Biomarkers for Immunotherapy of Cancer pp 325-350 | Cite as
HLA Class I Antigen Processing Machinery Defects in Cancer Cells—Frequency, Functional Significance, and Clinical Relevance with Special Emphasis on Their Role in T Cell-Based Immunotherapy of Malignant Disease
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Abstract
MHC class I antigen abnormalities have been shown to be one of the major immune escape mechanisms murine and human cancer cells utilize to avoid recognition and destruction by host immune system. This mechanism has clinical relevance, since it is associated with poor prognosis and/or reduced patients’ survival in many types of malignant diseases. The recent impressive clinical responses to T cell-based immunotherapies triggered by checkpoint inhibitors have rekindled tumor immunologists and clinical oncologists’ interest in the analysis of the human leukocyte antigen (HLA) class I antigen processing machinery (APM) expression and function in malignant cells. Abnormalities in the expression, regulation and/or function of components of this machinery have been associated with the development of resistances to T cell-based immunotherapies. In this review, following the description of the human leukocyte antigen (HLA) class I APM organization and function, the information related to the frequency of defects in HLA class I APM component expression in various types of cancer and the underlying molecular mechanisms is summarized. Then the impact of these defects on clinical response to T cell-based immunotherapies and strategies to revert this immune escape process are discussed.
Key words
Antigen processing machinery HLA class I Immune escape Immune response MHC Prognostic marker Tumor surveillanceAbbreviations
- ACT
Adoptive T cell therapy
- APLNR
Apelin receptor
- APM
Antigen processing machinery
- BGN
Biglycan
- CNX
Calnexin
- CRC
Colorectal cancer
- CRT
Calreticulin
- CTL
Cytotoxic T lymphocyte
- ECM
Extracellular matrix
- EMT
Epithelial–mesenchymal transition
- ERAP
ER-resident aminopeptidases
- ER
Endoplasmic reticulum
- HC
Heavy chain
- HDAC
Histone deacetylase
- HDACi
Histone deacetylase inhibitors
- HLA
Human leukocyte antigen
- HNSCC
Head and neck squamous cancer
- iCP
Immune checkpoint
- iCPI
Immune checkpoint inhibitor
- IHC
Immunohistochemistry
- IFN
Interferon
- JAK
Janus kinase
- LOH
Loss of heterozygosity
- LMP
Low molecular weight proteins
- mAb
Monoclonal antibody
- miRNAs
MicroRNAs
- NLRC5
NOD-like receptor caspase recruitment domain containing protein 5
- NSCLC
Non-small cell lung carcinoma
- OS
Overall survival
- PLC
Peptide loading complex
- RBP
RNA-binding proteins
- RCC
Renal cell carcinoma
- SNP
Single nucleotide polymorphisms
- TA
Tumor antigen
- TAP
Transporter associated with antigen processing
- TIL
Tumor-infiltrating lymphocyte
- TNBC
Triple negative breast cancer
- tpn
Tapasin
- UCP2
Uncoupling protein 2
- β2-m
β2-microglobulin
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