PMID- 33353014 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 8 IP - 4 DP - 2020 Dec 18 TI - The Potential of Soluble Human Leukocyte Antigen Molecules for Early Cancer Detection and Therapeutic Vaccine Design. LID - 10.3390/vaccines8040775 [doi] LID - 775 AB - Human leukocyte antigen (HLA) molecules are essential for anti-tumor immunity, as they display tumor-derived peptides to drive tumor eradication by cytotoxic T lymphocytes. HLA molecules are primarily studied as peptide-loaded complexes on cell membranes (mHLA) and much less attention is given to their secretion as soluble HLA-peptide complexes (sHLA) into bodily fluids. Yet sHLA levels are altered in various pathologies including cancer, and are thus of high interest as biomarkers. Disconcordance in results across studies, however, hampers interpretation and generalization of the relationship between sHLA levels and cancer presence, thereby impairing its use as a biomarker. Furthermore, the question remains to what extent sHLA complexes exert immunomodulatory effects and whether shifts in sHLA levels contribute to disease or are only a consequence of disease. sHLA complexes can also bear tumor-derived peptides and recent advancements in mass spectrometry now permit closer sHLA peptide cargo analysis. sHLA peptide cargo may represent a "liquid biopsy" that could facilitate the use of sHLA for cancer diagnosis and target identification for therapeutic vaccination. This review aims to outline the contradictory and unexplored aspects of sHLA and to provide direction on how the full potential of sHLA as a quantitative and qualitative biomarker can be exploited. FAU - Kessler, Amy L AU - Kessler AL AD - Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands. FAU - Bruno, Marco J AU - Bruno MJ AD - Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands. FAU - Buschow, Sonja I AU - Buschow SI AUID- ORCID: 0000-0002-7907-8315 AD - Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20201218 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC7766713 OTO - NOTNLM OT - biomarker OT - cancer immunotherapy OT - immunopeptidomics OT - liquid biopsy OT - mass spectrometry OT - soluble human leukocyte antigens (sHLA) COIS- The authors declare no conflict of interest. EDAT- 2020/12/24 06:00 MHDA- 2020/12/24 06:01 PMCR- 2020/12/18 CRDT- 2020/12/23 01:02 PHST- 2020/10/30 00:00 [received] PHST- 2020/12/02 00:00 [revised] PHST- 2020/12/11 00:00 [accepted] PHST- 2020/12/23 01:02 [entrez] PHST- 2020/12/24 06:00 [pubmed] PHST- 2020/12/24 06:01 [medline] PHST- 2020/12/18 00:00 [pmc-release] AID - vaccines8040775 [pii] AID - vaccines-08-00775 [pii] AID - 10.3390/vaccines8040775 [doi] PST - epublish SO - Vaccines (Basel). 2020 Dec 18;8(4):775. doi: 10.3390/vaccines8040775.