TY - JOUR
T1 - HLA class Ia and Ib molecules and FOXP3+ TILs in relation to the prognosis of malignant melanoma patients
AU - Melsted, Wenna Nascimento
AU - Johansen, Lasse Lindholm
AU - Lock-Andersen, Jørgen
AU - Behrendt, Nille
AU - Eriksen, Jens Ole
AU - Bzorek, Michael
AU - Scheike, Thomas
AU - Hviid, Thomas Vauvert F.
PY - 2017
Y1 - 2017
N2 - HLA class Ia (HLA-ABC) and HLA class Ib (HLA-E, -F and -G) molecules and FOXP3+ tumor-infiltrating lymphocytes (TILs) are often reported as relevant factors of tumor immune regulation. We investigated their expression as prognostic factors in 200 patients with primary cutaneous melanoma (PCM). In our cohort, patients with tumors showing upregulation of HLA-ABC molecules had significantly thicker tumors (32% vs 7%, P < 0.001), frequent ulceration (20% vs 6%, P = 0.007) and frequent nodular melanomas (20% vs 4%, P = 0.001). Additionally, high expression of HLA-G in the tumor was a sign of bad prognosis for the patients, being associated with thick tumors (30% vs 12%, P = 0.017), ulceration (24% vs 5%, P < 0.001) and positive sentinel node (13% vs 6%, P = 0.015). HLA-E, HLA-F and FOXP3+ TILs were not indicative of the prognosis in PCM. High HLA-ABC and HLA-G were associated with tumor aggressiveness and could be relevant predictive markers for effective immunotherapy of melanoma tumors.
AB - HLA class Ia (HLA-ABC) and HLA class Ib (HLA-E, -F and -G) molecules and FOXP3+ tumor-infiltrating lymphocytes (TILs) are often reported as relevant factors of tumor immune regulation. We investigated their expression as prognostic factors in 200 patients with primary cutaneous melanoma (PCM). In our cohort, patients with tumors showing upregulation of HLA-ABC molecules had significantly thicker tumors (32% vs 7%, P < 0.001), frequent ulceration (20% vs 6%, P = 0.007) and frequent nodular melanomas (20% vs 4%, P = 0.001). Additionally, high expression of HLA-G in the tumor was a sign of bad prognosis for the patients, being associated with thick tumors (30% vs 12%, P = 0.017), ulceration (24% vs 5%, P < 0.001) and positive sentinel node (13% vs 6%, P = 0.015). HLA-E, HLA-F and FOXP3+ TILs were not indicative of the prognosis in PCM. High HLA-ABC and HLA-G were associated with tumor aggressiveness and could be relevant predictive markers for effective immunotherapy of melanoma tumors.
KW - FOXP3+
KW - HLA
KW - Malignant melanoma
KW - Prognosis
KW - Regulatory T cells
U2 - 10.1016/j.clim.2017.09.004
DO - 10.1016/j.clim.2017.09.004
M3 - Journal article
C2 - 28882620
AN - SCOPUS:85029356272
SN - 1521-6616
VL - 183
SP - 191
EP - 197
JO - Clinical Immunology
JF - Clinical Immunology
ER -