MHC class I loss in endometrial carcinoma: a potential resistance mechanism to immune checkpoint inhibition

التفاصيل البيبلوغرافية
العنوان: MHC class I loss in endometrial carcinoma: a potential resistance mechanism to immune checkpoint inhibition
المؤلفون: Emily A. Sloan, Timothy N. J. Bullock, Lisa A. Friedman, Kari L. Ring, Anne M. Mills
المصدر: Modern Pathology. 34:627-636
بيانات النشر: Elsevier BV, 2021.
سنة النشر: 2021
مصطلحات موضوعية: 0301 basic medicine, Pathology, medicine.medical_specialty, Endometrial cancer, medicine.medical_treatment, Biology, medicine.disease, Major histocompatibility complex, Immune checkpoint, Pathology and Forensic Medicine, 03 medical and health sciences, 030104 developmental biology, 0302 clinical medicine, Immune system, Cancer immunotherapy, 030220 oncology & carcinogenesis, MHC class I, medicine, biology.protein, Carcinoma, Cancer research, Cytotoxic T cell
الوصف: Major histocompatibility complex (MHC) class I is a membrane-bound protein complex expressed on nucleated human cells. MHC class I presents intracellular protein fragments to cytotoxic T cells and triggers an activation cascade upon neoantigen detection by these cells. MHC class I loss by tumor cells decreases tumor neoantigen presentation to the immune system and therefore represents a possible mechanism of immunotherapeutic resistance even among cancers that otherwise appear to be good candidates for checkpoint inhibition, such as mismatch repair (MMR)-deficient and PD-L1-positive malignancies. We herein assess MHC class I expression in a range of endometrial carcinomas, including MMR-deficient and PD-L1-positive cancers. Immunohistochemical staining for combined MHC class I A-, B-, and C-heavy chains was performed on 76 cases of endometrial carcinoma and was classified as present, subclonally lost, or diffusely lost. Tumoral PD-L1 expression, PD-L1 combined positive score, and CD3-positive T lymphocytes were also quantified. Forty-two percent of tumors showed loss of MHC class I expression, either in a subclonal (26%) or diffuse (16%) pattern. This included 46% of MMR-deficient and 25% of PD-L1-positive cancers. These findings suggest that tumoral MHC class I status may be an important factor to consider when selecting endometrial cancer patients for checkpoint inhibition.
تدمد: 0893-3952
DOI: 10.1038/s41379-020-00682-w
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::58cd412b8fd3e703f9efb24079e08287
https://doi.org/10.1038/s41379-020-00682-w
Rights: CLOSED
رقم الانضمام: edsair.doi...........58cd412b8fd3e703f9efb24079e08287
قاعدة البيانات: OpenAIRE
الوصف
تدمد:08933952
DOI:10.1038/s41379-020-00682-w