PMID- 34379177 OWN - NLM STAT- MEDLINE DCOM- 20220228 LR - 20240426 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 71 IP - 3 DP - 2022 Mar TI - Effect of HLA genotype on intravesical recurrence after bacillus Calmette-Guerin therapy for non-muscle-invasive bladder cancer. PG - 727-736 LID - 10.1007/s00262-021-03032-0 [doi] AB - The intravesical administration of bacillus Calmette-Guerin (BCG) is widely used to control the intravesical recurrence of non-muscle-invasive bladder cancer (NMIBC). This study aimed to reveal the effects of zygosity on human leukocyte antigen (HLA) genes and individual HLA genotypes on intravesical recurrence after intravesical BCG therapy for NMIBC. This study included Japanese patients who had received intravesical BCG for NMIBC. HLA genotyping of HLA-A, B, C, and DRB1 was performed. The effect of HLA zygosity and HLA genotype on intravesical recurrence was evaluated. Among 195 patients, those homozygous for the HLA-B supertype were more likely than those heterozygous for the HLA-B supertype to experience intravesical recurrence by univariate analysis (hazard ratio [HR], 95% confidence interval [CI]; 1.87, 1.14-3.05, P = 0.012) and multivariate analysis (HR, 95% CI; 2.26, 1.02-5.01, P = 0.045). Patients with B07 or B44 had a decreased risk of intravesical recurrence by univariate analysis (HR, 95% CI; 0.43, 0.24-0.78, P = 0.0056) and multivariate analysis (HR, 95% CI; 0.36, 0.16-0.82, P = 0.016). This study suggests the importance of the diversity and specificity of HLA-B loci in the antitumor effect of BCG immunotherapy for NMIBC. These findings may contribute to the delineation of risk strata for BCG therapy and improve the medical management of NMIBC. CI - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Kobayashi, Mizuki AU - Kobayashi M AD - Department of Urology, Graduate School of Medicine, Akita University, Akita, 010-8543, Japan. FAU - Fujiyama, Nobuhiro AU - Fujiyama N AD - Center for Kidney Disease and Transplantation, Akita University Hospital, Akita, 010-8543, Japan. FAU - Tanegashima, Tokiyoshi AU - Tanegashima T AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Narita, Shintaro AU - Narita S AD - Department of Urology, Graduate School of Medicine, Akita University, Akita, 010-8543, Japan. FAU - Yamamoto, Yoshiaki AU - Yamamoto Y AD - Department of Urology, Graduate School of Medicine, Yamaguchi University, Ube, 755-8505, Japan. FAU - Fujimoto, Naohiro AU - Fujimoto N AD - Department of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, 807-8556, Japan. FAU - Ueda, Shohei AU - Ueda S AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Takeuchi, Ario AU - Takeuchi A AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Numakura, Kazuyuki AU - Numakura K AD - Department of Urology, Graduate School of Medicine, Akita University, Akita, 010-8543, Japan. FAU - Habuchi, Tomonori AU - Habuchi T AD - Department of Urology, Graduate School of Medicine, Akita University, Akita, 010-8543, Japan. FAU - Matsuyama, Hideyasu AU - Matsuyama H AD - Department of Urology, Graduate School of Medicine, Yamaguchi University, Ube, 755-8505, Japan. FAU - Eto, Masatoshi AU - Eto M AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Shiota, Masaki AU - Shiota M AUID- ORCID: 0000-0002-3306-4858 AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. shiota.masaki.101@m.kyushu-u.ac.jp. LA - eng GR - 21K06592/Japan Society for the Promotion of Science/ GR - 19K18551/Japan Society for the Promotion of Science/ PT - Journal Article DEP - 20210811 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (BCG Vaccine) RN - 0 (Biomarkers) RN - 0 (HLA Antigens) SB - IM MH - Alleles MH - BCG Vaccine/therapeutic use MH - Biomarkers MH - Biopsy MH - Disease Management MH - Disease Susceptibility MH - *Genotype MH - HLA Antigens/*genetics/immunology MH - Homozygote MH - Humans MH - Kaplan-Meier Estimate MH - Liquid Biopsy MH - Neoplasm Invasiveness MH - Prognosis MH - Recurrence MH - Treatment Outcome MH - Urinary Bladder Neoplasms/*genetics/mortality/*pathology/therapy PMC - PMC10991975 OTO - NOTNLM OT - Bacillus Calmette-Guerin OT - Human leukocyte antigen OT - Immunotherapy OT - Intravesical recurrence OT - Non-muscle-invasive bladder cancer COIS- Shintaro Narita received honoraria from Janssen Pharmaceutical, Bayer Yakuhin, AstraZeneca, Takeda Pharmaceutical, Sanofi, and Astellas Pharma. Tomonori Habuchi received honoraria from Janssen Pharmaceutical, Takeda Pharmaceutical, Astellas Pharma, Daiichi Sankyo, AstraZeneca, Sanofi, and Bayer Yakuhin, and research funding support from Takeda Pharmaceutical, Astellas Pharma, Daiichi Sankyo, Sanofi, and Bayer Yakuhin. Masatoshi Eto received honoraria from Ono Pharmaceutical, Takeda Pharmaceutical, Novartis Pharma, Pfizer, Bristol-Myers Squibb, Janssen Pharmaceutical, MSD, and Merck Biopharma, and research funding support from Sanofi, Bayer Yakuhin, Astellas Pharma., Ono Pharmaceutical., and Takeda Pharmaceutical. Masaki Shiota received honoraria from Janssen Pharmaceutical, AstraZeneca, and Astellas Pharma, and research funding support from Daiichi Sankyo. EDAT- 2021/08/12 06:00 MHDA- 2022/03/01 06:00 PMCR- 2021/08/11 CRDT- 2021/08/11 12:22 PHST- 2021/06/03 00:00 [received] PHST- 2021/08/04 00:00 [accepted] PHST- 2021/08/12 06:00 [pubmed] PHST- 2022/03/01 06:00 [medline] PHST- 2021/08/11 12:22 [entrez] PHST- 2021/08/11 00:00 [pmc-release] AID - 10.1007/s00262-021-03032-0 [pii] AID - 3032 [pii] AID - 10.1007/s00262-021-03032-0 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2022 Mar;71(3):727-736. doi: 10.1007/s00262-021-03032-0. Epub 2021 Aug 11.