PMID- 29285385 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2049-9450 (Print) IS - 2049-9469 (Electronic) IS - 2049-9450 (Linking) VI - 7 IP - 6 DP - 2017 Dec TI - MHC class II associated stomach cancer mutations correlate with lack of subsequent tumor development. PG - 1119-1121 LID - 10.3892/mco.2017.1432 [doi] AB - The role of tumor cell expression of major histocompatibility class II (MHCII) has been controversial, with evidence indicating that tumor cell expression of MHCII may lead to an anti-tumor immune response and to tumor cell apoptosis and that MHCII has pro-tumorigenic functions. The cancer genome atlas (TCGA) indicates numerous deleterious mutations for the highly specific, MHCII transcriptional activation proteins, RFX5, RFXAP, RFXANK and CIITA. Also, mutations in the non-polymorphic, human leukocyte antigen (HLA)-DRA gene, which encodes the heavy chain for the most prominent human MHCII molecule, HLA-DR, are common. For many, if not most TCGA cancer datasets, the MHCII specific mutations do not associate with clinical outcomes. However, stomach carcinoma represents an exception, where the data indicate that MHCII-specific mutations are associated with a more favorable outcome. These data raise the question of whether stomach cancer mutations represent effective haploinsufficiency or whether mutations that are associated with a favorable outcome occur with other stomach cancer molecular features that limit the function of the two alleles that represent these MHCII-related proteins. FAU - Yavorski, John M AU - Yavorski JM AD - Department of Molecular Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA. FAU - Blanck, George AU - Blanck G AD - Department of Molecular Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA. AD - Immunology Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA. LA - eng PT - Journal Article DEP - 20170929 PL - England TA - Mol Clin Oncol JT - Molecular and clinical oncology JID - 101613422 PMC - PMC5740846 OTO - NOTNLM OT - HLA-DR OT - interferon-gamma induction OT - major histocompatibility class II proteins OT - prognosis OT - solid tumor OT - stomach cancer EDAT- 2017/12/30 06:00 MHDA- 2017/12/30 06:01 PMCR- 2017/09/29 CRDT- 2017/12/30 06:00 PHST- 2017/02/09 00:00 [received] PHST- 2017/08/17 00:00 [accepted] PHST- 2017/12/30 06:00 [entrez] PHST- 2017/12/30 06:00 [pubmed] PHST- 2017/12/30 06:01 [medline] PHST- 2017/09/29 00:00 [pmc-release] AID - MCO-0-0-1432 [pii] AID - 10.3892/mco.2017.1432 [doi] PST - ppublish SO - Mol Clin Oncol. 2017 Dec;7(6):1119-1121. doi: 10.3892/mco.2017.1432. Epub 2017 Sep 29.