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Erschienen in: Cancer and Metastasis Reviews 2/2021

15.04.2021

MHC heterogeneity and response of metastases to immunotherapy

verfasst von: Ignacio Algarra, Federico Garrido, Angel M. Garcia-Lora

Erschienen in: Cancer and Metastasis Reviews | Ausgabe 2/2021

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Abstract

In recent years, immunotherapy has proven to be an effective treatment against cancer. Cytotoxic T lymphocytes perform an important role in this anti-tumor immune response, recognizing cancer cells as foreign, through the presentation of tumor antigens by MHC class I molecules. However, tumors and metastases develop escape mechanisms for evading this immunosurveillance and may lose the expression of these polymorphic molecules to become invisible to cytotoxic T lymphocytes. In other situations, they may maintain MHC class I expression and promote immunosuppression of cytotoxic T lymphocytes. Therefore, the analysis of the expression of MHC class I molecules in tumors and metastases is important to elucidate these escape mechanisms. Moreover, it is necessary to determine the molecular mechanisms involved in these alterations to reverse them and recover the expression of MHC class I molecules on tumor cells. This review discusses the role and regulation of MHC class I expression in tumor progression. We focus on altered MHC class I phenotypes present in tumors and metastases, as well as the molecular mechanisms responsible for MHC-I alterations, emphasizing the mechanisms of recovery of the MHC class I molecules expression on cancer cells. The individualized study of the HLA class I phenotype of the tumor and the metastases of each patient will allow choosing the most appropriate immunotherapy treatment based on a personalized medicine.
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Metadaten
Titel
MHC heterogeneity and response of metastases to immunotherapy
verfasst von
Ignacio Algarra
Federico Garrido
Angel M. Garcia-Lora
Publikationsdatum
15.04.2021
Verlag
Springer US
Erschienen in
Cancer and Metastasis Reviews / Ausgabe 2/2021
Print ISSN: 0167-7659
Elektronische ISSN: 1573-7233
DOI
https://doi.org/10.1007/s10555-021-09964-4

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