PMID- 26807234 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220317 IS - 2049-9450 (Print) IS - 2049-9469 (Electronic) IS - 2049-9450 (Linking) VI - 3 IP - 6 DP - 2015 Nov TI - Clinical implications of human leukocyte antigen class I expression in endometrial cancer. PG - 1285-1290 AB - Decreased expression of human leukocyte antigen (HLA) class I molecules, which is found in several types of cancer, is associated with worse clinical prognosis in cancer patients. The present study was undertaken to investigate the association of immunohistochemical HLA class I expression patterns with clinicopathological factors and prognosis in 96 endometrial cancer patients. HLA class I is composed of a heavy chain (HC-10) and a beta2-microglobulin (beta2-m) light chain. The HLA class I expression patterns were classified as positive when both HC-10 and beta2-m were strongly stained and negative in all other cases. The negative staining pattern was associated with advanced International Federation of Gynecology and Obstetrics stage (P<0.001), lymphovascular space involvement (LVSI) (P=0.003) and lymph node metastasis (P=0.005). Moreover, these cases exhibited worse progression-free survival (PFS) and overall survival (OS) rates compared with positive cases (P=0.005 and P=0.014, respectively). However, the multivariate analysis did not identify HLA class I expression as an independent predictive factor for PFS and OS. In conclusion, HLA class I expression may be useful for predicting postoperative outcome in endometrial cancer, as well as well-known predictive prognostic factors, such as lymph node metastasis and LVSI. FAU - Yakabe, Kazuyuki AU - Yakabe K AD - Department of Obstetrics and Gynecology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi 755-8505, Japan. FAU - Murakami, Akihiro AU - Murakami A AD - Department of Obstetrics and Gynecology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi 755-8505, Japan. FAU - Nishimoto, Yuki AU - Nishimoto Y AD - Department of Obstetrics and Gynecology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi 755-8505, Japan. FAU - Kajimura, Takuya AU - Kajimura T AD - Department of Obstetrics and Gynecology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi 755-8505, Japan. FAU - Sueoka, Kotaro AU - Sueoka K AD - Department of Obstetrics and Gynecology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi 755-8505, Japan. FAU - Sugino, Norihiro AU - Sugino N AD - Department of Obstetrics and Gynecology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi 755-8505, Japan. LA - eng PT - Journal Article DEP - 20150903 PL - England TA - Mol Clin Oncol JT - Molecular and clinical oncology JID - 101613422 PMC - PMC4665986 OTO - NOTNLM OT - endometrial cancer OT - human leukocyte antigen class I heavy chain OT - immunohistochemistry OT - prognostic factors OT - beta2-microglobulin EDAT- 2016/01/26 06:00 MHDA- 2016/01/26 06:01 PMCR- 2015/09/03 CRDT- 2016/01/26 06:00 PHST- 2015/03/23 00:00 [received] PHST- 2015/05/18 00:00 [accepted] PHST- 2016/01/26 06:00 [entrez] PHST- 2016/01/26 06:00 [pubmed] PHST- 2016/01/26 06:01 [medline] PHST- 2015/09/03 00:00 [pmc-release] AID - MCO-0-0-636 [pii] AID - 10.3892/mco.2015.636 [doi] PST - ppublish SO - Mol Clin Oncol. 2015 Nov;3(6):1285-1290. doi: 10.3892/mco.2015.636. Epub 2015 Sep 3.