PMID- 24778045 OWN - NLM STAT- MEDLINE DCOM- 20140623 LR - 20151119 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 34 IP - 5 DP - 2014 May TI - HLA-A*02 in relation to outcome in human papillomavirus positive tonsillar and base of tongue cancer. PG - 2369-75 AB - BACKGROUND/AIM: Patients with human papillomavirus (HPV)-positive tonsillar and base of tongue cancer have a better outcome than those with corresponding HPV-negative tumors (80% vs. 40% 5-year disease free survival with conventional radiotherapy). They should not all need chemoradiotherapy, but before tapering treatment, more markers are needed to predict treatment response. In the present study, human leukocyte antigen (HLA) - HLA-A*02 was analyzed with HPV as a prognostic factor for tonsillar and base of tongue cancer. PATIENTS AND METHODS: Pre-treatment biopsies, previously tested for HPV DNA, from 425 patients diagnosed with tonsillar and base of tongue cancer between 2000-2009 at the Karolinska University Hospital were examined for HLA-A*02. RESULTS: HLA-A*02 was present in 144/305 (47.2%) of the HPV-positive and 63/120 (52.8%) of the HPV-negative tumours. Among 383 patients treated with curative intent, absence of HLA-A*02 was correlated with increased disease-free survival in the HPV-positive (p=0.016), but not in the HPV-negative group. CONCLUSION: Absence of HLA-A*02 correlated with better disease-free survival for patients with HPV-positive tonsillar and base of tongue cancer. FAU - Tertipis, Nikolaos AU - Tertipis N AD - Department of Oncology-Pathology, Karolinska Institutet, Cancer Center Karolinska, R8:01 Karolinska University Hospital, 171 76 Stockholm, Sweden. Tina.Dalianis@ki.se. FAU - Villabona, Lisa AU - Villabona L FAU - Nordfors, Cecilia AU - Nordfors C FAU - Nasman, Anders AU - Nasman A FAU - Ramqvist, Torbjorn AU - Ramqvist T FAU - Vlastos, Andrea AU - Vlastos A FAU - Masucci, Giuseppe AU - Masucci G FAU - Dalianis, Tina AU - Dalianis T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Biomarkers, Tumor) RN - 0 (HLA-A*02 antigen) RN - 0 (HLA-A2 Antigen) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis/immunology MH - Carcinoma, Squamous Cell/*immunology/mortality/virology MH - Disease-Free Survival MH - Female MH - HLA-A2 Antigen/*biosynthesis/genetics MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Papillomavirus Infections/complications/immunology/mortality MH - Polymerase Chain Reaction MH - Prognosis MH - Proportional Hazards Models MH - Tongue Neoplasms/*immunology/mortality/virology MH - Tonsillar Neoplasms/*immunology/mortality/virology OTO - NOTNLM OT - HLA-A*02 genotype OT - base of tongue cancer OT - clinical outcome OT - human papillomavirus (HPV) oropharyngeal squamous cell carcinoma OT - tonsillar cancer EDAT- 2014/04/30 06:00 MHDA- 2014/06/24 06:00 CRDT- 2014/04/30 06:00 PHST- 2014/04/30 06:00 [entrez] PHST- 2014/04/30 06:00 [pubmed] PHST- 2014/06/24 06:00 [medline] AID - 34/5/2369 [pii] PST - ppublish SO - Anticancer Res. 2014 May;34(5):2369-75.