PMID- 30549362 OWN - NLM STAT- MEDLINE DCOM- 20200909 LR - 20210109 IS - 1097-0347 (Electronic) IS - 1043-3074 (Print) IS - 1043-3074 (Linking) VI - 41 IP - 2 DP - 2019 Feb TI - HLA class II expression on tumor cells and low numbers of tumor-associated macrophages predict clinical outcome in oropharyngeal cancer. PG - 463-478 LID - 10.1002/hed.25442 [doi] AB - BACKGROUND: Human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma (OPSCC) is a highly immunogenic tumor and differences in tumor microenvironment might contribute to the improved survival of HPV-positive OPSCC patient. METHODS: A comprehensive multivariate analysis with clinical and immune variables (human leukocyte antigen [HLA] I/II, programmed death ligand 1 (PD-L1), programmed death receptor 1 (PD1), T cells, and macrophages) was performed in 142 OPSCC patients. RESULTS: We found an inverse correlation between the expression of HLA class II molecules on tumor cells and CD68+ CD163+ tumor-associated macrophages (TAMs). High HLA-DP/DQ/DR expression and low number of TAMs were associated with longer disease-specific survival and disease-free survival (DFS). Furthermore, a new population of CD8+ FoxP3+ T cells was correlated with shorter DFS in multivariate analysis. CONCLUSIONS: \We identified new prognostic markers for patients with oropharyngeal cancer, which can be used for selecting patients that can benefit from immunotherapy. CI - (c) 2018 The Authors. Head & Neck published by Wiley Periodicals, Inc. FAU - Cioni, Bianca AU - Cioni B AUID- ORCID: 0000-0003-2684-4255 AD - Division of Oncogenomics, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Jordanova, Ekaterina S AU - Jordanova ES AUID- ORCID: 0000-0002-8121-1322 AD - Center for Gynecologic Oncology, VU University Medical Center, Amsterdam, The Netherlands. FAU - Hooijberg, Erik AU - Hooijberg E AUID- ORCID: 0000-0002-4482-2191 AD - Division of Pathology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - van der Linden, Rianne AU - van der Linden R AD - Division of Pathology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - de Menezes, Renee X AU - de Menezes RX AD - Division of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands. FAU - Tan, Katherine AU - Tan K AD - Division of Medical Oncology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Willems, Stefan AU - Willems S AD - Division of Pathology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Elbers, Joris B W AU - Elbers JBW AUID- ORCID: 0000-0003-1537-4139 AD - Division of Head and Neck Surgery, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Division of Radiation Oncology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Broeks, Annegien AU - Broeks A AD - Core Facility Molecular Pathology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Bergman, Andries M AU - Bergman AM AD - Division of Oncogenomics, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Division of Medical Oncology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Zuur, Charlotte L AU - Zuur CL AD - Division of Head and Neck Surgery, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - de Boer, Jan Paul AU - de Boer JP AD - Division of Medical Oncology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute, Amsterdam, The Netherlands. LA - eng GR - 58593 EEG-CEC TIMCC 317445/Marie Curie - Timcc/International GR - Marie Curie ITN-TIMCC/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181214 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (HLA-D Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Programmed Cell Death 1 Receptor) SB - IM MH - Aged MH - B7-H1 Antigen/metabolism MH - Cohort Studies MH - Disease-Free Survival MH - Female MH - HLA-D Antigens/*metabolism MH - Histocompatibility Antigens Class I/metabolism MH - Humans MH - Macrophages MH - Male MH - Middle Aged MH - Oropharyngeal Neoplasms/*metabolism/mortality/therapy MH - Papillomaviridae MH - Papillomavirus Infections/metabolism/pathology MH - Programmed Cell Death 1 Receptor/metabolism MH - Retrospective Studies MH - Survival Rate MH - Treatment Outcome MH - Tumor Microenvironment PMC - PMC6519285 OTO - NOTNLM OT - HLA-II OT - HPV infection OT - TAMs OT - microenvironment OT - oropharyngeal cancer COIS- The authors declare no potential conflicts of interest. EDAT- 2018/12/15 06:00 MHDA- 2020/09/10 06:00 PMCR- 2019/05/15 CRDT- 2018/12/15 06:00 PHST- 2017/11/29 00:00 [received] PHST- 2018/06/17 00:00 [revised] PHST- 2018/09/21 00:00 [accepted] PHST- 2018/12/15 06:00 [pubmed] PHST- 2020/09/10 06:00 [medline] PHST- 2018/12/15 06:00 [entrez] PHST- 2019/05/15 00:00 [pmc-release] AID - HED25442 [pii] AID - 10.1002/hed.25442 [doi] PST - ppublish SO - Head Neck. 2019 Feb;41(2):463-478. doi: 10.1002/hed.25442. Epub 2018 Dec 14.