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Clinical significance of MART-1 and HLA-A2 expression and CD8+ T cell infiltration in melanocytic lesions in HLA-A2 phenotype patients.

Abstract
MART-1 is a good candidate antigen for immunotherapy against HLA-A2 patients with melanoma, since it is a highly immunogenic antigen recognized by HLA-A2 and HLA-B45 restricted CD8+ cytotoxic T cells and expressed in the majority of melanoma lesions. In the present study the expression of MART-1 and HLA-A2 on melanocytic cells and CD8+ T cell infiltration was immunohistochemically analyzed. MART-1 was expressed in most melanocytic lesions, while HLA-A2 was down-regulated with melanoma disease progression. Furthermore, concomitant down-regulation of MART-1 and HLA-A2 in melanoma cells was correlated with poor prognosis. These findings suggest both MART-1 and HLA-A2 expression in melanoma lesions should be analyzed for selection of patients eligible for MART-1 based immunotherapy and monitoring for emergence of melanoma cells resistant to T cell therapy.
AuthorsT Kageshita, Y Kawakami, T Ono
JournalJournal of dermatological science (J Dermatol Sci) Vol. 25 Issue 1 Pg. 36-44 (Jan 2001) ISSN: 0923-1811 [Print] Netherlands
PMID11154862 (Publication Type: Journal Article)
Chemical References
  • Antigens, Neoplasm
  • HLA-A2 Antigen
  • Histocompatibility Antigens Class I
  • MART-1 Antigen
  • MLANA protein, human
  • Neoplasm Proteins
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antigens, Neoplasm
  • CD8-Positive T-Lymphocytes (pathology)
  • Child
  • Female
  • HLA-A2 Antigen (metabolism)
  • Histocompatibility Antigens Class I (metabolism)
  • Humans
  • Immunohistochemistry (methods)
  • Lymphocytes, Tumor-Infiltrating (pathology)
  • MART-1 Antigen
  • Male
  • Melanocytes (pathology)
  • Melanoma (metabolism, pathology)
  • Middle Aged
  • Neoplasm Proteins (metabolism)
  • Skin Diseases (metabolism, pathology)
  • Skin Neoplasms (metabolism, pathology)
  • Staining and Labeling

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