Revisiting immune escape in colorectal cancer in the era of immunotherapy

In colorectal cancer (CRC), T-cell checkpoint blockade is only effective in patients diagnosed with mismatch repair-deficient (MMR-d) cancers. However, defects in Human Leukocyte Antigen (HLA) class I expression were reported to occur in most MMR-d CRCs, which would preclude antigen presentation in...

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Veröffentlicht in:British journal of cancer 2019-04, Vol.120 (8), p.815-818
Hauptverfasser: Ijsselsteijn, Marieke Erica, Petitprez, Florent, Lacroix, Laetitia, Ruano, Dina, van der Breggen, Ruud, Julie, Catherine, Morreau, Hans, Sautès-Fridman, Catherine, Fridman, Wolf Herman, de Miranda, Noel Filipe da Cunha Carvalho
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container_issue 8
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container_title British journal of cancer
container_volume 120
creator Ijsselsteijn, Marieke Erica
Petitprez, Florent
Lacroix, Laetitia
Ruano, Dina
van der Breggen, Ruud
Julie, Catherine
Morreau, Hans
Sautès-Fridman, Catherine
Fridman, Wolf Herman
de Miranda, Noel Filipe da Cunha Carvalho
description In colorectal cancer (CRC), T-cell checkpoint blockade is only effective in patients diagnosed with mismatch repair-deficient (MMR-d) cancers. However, defects in Human Leukocyte Antigen (HLA) class I expression were reported to occur in most MMR-d CRCs, which would preclude antigen presentation in these tumours, considered essential for the clinical activity of this immunotherapeutic modality. We revisited this paradox by characterising HLA class I expression in two independent cohorts of CRC. We determined that loss of HLA class I expression occurred in the majority (73–78%) of MMR-d cases. This phenotype was rare in CRC liver metastases, irrespective of MMR status, whereas weak, inducible expression of HLA class I molecules was frequent in liver lesions. We propose that HLA class I is an important determinant of metastatic homing in CRCs. This observation is paramount to understand CRC carcinogenesis and for the application of immunotherapies in the metastatic setting.
doi_str_mv 10.1038/s41416-019-0421-x
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subjects 631/250/2161
692/4028/67/1504/1885
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692/4028/67/580/1884/2323
692/420/755
Antigen presentation
Antigen Presentation - immunology
Antigenic determinants
Antigens
Biomedical and Life Sciences
Biomedicine
Brain Neoplasms - genetics
Brain Neoplasms - immunology
Brief Communication
Cancer
Cancer Research
Carcinogenesis
Carcinogenesis - genetics
Carcinogenesis - immunology
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - genetics
Colorectal Neoplasms - immunology
Colorectal Neoplasms - pathology
Colorectal Neoplasms - therapy
Drug Resistance
Epidemiology
Female
Gene Expression Regulation, Neoplastic - immunology
Genes, cdc - drug effects
Genes, cdc - immunology
Genes, MHC Class I - genetics
Homing
Human health and pathology
Humans
Hépatology and Gastroenterology
Immune checkpoint
Immune evasion
Immunology
Immunotherapy
Lesions
Life Sciences
Liver
Liver - metabolism
Liver - pathology
Lymphocytes T
Male
Metastases
Metastasis
Middle Aged
Mismatch repair
Molecular Medicine
Neoplasm Metastasis
Neoplastic Syndromes, Hereditary - genetics
Neoplastic Syndromes, Hereditary - immunology
Oncology
Phenotypes
T-Lymphocytes - immunology
Tumors
title Revisiting immune escape in colorectal cancer in the era of immunotherapy
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