PMID- 36131910 OWN - NLM STAT- MEDLINE DCOM- 20220923 LR - 20231105 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Individual HLA heterogeneity and its implications for cellular immune evasion in cancer and beyond. PG - 944872 LID - 10.3389/fimmu.2022.944872 [doi] LID - 944872 AB - Structural and functional variability of human leukocyte antigen (HLA) is the foundation for competent adaptive immune responses against pathogen and tumor antigens as it assures the breadth of the presented immune-peptidome, theoretically sustaining an efficient and diverse T cell response. This variability is presumably the result of the continuous selection by pathogens, which over the course of evolution shaped the adaptive immune system favoring the assortment of a hyper-polymorphic HLA system able to elaborate efficient immune responses. Any genetic alteration affecting this diversity may lead to pathological processes, perturbing antigen presentation capabilities, T-cell reactivity and, to some extent, natural killer cell functionality. A highly variable germline HLA genotype can convey immunogenetic protection against infections, be associated with tumor surveillance or influence response to anti-neoplastic treatments. In contrast, somatic aberrations of HLA loci, rearranging the original germline configuration, theoretically decreasing its variability, can facilitate mechanisms of immune escape that promote tumor growth and immune resistance. The purpose of the present review is to provide a unified and up-to-date overview of the pathophysiological consequences related to the perturbations of the genomic heterogeneity of HLA complexes and their impact on human diseases, with a special focus on cancer. CI - Copyright (c) 2022 Pagliuca, Gurnari, Rubio, Visconte and Lenz. FAU - Pagliuca, Simona AU - Pagliuca S AD - Translational Hematology and Oncology Research Department, Cleveland Clinic, Cleveland, OH, United States. AD - Service d'hematologie Clinique, Hopital Brabois, CHRU Nancy and CNRS UMR 7365 IMoPa, Biopole de l'Universite de Loarraine, Vandoeuvre les Nancy, France. FAU - Gurnari, Carmelo AU - Gurnari C AD - Translational Hematology and Oncology Research Department, Cleveland Clinic, Cleveland, OH, United States. AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. FAU - Rubio, Marie Therese AU - Rubio MT AD - Service d'hematologie Clinique, Hopital Brabois, CHRU Nancy and CNRS UMR 7365 IMoPa, Biopole de l'Universite de Loarraine, Vandoeuvre les Nancy, France. FAU - Visconte, Valeria AU - Visconte V AD - Translational Hematology and Oncology Research Department, Cleveland Clinic, Cleveland, OH, United States. FAU - Lenz, Tobias L AU - Lenz TL AD - Research Unit for Evolutionary Immunogenomics, Department of Biology, University of Hamburg, Hamburg, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220905 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antigens, Neoplasm) RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Antigens, Neoplasm MH - HLA Antigens/genetics MH - Histocompatibility Antigens Class I MH - Histocompatibility Antigens Class II MH - Humans MH - *Immune Evasion MH - *Neoplasms/genetics PMC - PMC9483928 OTO - NOTNLM OT - HLA OT - HLA evolutionary divergence OT - immune escape OT - immunopeptidome OT - tumor surveillance COIS- TL is co-inventor on a patent application for using HED as a prognostic marker for immunotherapy success. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be constructed as a potential conflict of interest. EDAT- 2022/09/23 06:00 MHDA- 2022/09/24 06:00 PMCR- 2022/01/01 CRDT- 2022/09/22 03:28 PHST- 2022/05/16 00:00 [received] PHST- 2022/08/17 00:00 [accepted] PHST- 2022/09/22 03:28 [entrez] PHST- 2022/09/23 06:00 [pubmed] PHST- 2022/09/24 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.944872 [doi] PST - epublish SO - Front Immunol. 2022 Sep 5;13:944872. doi: 10.3389/fimmu.2022.944872. eCollection 2022.