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© 2021. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Downregulation of human leukocyte antigen (HLA) class I has been postulated to be a mechanism of adaptive immune escape in various tumors, especially microsatellite instability–high (MSI‐H) colorectal cancer (CRC). In this study, we aimed to investigate HLA class I and β2‐microglobulin (β2M) expression in MSI‐H and microsatellite‐stable (MSS) CRCs and determine its prognostic impact. The representative areas from the tumor center (TC) and tumor periphery (TP) from 300 CRCs, including 161 MSI‐H and 139 MSS cases, were selected to construct a tissue microarray. Immunohistochemistry (IHC) for HLA A/B/C, β2M, CD3, and CD8 was performed. Reduced HLA A/B/C expression was detected in 113 (70.2%) MSI‐H and 54 (38.8%) MSS cases, while reduced β2M expression was observed in 69 (42.9%) MSI‐H and 17 (12.2%) MSS cases. Although reduced β2M expression was associated with higher pathological tumor (pT) stage in MSI‐H CRC with borderline significance, no association was found between HLA A/B/C and β2M expression and survival. Interestingly, reduced HLA A/B/C expression in MSS was associated with higher stage, and reduced HLA A/B/C and β2M expression was an independent prognostic factor in multivariate analysis. In conclusion, reduced HLA A/B/C and β2M expression was frequently observed in immunotherapy‐naive MSI‐H CRC, suggesting the possibility of primary resistance to immune checkpoint inhibitor. Interestingly, downregulation of HLA A/B/C and β2M was associated with poor prognosis in MSS cancers. Overall, IHC for HLA A/B/C and β2M might be a feasible predictive or prognostic tool in CRC.

Details

Title
Expression of human leukocyte antigen class I and β2‐microglobulin in colorectal cancer and its prognostic impact
Author
Hee Young Na 1 ; Park, Yujun 1 ; Nam, Soo Kyung 1 ; Lee, Kyu Sang 1 ; Heung‐Kwon Oh 2 ; Duck‐Woo Kim 2 ; Sung‐Bum Kang 2 ; Woo Ho Kim 3 ; Lee, Hye Seung 3   VIAFID ORCID Logo 

 Department of Pathology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam‐si, Korea 
 Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam‐si, Korea 
 Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea 
Pages
91-100
Section
BASIC AND CLINICAL IMMUNOLOGY
Publication year
2021
Publication date
Jan 2021
Publisher
John Wiley & Sons, Inc.
ISSN
13479032
e-ISSN
13497006
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2474769271
Copyright
© 2021. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.