID - 10.3389/fonc.2013.00299 [doi] LID - 299 AB - Nasopharyngeal carcinoma (NPC) is an Epstein-Barr virus (EBV) associated tumor. In addition to EBV, host genetic factors are believed to be important determinants of NPC risk. Of all genes studies to date, human leukocyte antigen (HLA) genes have shown the most consistent evidence for association with NPC, both from candidate-gene studies and genome-wide association studies (GWAS). In this report we summarize results from recent studies that evaluated the association between HLA and NPC, and discuss whether findings reflect direct causal associations for HLA genes and/or indirect associations that mark causal associations with other genes in the gene-dense major histocompatibility (MHC) region where HLA resides. We also compare GWAS results across cancer sites for which strong hits in the MHC region were observed to generate new hypotheses regarding the role of HLA genes in the development of EBV-associated cancers such as NPC. Of note, we report that MHC associations for EBV-associated cancers (NPC, EBV+ Hodgkin lymphoma) are driven by HLA class I genes. In contrast, MHC associations for other viral-associated cancers (cervical cancer, hepatocellular carcinoma) or other hematopoetic cancers (EBV- Hodgkin lymphoma, leukemia, non-Hodgkin lymphomas) are driven by HLA class II genes, and those for other solid tumors with less clear links to infections (lung, testicular, prostate cancers) are driven by non-HLA genes in the MHC region. Future studies should aim to better understand these patterns. FAU - Su, Wen-Hui AU - Su WH AD - Department of Biomedical Sciences, Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University , Taoyuan , Taiwan ; Chang Gung Molecular Medicine Research Center, Chang Gung University , Taoyuan , Taiwan. FAU - Hildesheim, Allan AU - Hildesheim A AD - Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute , Bethesda, MD , USA. FAU - Chang, Yu-Sun AU - Chang YS AD - Chang Gung Molecular Medicine Research Center, Chang Gung University , Taoyuan , Taiwan. LA - eng PT - Journal Article PT - Review DEP - 20131209 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC3856645 OTO - NOTNLM OT - EBV OT - HLA antigens OT - genome-wide association study OT - infection associated cancers OT - nasopharyngeal carcinoma EDAT- 2013/12/25 06:00 MHDA- 2013/12/25 06:01 PMCR- 2013/01/01 CRDT- 2013/12/25 06:00 PHST- 2013/07/16 00:00 [received] PHST- 2013/11/26 00:00 [accepted] PHST- 2013/12/25 06:00 [entrez] PHST- 2013/12/25 06:00 [pubmed] PHST- 2013/12/25 06:01 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2013.00299 [doi] PST - epublish SO - Front Oncol. 2013 Dec 9;3:299. doi: 10.3389/fonc.2013.00299.