PMID- 31289480 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 18 IP - 1 DP - 2019 Jul TI - Downregulated expression of human leukocyte antigen class I heavy chain is associated with poor prognosis in non-small-cell lung cancer. PG - 117-126 LID - 10.3892/ol.2019.10293 [doi] AB - The aim of this study was to clarify the association between expression of human leukocyte antigen (HLA) class I in non-small-cell lung cancer (NSCLC) cells and patient survival. To address this, immunohistochemical staining for HLA class I was performed on specimens from 111 patients with NSCLC, and overall survival curves were compared using the log-rank test. In addition, multivariate analyses were performed using Cox's proportional hazard model. The cases were divided into 5 classes based on the expression of HLA class I heavy chain and beta2-microglobulin. The overall survival rate for patients with tumors lacking HLA class I heavy chain (30 cases; 27.0%) was significantly decreased. The multivariate analysis demonstrated that the absence of HLA class I heavy chain was an independent predictor of poor prognosis. There was a trend towards an unfavorable prognosis for patients whose tumors did not express beta2-microglobulin (57 cases; 51.4%). Downregulation of HLA class I heavy chain expression was significantly associated with the downregulation of beta2-microglobulin. Cases lacking HLA class I heavy chain as well as beta2-microglobulin expression (23 cases; 20.7%) had a statistically significant unfavorable prognosis compared with other cases. The present findings demonstrate that the lack of HLA class I heavy chain expression in tumor cells is an independent prognostic factor for poor NSCLC survival, and is likely to exert an important influence on immune surveillance in patients. FAU - Ichinokawa, Kazuomi AU - Ichinokawa K AD - Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. FAU - Nakanishi, Yoshitsugu AU - Nakanishi Y AD - Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. FAU - Hida, Yasuhiro AU - Hida Y AD - Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. FAU - Tsuchikawa, Takahiro AU - Tsuchikawa T AD - Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. FAU - Kato, Tatsuya AU - Kato T AD - Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. FAU - Itoh, Tomoo AU - Itoh T AD - Department of Surgical Pathology, Hokkaido University Hospital, Sapporo, Hokkaido 060-8648, Japan. FAU - Kaji, Mitsuhito AU - Kaji M AD - Department of Thoracic Surgery, Sapporo Minami Sanjo Hospital, Sapporo, Hokkaido 060-0063, Japan. FAU - Kaga, Kichizo AU - Kaga K AD - Department of Cardiovascular and Thoracic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. FAU - Hirano, Satoshi AU - Hirano S AD - Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan. LA - eng PT - Journal Article DEP - 20190430 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC6540002 OTO - NOTNLM OT - human leukocyte antigen class I OT - immunohistochemistry OT - non-small-cell lung cancer OT - beta2-microglobulin antigen EDAT- 2019/07/11 06:00 MHDA- 2019/07/11 06:01 PMCR- 2019/04/30 CRDT- 2019/07/11 06:00 PHST- 2016/06/13 00:00 [received] PHST- 2019/03/01 00:00 [accepted] PHST- 2019/07/11 06:00 [entrez] PHST- 2019/07/11 06:00 [pubmed] PHST- 2019/07/11 06:01 [medline] PHST- 2019/04/30 00:00 [pmc-release] AID - OL-0-0-10293 [pii] AID - 10.3892/ol.2019.10293 [doi] PST - ppublish SO - Oncol Lett. 2019 Jul;18(1):117-126. doi: 10.3892/ol.2019.10293. Epub 2019 Apr 30.