PMID- 28314294 OWN - NLM STAT- MEDLINE DCOM- 20170411 LR - 20170411 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 37 IP - 3 DP - 2017 Mar TI - Mismatch Repair Protein Deficiency Is a Risk Factor for Aberrant Expression of HLA Class I Molecules: A Putative "Adaptive Immune Escape" Phenomenon. PG - 1289-1295 AB - Accumulating evidence indicates that immune checkpoint inhibition-mediated cancer immunotherapies greatly improve the prognosis of certain types of cancer. This approach is now becoming a standard therapy, joining surgery, radiotherapy, and chemotherapy. Because the costs of antibody drugs are now a socioeconomic burden in many countries, an urgent need in cancer immunotherapy is the identification of relevant biomarkers that can predict therapy efficacy. Recent studies have reported that colorectal adenocarcinoma with hereditary or sporadic deficiency in mismatch repair (MMR) proteins has high antigenicity and that detection of these proteins could be a promising way to estimate clinical response. In this study of 135 patients with colorectal cancer, we used immunohistochemistry to investigate the correlation between deficiency in MMR proteins and expression of human leukocyte antigen (HLA) class I molecules, a prerequisite of cytotoxic T-cell-based immunotherapy. Interestingly, MMR protein deficiency was an independent risk factor for the impaired expression of HLA class I molecules (odds ratio (OR)=10.44, 95% confidence interval (CI)=3.15-34.62, p<0.001), suggesting the existence of a putative entity that we have named "adaptive immune escape". Moreover, our results might provide a potential novel biomarker for the selection of patients who would respond to cancer immunotherapies. At the same time, the results suggest that we have to overcome the impaired expression of HLA class I molecules to further improve the cure rate of cancer immunotherapies. CI - Copyright(c) 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Kubo, Terufumi AU - Kubo T AD - Department of Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan kuboteru@sapmed.ac.jp hirohash@sapmed.ac.jp. FAU - Hirohashi, Yoshihiko AU - Hirohashi Y AD - Department of Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan kuboteru@sapmed.ac.jp hirohash@sapmed.ac.jp. FAU - Matsuo, Kazuhiko AU - Matsuo K AD - Sapporo Clinical Laboratory Inc., Sapporo, Japan. FAU - Sonoda, Tomoko AU - Sonoda T AD - Department of Public Health, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Sakamoto, Hiroki AU - Sakamoto H AD - Sapporo Clinical Laboratory Inc., Sapporo, Japan. FAU - Furumura, Kiyoshi AU - Furumura K AD - Sapporo Clinical Laboratory Inc., Sapporo, Japan. FAU - Tsukahara, Tomohide AU - Tsukahara T AD - Department of Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Kanaseki, Takayuki AU - Kanaseki T AD - Department of Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Nakatsugawa, Munehide AU - Nakatsugawa M AD - Department of Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Hirano, Hiroshi AU - Hirano H AD - Department of Surgical Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Furuhata, Tomohisa AU - Furuhata T AD - Department of Surgical Oncology and Science, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Takemasa, Ichiro AU - Takemasa I AD - Department of Surgical Oncology and Science, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Hasegawa, Tadashi AU - Hasegawa T AD - Department of Surgical Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan. FAU - Torigoe, Toshihiko AU - Torigoe T AD - Department of Pathology, Sapporo Medical University, School of Medicine, Sapporo, Japan. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Antigens, Neoplasm) RN - 0 (Biomarkers, Tumor) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adenocarcinoma/*genetics/immunology/therapy MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Neoplasm/chemistry MH - Biomarkers, Tumor/metabolism MH - Child MH - Child, Preschool MH - Colonic Neoplasms/*genetics/immunology/therapy MH - DNA Mismatch Repair MH - Female MH - Histocompatibility Antigens Class I/*metabolism MH - Humans MH - Immunohistochemistry MH - Immunotherapy MH - Infant MH - Male MH - Middle Aged MH - Odds Ratio MH - Risk Factors MH - *Tumor Escape MH - Young Adult OTO - NOTNLM OT - Adenocarcinoma of the colon OT - HLA class I molecules OT - cancer immunotherapy OT - immune escape OT - mismatch repair proteins EDAT- 2017/03/21 06:00 MHDA- 2017/04/12 06:00 CRDT- 2017/03/19 06:00 PHST- 2017/01/12 00:00 [received] PHST- 2017/02/22 00:00 [revised] PHST- 2017/02/24 00:00 [accepted] PHST- 2017/03/19 06:00 [entrez] PHST- 2017/03/21 06:00 [pubmed] PHST- 2017/04/12 06:00 [medline] AID - 37/3/1289 [pii] AID - 10.21873/anticanres.11446 [doi] PST - ppublish SO - Anticancer Res. 2017 Mar;37(3):1289-1295. doi: 10.21873/anticanres.11446.