PMID- 28083606 OWN - NLM STAT- MEDLINE DCOM- 20170413 LR - 20231213 IS - 1661-4917 (Electronic) IS - 0004-069X (Linking) VI - 64 IP - Suppl 1 DP - 2016 Dec TI - The Influence of HLA and KIR Genes on Malignant Melanoma Development and Progression. PG - 73-81 LID - 10.1007/s00005-016-0437-3 [doi] AB - Many studies have described the role of killer immunoglobulin-like receptors (KIRs) and their cognate human leukocyte antigen (HLA) class I ligands in the immune protection against melanoma, but the effect of these markers on intra-individual variations in tumor development and progression has remained less clear. We performed KIR, HLA, and KIR/ligand analysis in 283 patients with malignant melanoma in order to evaluate their integrated influence on disease stage and progression. The patients were grouped according to AJCC staging, histological type of the primary tumor, progression, and survival rate. Analysis of HLA class I alleles revealed positive association of HLA-C*14 (Pc = 0.026, OR = 5.99) and negative association of HLA-C*02 (Pc = 0.026, OR = 0.43) with the disease. Decreased frequency of KIR2DS5 was observed in patients with rapid progression, as compared to those with slow progression. KIR BB genotype was prevalent in patients with metastasis (p = 0.004, OR = 0.025). KIR AA genotype was nearly twice as frequent in rapidly progressive cases, but without statistical relevance (p = 0.055, OR = 2.6). Significantly increased frequency of KIR2DL2 in the presence of C1 ligand (strong inhibition) was found in patients with AJCC III and IV, as compared to individuals with AJCC I stage (p = 0.045, OR = 1.93). In summary, our data imply that KIR/ligand gene content in patients could modulate the disease course towards unfavorable tumor behavior. FAU - Kandilarova, Snezhina Mihailova AU - Kandilarova SM AD - Department of Clinical Immunology with Stem Cell Bank, Alexandrovska University Hospital, Medical University, 1431, Sofia, Bulgaria. sneji_jm@yahoo.com. FAU - Paschen, Annette AU - Paschen A AD - Department of Dermatology, University Hospital Essen, Essen, Germany. FAU - Mihaylova, Anastassia AU - Mihaylova A AD - Department of Clinical Immunology with Stem Cell Bank, Alexandrovska University Hospital, Medical University, 1431, Sofia, Bulgaria. FAU - Ivanova, Milena AU - Ivanova M AD - Department of Clinical Immunology with Stem Cell Bank, Alexandrovska University Hospital, Medical University, 1431, Sofia, Bulgaria. FAU - Schadendorf, Dirk AU - Schadendorf D AD - Department of Dermatology, University Hospital Essen, Essen, Germany. FAU - Naumova, Elissaveta AU - Naumova E AD - Department of Clinical Immunology with Stem Cell Bank, Alexandrovska University Hospital, Medical University, 1431, Sofia, Bulgaria. LA - eng PT - Journal Article DEP - 20170112 PL - Poland TA - Arch Immunol Ther Exp (Warsz) JT - Archivum immunologiae et therapiae experimentalis JID - 0114365 RN - 0 (HLA Antigens) RN - 0 (HLA-A3 Antigen) RN - 0 (HLA-C Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Ligands) RN - 0 (Receptors, KIR) RN - 0 (Receptors, KIR2DL3) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Amino Acid Motifs MH - Disease Progression MH - Female MH - *Gene Expression Regulation, Neoplastic MH - Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/*genetics MH - HLA-A3 Antigen/genetics MH - HLA-C Antigens/genetics MH - Histocompatibility Antigens Class I/genetics MH - Humans MH - Killer Cells, Natural/cytology MH - Ligands MH - Male MH - Melanoma/*genetics/immunology MH - Middle Aged MH - Polymorphism, Genetic MH - Receptors, KIR/*genetics MH - Receptors, KIR2DL3/genetics MH - Skin Neoplasms/genetics/immunology MH - Treatment Outcome MH - Melanoma, Cutaneous Malignant OTO - NOTNLM OT - Human leukocyte antigens (HLA) OT - Inhibitory killer immunoglobulin-like receptors (KIR) OT - Malignant melanoma OT - Progression EDAT- 2017/01/14 06:00 MHDA- 2017/04/14 06:00 CRDT- 2017/01/14 06:00 PHST- 2016/06/13 00:00 [received] PHST- 2016/10/25 00:00 [accepted] PHST- 2017/01/14 06:00 [pubmed] PHST- 2017/04/14 06:00 [medline] PHST- 2017/01/14 06:00 [entrez] AID - 10.1007/s00005-016-0437-3 [pii] AID - 10.1007/s00005-016-0437-3 [doi] PST - ppublish SO - Arch Immunol Ther Exp (Warsz). 2016 Dec;64(Suppl 1):73-81. doi: 10.1007/s00005-016-0437-3. Epub 2017 Jan 12.