PMID- 27654088 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220310 IS - 1525-1438 (Electronic) IS - 1048-891X (Linking) VI - 26 IP - 8 DP - 2016 Oct TI - Human Leukocyte Antigen-DR Expression is Significantly Related to an Increased Disease-Free and Disease-Specific Survival in Patients With Cervical Adenocarcinoma. PG - 1503-1509 AB - OBJECTIVES: Human leukocyte antigen (HLA) class II antigens are expressed on antigen-presenting cells, that is, macrophages, dendritic cells, and B lymphocytes. Under the influence of IFN-gamma, HLA class II molecules can also be expressed on T lymphocytes, epithelial and endothelial cells. In addition, HLA class II antigens can be expressed in a variety of malignancies; however, the link with prognosis and ultimately patient survival is controversial. METHODS: The pattern of HLA-DRA expression in cervical carcinoma was studied using immunohistochemistry. In total, 124 cervical carcinomas were examined, of which 60 (48.4%) were squamous cell carcinomas and 64 (51.6%) were adenocarcinomas. RESULTS: In squamous cell carcinoma, HLA-DRA was expressed in 41 (68.3%) of 60 tumors, whereas in adenocarcinoma, HLA-DRA was expressed in 60 (93.8%) of 64 tumors (P < 0.001). In adenocarcinoma, HLA-DRA expression was associated with an increased disease-free survival (211.0 +/- 13.0 vs 53.3 +/- 30.5 months; P = 0.004) and disease-specific survival (226.45 +/- 11.5 vs 75.8 +/- 27.6 months; P = 0.002). CONCLUSIONS: Upregulation of HLA-DRA is significantly related to an increased disease-free and disease-specific survival in cervical adenocarcinoma. These data warrant further analysis of the functional role of HLA-DRA in these tumors. FAU - Samuels, Sanne AU - Samuels S AD - *Department of Gynaecology, Netherlands Cancer Institute-Antoni van Leeuwenhoek, Center Gynaecology Oncology Amsterdam (CGOA), Department of Gynaecology, Netherlands Cancer Institute, Amsterdam, daggerDepartment of Gynaecology and Obstetrics, Leiden University Medical Center, Leiden, the Netherlands, double daggerDepartment of Pathology, Leiden University Medical Centre, Leiden, the Netherlands; and section signCenter Gynaecological Oncology Amsterdam (CGOA), Department of Obstetrics and Gynaecology, VU University Medical Centre, Amsterdam, the Netherlands. FAU - Spaans, Vivian M AU - Spaans VM FAU - Osse, Michelle AU - Osse M FAU - Peters, Lex A W AU - Peters LA FAU - Kenter, Gemma G AU - Kenter GG FAU - Fleuren, Gertjan J AU - Fleuren GJ FAU - Jordanova, Ekaterina S AU - Jordanova ES LA - eng PT - Journal Article PL - England TA - Int J Gynecol Cancer JT - International journal of gynecological cancer : official journal of the International Gynecological Cancer Society JID - 9111626 EDAT- 2016/09/23 06:00 MHDA- 2016/09/23 06:01 CRDT- 2016/09/23 06:00 PHST- 2016/09/23 06:00 [entrez] PHST- 2016/09/23 06:00 [pubmed] PHST- 2016/09/23 06:01 [medline] AID - 00009577-201610000-00022 [pii] AID - 10.1097/IGC.0000000000000783 [doi] PST - ppublish SO - Int J Gynecol Cancer. 2016 Oct;26(8):1503-1509. doi: 10.1097/IGC.0000000000000783.