PMID- 32570992 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 6 DP - 2020 Jun 18 TI - HLA Class I Allele Expression and Clinical Outcome in De Novo Metastatic Prostate Cancer. LID - 10.3390/cancers12061623 [doi] LID - 1623 AB - The prognostic value of human leukocyte antigen (HLA) class I molecules in prostate cancer (PCa) remains unclear. Herein, we investigated the prognostic relevance of the most frequently expressed HLA-A alleles in Greece (A*02:01 and HLA-A*24:02) in de novo metastatic hormone-sensitive PCa (mPCa), which is a rare and aggressive disease characterized by a rapid progression to castration-resistance (CR) and poor overall survival (OS), contributing to almost 50% of PCa-related deaths. We identified 56 patients who had either progressed to CR (these patients were retrospectively analyzed for the time to the progression of CR and prospectively for OS) or had at least three months' follow-up postdiagnosis without CR progression and, thus, were prospectively analyzed for both CR and OS. Patients expressing HLA-A*02:01 showed poor clinical outcomes vs. HLA-A*02:01(-)negative patients. HLA-A*24:02(-)positive patients progressed slower to CR and had increased OS. Homozygous HLA-A*02:01 patients progressed severely to CR, with very short OS. Multivariate analyses ascribed to both HLA alleles significant prognostic values for the time to progression (TTP) to CR and OS. The presence of HLA-A*02:01 and HLA-A*24:02 alleles in de novo mPCa patients are significantly and independently associated with unfavorable or favorable clinical outcomes, respectively, suggesting their possible prognostic relevance for treatment decision-making in the context of precision medicine. FAU - Stokidis, Savvas AU - Stokidis S AD - Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, 171 Alexandras avenue, 11522 Athens, Greece. FAU - Fortis, Sotirios P AU - Fortis SP AD - Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, 171 Alexandras avenue, 11522 Athens, Greece. FAU - Kogionou, Paraskevi AU - Kogionou P AD - Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, 171 Alexandras avenue, 11522 Athens, Greece. FAU - Anagnostou, Theodoros AU - Anagnostou T AD - Department of Urology, Saint Savas Cancer Hospital, 171 Alexandras avenue, 11522 Athens, Greece. FAU - Perez, Sonia A AU - Perez SA AD - Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, 171 Alexandras avenue, 11522 Athens, Greece. FAU - Baxevanis, Constantin N AU - Baxevanis CN AD - Cancer Immunology and Immunotherapy Center, Saint Savas Cancer Hospital, 171 Alexandras avenue, 11522 Athens, Greece. LA - eng GR - project code: T1EDK-01404/European Regional Development Fund of the European Union and Greek national funds through the Operational Program Competitiveness, Entrepreneurship and Innovation, under the call RESEARCH - CREATE - INNOVATE./ PT - Journal Article DEP - 20200618 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7352811 OTO - NOTNLM OT - HLA-A*02:01 OT - HLA-A*24:02 OT - HLA-alleles OT - de novo metastatic prostate cancer OT - prognosis COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. EDAT- 2020/06/24 06:00 MHDA- 2020/06/24 06:01 PMCR- 2020/06/18 CRDT- 2020/06/24 06:00 PHST- 2020/05/21 00:00 [received] PHST- 2020/06/09 00:00 [revised] PHST- 2020/06/11 00:00 [accepted] PHST- 2020/06/24 06:00 [entrez] PHST- 2020/06/24 06:00 [pubmed] PHST- 2020/06/24 06:01 [medline] PHST- 2020/06/18 00:00 [pmc-release] AID - cancers12061623 [pii] AID - cancers-12-01623 [pii] AID - 10.3390/cancers12061623 [doi] PST - epublish SO - Cancers (Basel). 2020 Jun 18;12(6):1623. doi: 10.3390/cancers12061623.