PMID- 35533264 OWN - NLM STAT- MEDLINE DCOM- 20220808 LR - 20230206 IS - 1557-3125 (Electronic) IS - 1541-7786 (Print) IS - 1541-7786 (Linking) VI - 20 IP - 8 DP - 2022 Aug 5 TI - Pan-Cancer HLA Gene-Mediated Tumor Immunogenicity and Immune Evasion. PG - 1272-1283 LID - 10.1158/1541-7786.MCR-21-0886 [doi] AB - Human leukocyte antigen (HLA) expression contributes to the activation of antitumor immunity through interactions with T-cell receptors. Pan-cancer HLA-mediated immunogenicity and immunoediting mechanisms have not been systematically studied previously. In a retrospective analysis of 33 tumor types from the Cancer Genome Atlas (TCGA), we characterized the differential expression of HLA class I and class II genes across various oncogenic pathways and immune subtypes. While HLA I genes were upregulated in all immunogenically hot tumors, HLA II genes were upregulated in an inflammatory immune subtype associated with best prognosis and were systematically downregulated in specific oncogenic pathways. A subset of immunogenically hot tumors which upregulated HLA class I but not class II genes exploited HLA-mediated escape strategies. Furthermore, with a machine learning model, we demonstrated that HLA gene expression data can be used to predict the immune subtypes of patients receiving immune checkpoint blockade and stratify patient survival. Interestingly, tumors with the highest immune infiltration did not have the best prognosis but showed significantly higher immune exhaustion. IMPLICATIONS: Taken together, we highlight the prognostic potential of HLA genes in immunotherapies and suggest that higher tumor immunogenicity mediated by HLA expression may sometimes lead to tumor escape under strong selective pressure. CI - (c)2022 American Association for Cancer Research. FAU - Gong, Xutong AU - Gong X AD - Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland. AD - Institute for Computational Medicine, Johns Hopkins University, Baltimore, Maryland. FAU - Karchin, Rachel AU - Karchin R AUID- ORCID: 0000-0002-5069-1239 AD - Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland. AD - Institute for Computational Medicine, Johns Hopkins University, Baltimore, Maryland. AD - Department of Oncology, Johns Hopkins Medicine, Baltimore, Maryland. LA - eng GR - R01 CA121113/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Mol Cancer Res JT - Molecular cancer research : MCR JID - 101150042 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - *Histocompatibility Antigens Class I/genetics MH - Humans MH - Immunotherapy MH - *Neoplasms/genetics/immunology MH - Retrospective Studies MH - *Tumor Escape PMC - PMC9357147 MID - NIHMS1807268 COIS- Conflict of Interest The authors declare that there is no conflict of interest. EDAT- 2022/05/10 06:00 MHDA- 2022/08/09 06:00 PMCR- 2023/02/05 CRDT- 2022/05/09 15:02 PHST- 2021/10/20 00:00 [received] PHST- 2022/02/16 00:00 [revised] PHST- 2022/04/29 00:00 [accepted] PHST- 2022/05/10 06:00 [pubmed] PHST- 2022/08/09 06:00 [medline] PHST- 2022/05/09 15:02 [entrez] PHST- 2023/02/05 00:00 [pmc-release] AID - 707199 [pii] AID - 10.1158/1541-7786.MCR-21-0886 [doi] PST - ppublish SO - Mol Cancer Res. 2022 Aug 5;20(8):1272-1283. doi: 10.1158/1541-7786.MCR-21-0886.