PMID- 33473191 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20230129 IS - 2042-0226 (Electronic) IS - 1672-7681 (Print) IS - 1672-7681 (Linking) VI - 18 IP - 3 DP - 2021 Mar TI - HLA class I loss in colorectal cancer: implications for immune escape and immunotherapy. PG - 556-565 LID - 10.1038/s41423-021-00634-7 [doi] AB - T cell-mediated immune therapies have emerged as a promising treatment modality in different malignancies including colorectal cancer (CRC). However, only a fraction of patients currently respond to treatment. Understanding the lack of responses and finding biomarkers with predictive value is of great importance. There is evidence that CRC is a heterogeneous disease and several classification systems have been proposed that are based on genomic instability, immune cell infiltration, stromal content and molecular subtypes of gene expression. Human leukocyte antigen class I (HLA-I) plays a pivotal role in presenting processed antigens to T lymphocytes, including tumour antigens. These molecules are frequently lost in different types of cancers, including CRC, resulting in tumour immune escape from cytotoxic T lymphocytes during the natural history of cancer development. The aim of this review is to (i) summarize the prevalence and molecular mechanisms behind HLA-I loss in CRC, (ii) discuss HLA-I expression/loss in the context of the newly identified CRC molecular subtypes, (iii) analyze the HLA-I phenotypes of CRC metastases disseminated via blood or the lymphatic system, (iv) discuss strategies to recover/circumvent HLA-I expression/loss and finally (v) review the role of HLA class II (HLA-II) in CRC prognosis. FAU - Anderson, Per AU - Anderson P AD - Instituto de Investigacion Biosanitaria (ibs.GRANADA), Granada, Spain. AD - Servicio de Analisis Clinicos e Inmunologia, Hospital Universitario Virgen de las Nieves, 18014, Granada, Spain. FAU - Aptsiauri, Natalia AU - Aptsiauri N AD - Instituto de Investigacion Biosanitaria (ibs.GRANADA), Granada, Spain. AD - Departamento de Bioquimica, Biologia Molecular 3 e Inmunologia, Universidad de Granada, Granada, Spain. FAU - Ruiz-Cabello, Francisco AU - Ruiz-Cabello F AD - Instituto de Investigacion Biosanitaria (ibs.GRANADA), Granada, Spain. AD - Servicio de Analisis Clinicos e Inmunologia, Hospital Universitario Virgen de las Nieves, 18014, Granada, Spain. AD - Departamento de Bioquimica, Biologia Molecular 3 e Inmunologia, Universidad de Granada, Granada, Spain. FAU - Garrido, Federico AU - Garrido F AD - Instituto de Investigacion Biosanitaria (ibs.GRANADA), Granada, Spain. federico.garrido.sspa@juntadeandalucia.es. AD - Servicio de Analisis Clinicos e Inmunologia, Hospital Universitario Virgen de las Nieves, 18014, Granada, Spain. federico.garrido.sspa@juntadeandalucia.es. AD - Departamento de Bioquimica, Biologia Molecular 3 e Inmunologia, Universidad de Granada, Granada, Spain. federico.garrido.sspa@juntadeandalucia.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210120 PL - China TA - Cell Mol Immunol JT - Cellular & molecular immunology JID - 101242872 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Animals MH - Colorectal Neoplasms/*immunology/pathology/therapy MH - Histocompatibility Antigens Class I/*immunology MH - Humans MH - Immunotherapy/*methods MH - T-Lymphocytes, Cytotoxic/*immunology MH - *Tumor Escape PMC - PMC8027055 OTO - NOTNLM OT - Colorectal cancer OT - HLA Class I OT - Immune escape COIS- The authors declare no competing interests. EDAT- 2021/01/22 06:00 MHDA- 2021/12/28 06:00 PMCR- 2022/03/01 CRDT- 2021/01/21 05:31 PHST- 2020/10/15 00:00 [received] PHST- 2020/12/23 00:00 [accepted] PHST- 2021/01/22 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2021/01/21 05:31 [entrez] PHST- 2022/03/01 00:00 [pmc-release] AID - 10.1038/s41423-021-00634-7 [pii] AID - 634 [pii] AID - 10.1038/s41423-021-00634-7 [doi] PST - ppublish SO - Cell Mol Immunol. 2021 Mar;18(3):556-565. doi: 10.1038/s41423-021-00634-7. Epub 2021 Jan 20.