PMID- 2784072 OWN - NLM STAT- MEDLINE DCOM- 19890418 LR - 20190619 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 63 IP - 7 DP - 1989 Apr 1 TI - Immunogenetic and immunologic studies of differentiated thyroid cancer. PG - 1318-26 AB - The authors have studied in detail human leukocyte antigen (HLA) association in 87 Hungarian patients with thyroid epithelial carcinoma. The authors also examined in a small group of patients, five parameters of cell-mediated immunity and related them to HLA as well as to lymphocytic infiltration of the tumor/normal tissue interface. HLA-DR1 was significantly associated with thyroid carcinoma; the strongest association was in patients with follicular histologic features and DR1 homozygotes were not at greater risk for thyroid cancer. The HLA-DR3 was nonsignificantly increased in patients with papillary or mixed histologic features. The HLA-DR1, 3 heterozygotes were highly associated with follicular carcinoma, carried no risk for papillary carcinoma, and an intermediate risk for tumors with mixed histologic features. Because of the small proportion of DR1, 3 heterozygotes in the follicular and mixed histologic group, its predictive value at the population level was low. Better predictive potential was shown for the phenotype DR1 and/or DR3. Neither metastatic disease nor age at diagnosis (less than 45 years) could be related to HLA phenotypes. Patients in all histologic variants showed some measure of cell-mediated immunity compared to controls. Patients with papillary carcinoma showed an overall better response than those with tumors with follicular or mixed histology. The HLA-DR could not be related to cell-mediated immune response. Patients with papillary carcinoma with a good cell-mediated immune response occurred with much lower infiltration of the tumor boundary with lymphocyte whereas the follicular carcinoma less cell-mediated immunity was associated with dense lymphocytic infiltration, suggesting the biological relevance of lymphocytic infiltration may be different for the two histologic variants. FAU - Juhasz, F AU - Juhasz F AD - Department of Surgery, Medical University, Debrecen, Hungary. FAU - Boros, P AU - Boros P FAU - Szegedi, G AU - Szegedi G FAU - Balazs, G AU - Balazs G FAU - Suranyi, P AU - Suranyi P FAU - Kraszits, E AU - Kraszits E FAU - Stenszky, V AU - Stenszky V FAU - Farid, N R AU - Farid NR LA - eng PT - Journal Article PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Antigens, Neoplasm) RN - 0 (HLA Antigens) SB - IM MH - Adenocarcinoma/immunology MH - Adult MH - Alleles MH - Antigens, Neoplasm/analysis MH - Carcinoma/genetics/*immunology MH - Carcinoma, Papillary/immunology MH - Disease Susceptibility MH - Female MH - HLA Antigens/*analysis/genetics MH - Humans MH - Immunity, Cellular MH - Male MH - Middle Aged MH - T-Lymphocytes/immunology MH - Thyroid Neoplasms/genetics/*immunology EDAT- 1989/04/01 00:00 MHDA- 1989/04/01 00:01 CRDT- 1989/04/01 00:00 PHST- 1989/04/01 00:00 [pubmed] PHST- 1989/04/01 00:01 [medline] PHST- 1989/04/01 00:00 [entrez] AID - 10.1002/1097-0142(19890401)63:7<1318::aid-cncr2820630716>3.0.co;2-r [doi] PST - ppublish SO - Cancer. 1989 Apr 1;63(7):1318-26. doi: 10.1002/1097-0142(19890401)63:7<1318::aid-cncr2820630716>3.0.co;2-r.