PMID- 29468275 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20190613 IS - 1433-0458 (Electronic) IS - 0017-6192 (Linking) VI - 66 IP - 4 DP - 2018 Apr TI - [The innate immune system in oropharyngeal squamous cell carcinoma : Immune modulation by HPV]. PG - 301-307 LID - 10.1007/s00106-018-0480-y [doi] AB - Based on clinical and experimental data, oropharyngeal squamous cell carcinomas (OPSCC) associated with human papillomavirus (HPV) have been recognized as a distinct entity of head and neck cancers. However, outside of clinical trials, HPV status currently has no impact on treatment. The natural replication cycle of HPV takes place in epithelial cells, and is thus spatially separated from cytotoxic immune cells in the epidermis. Dendritic cells (Langerhans cells, LC), however, are frequent in this upper dermal layer. The ability of LC to process antigens, migrate, and, ultimately activate T cells is inhibited by the activity of the viral oncoproteins (E5-E7). Downregulation of functional human leukocyte antigen I (HLA-I) epithelial cell surface expression contributes to LC inhibition. However, due to their absence in upper skin layers, corresponding activation of natural killer (NK) cells via missing-self recognition is not relevant. Genome-wide analyses have revealed specific expression signatures for HPV-associated OPSCC that are distinct from HPV-negative cancers. Interestingly, aberrations in HLA-I genes were common in HPV-associated OPSCC. Our own findings indicate more frequent infiltration of HPV-associated OPSCC by CD56-positive (CD56(+)) NK cells, which might be related to HLA-I downregulation during HPV-associated carcinogenesis. In patients with OPSCC, CD56 positivity correlates with improved prognosis after conventional therapy. This could be evidence for HPV-associated OPSCC being especially eligible for novel immune-based therapies and an indication that immunological data should be included in the design of clinical trials. FAU - Wagner, S AU - Wagner S AD - Klinik fur HNO-Heilkunde, Kopf‑, Halschirurgie, Universitatsklinikum Giessen, Justus-Liebig-Universitat Giessen, Giessen, Deutschland. steffen.wagner@hno.med.uni-giessen.de. AD - Kopf-Hals-Tumorforschung, Klinik fur HNO-Heilkunde, Kopf‑/Halschirurgie, Justus-Liebig-Universitat Giessen, Aulweg 128 (ForMED), 35392, Giessen, Deutschland. steffen.wagner@hno.med.uni-giessen.de. FAU - Bockmann, H AU - Bockmann H AD - Klinik fur HNO-Heilkunde, Kopf‑, Halschirurgie, Universitatsklinikum Giessen, Justus-Liebig-Universitat Giessen, Giessen, Deutschland. AD - Kopf-Hals-Tumorforschung, Klinik fur HNO-Heilkunde, Kopf‑/Halschirurgie, Justus-Liebig-Universitat Giessen, Aulweg 128 (ForMED), 35392, Giessen, Deutschland. FAU - Gattenlohner, S AU - Gattenlohner S AD - Institut fur Pathologie, Universitatsklinikum Giessen, Justus-Liebig-Universitat, Giessen, Deutschland. FAU - Klussmann, J P AU - Klussmann JP AD - Klinik fur HNO-Heilkunde, Kopf‑, Halschirurgie, Universitatsklinikum Giessen, Justus-Liebig-Universitat Giessen, Giessen, Deutschland. AD - Kopf-Hals-Tumorforschung, Klinik fur HNO-Heilkunde, Kopf‑/Halschirurgie, Justus-Liebig-Universitat Giessen, Aulweg 128 (ForMED), 35392, Giessen, Deutschland. FAU - Wittekindt, C AU - Wittekindt C AD - Klinik fur HNO-Heilkunde, Kopf‑, Halschirurgie, Universitatsklinikum Giessen, Justus-Liebig-Universitat Giessen, Giessen, Deutschland. AD - Kopf-Hals-Tumorforschung, Klinik fur HNO-Heilkunde, Kopf‑/Halschirurgie, Justus-Liebig-Universitat Giessen, Aulweg 128 (ForMED), 35392, Giessen, Deutschland. LA - ger PT - Journal Article PT - Review TT - Das angeborene Immunsystem beim Oropharynxkarzinom : Immunmodulation durch HPV. PL - Germany TA - HNO JT - HNO JID - 2985099R SB - IM MH - *Carcinoma, Squamous Cell/immunology/virology MH - Genome-Wide Association Study MH - Humans MH - *Oropharyngeal Neoplasms/immunology/virology MH - *Papillomaviridae MH - *Papillomavirus Infections/immunology OTO - NOTNLM OT - Natural killer cells OT - Oropharyngeal cancer OT - Papillomavirus infections OT - Prognosis OT - Tumor escape EDAT- 2018/02/23 06:00 MHDA- 2019/06/14 06:00 CRDT- 2018/02/23 06:00 PHST- 2018/02/23 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/02/23 06:00 [entrez] AID - 10.1007/s00106-018-0480-y [pii] AID - 10.1007/s00106-018-0480-y [doi] PST - ppublish SO - HNO. 2018 Apr;66(4):301-307. doi: 10.1007/s00106-018-0480-y.