2002
DOI: 10.1016/s0264-410x(02)00386-9
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HLA class I antigen loss, tumor immune escape and immune selection

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Cited by 110 publications
(75 citation statements)
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“…However, other mechanisms responsible for tumor escape might be involved as it has been suggested in the literature, which might also have a role in the escape of HER2/neuoverexpressing tumors. Among these, downregulation of MHC class I cell surface expression 24,25 and/or of intercellular adhesion molecule 1, which is involved in homing of cytolytic effector T cells into the tumors, 26 have been reported in many solid tumors. Future studies will focus on the delineation of the role of these escape mechanisms and other factors such as the presence of suppressive immune cells in these slow-growing tumors.…”
Section: Discussionmentioning
confidence: 99%
“…However, other mechanisms responsible for tumor escape might be involved as it has been suggested in the literature, which might also have a role in the escape of HER2/neuoverexpressing tumors. Among these, downregulation of MHC class I cell surface expression 24,25 and/or of intercellular adhesion molecule 1, which is involved in homing of cytolytic effector T cells into the tumors, 26 have been reported in many solid tumors. Future studies will focus on the delineation of the role of these escape mechanisms and other factors such as the presence of suppressive immune cells in these slow-growing tumors.…”
Section: Discussionmentioning
confidence: 99%
“…This discrepancy has in numerous cases been explained by immune escape mechanisms of the tumor cells. 47 For therapeutic strategies targeting antigens that play an insignificant role in cancer growth, the selection of antigen deficient cancer cells is a well-recognized limitation. 48,49 Thus, the attractiveness of using survivin as a target for vaccination relies on the fact that immune escape by down regulation or loss of expression of this protein would impair sustained tumor growth.…”
Section: Discussionmentioning
confidence: 99%
“…The characterization of multiple Mcl-1 epitopes with different HLA class I restriction elements broadens the clinical potential of this target antigen in several important ways: Targeting different HLA molecules in a multiepitope vaccine will increase the number of patients eligible for immunotherapy and will further decrease the risk of immune escape by class I HLA-allele loss; loss of a single class I HLA allele is a significant component of MHC alterations described in cancer cells, whereas total loss of class I HLA expression is rare. 5 The attractiveness of using Mcl-1 for vaccination purposes relies on the fact that downregulation or loss of expression of this protein as a means of immune escape would impair sustained tumor growth. The availability of multiple Mcl-1 epitopes presented by different HLA class I restriction elements further reduces the risk of immune escape and thereby therapeutic failures.…”
Section: To the Editormentioning
confidence: 99%
“…Interestingly, serine protease inhibitors even promoted cell death in imatinibtreated cells. 5 Authors concluded that imatinib mesylate induced a caspase-independent, necrosis-like PCD mediated by the serine protease activity of Omi/HtrA2. 5 Their experiments were mainly…”
Section: To the Editormentioning
confidence: 99%