Tumor MHC class I expression improves the prognostic value of T-cell density in resected colorectal liver metastases Journal Article


Authors: Turcotte, S.; Katz, S. C.; Shia, J.; Jarnagin, W. R.; Kingham, T. P.; Allen, P. J.; Fong, Y.; D'Angelica, M. I.; DeMatteo, R. P.
Article Title: Tumor MHC class I expression improves the prognostic value of T-cell density in resected colorectal liver metastases
Abstract: Tumor-infiltrating lymphocytes (TIL) in colorectal cancer liver metastases (CLM) have been associated with more favorable patient outcomes, but whether MHC class I (MHC-I) expression on cancer cells affects prognosis is uncertain. Immunohistochemistry was performed on a tissue microarray of 158 patients with CLM, who underwent partial hepatectomy with curative intent. Using the antibody HC-10, which detects HLA-B and HLA-C antigens and a minority of HLA-A antigens, MHC-I expression was correlated with β-2 microglobulin (β2m; r = 0.7; P < 0.001), but not with T-cell density (r < 0.32). The median follow-up for survivors was 9.7 years. High levels of MHC-I expression in tumors concomitant with high T-cell infiltration (CD3, CD4, or CD8) best identified patients with favorable outcomes, compared with patients with one or none of these immune features. The median overall survival (OS) of patients with MHC-I(hi)CD3(hi) tumors (n = 31) was 116 months compared with 40 months for the others (P = 0.001), and the median time to recurrence (TTR) was not reached compared with 17 months (P = 0.008). By multivariate analysis, MHC(hi)CD3(hi) was associated with OS and TTR independent of the standard clinicopathologic variables. An immune score that combines MHC-I expression and TIL density may be a valuable prognostic tool in the treatment of patients with CLM. ©2014 American Association for Cancer Research.
Keywords: immunohistochemistry; middle aged; mortality; liver neoplasms; prospective study; prospective studies; cd3 antigen; t lymphocyte; tumor associated leukocyte; antigens, cd3; lymphocytes, tumor-infiltrating; t-lymphocytes; metabolism; colorectal neoplasms; immunology; colorectal tumor; liver tumor; hla antigen class 1; histocompatibility antigens class i; liver resection; hepatectomy; beta 2 microglobulin; secondary; humans; prognosis; human; male; female; beta 2-microglobulin
Journal Title: Cancer Immunology Research
Volume: 2
Issue: 6
ISSN: 2326-6066
Publisher: American Association for Cancer Research  
Date Published: 2014-06-01
Start Page: 530
End Page: 537
Language: English
DOI: 10.1158/2326-6066.cir-13-0180
PUBMED: 24894090
PROVIDER: scopus
PMCID: PMC4048875
DOI/URL:
Notes: Article -- Export Date: 2 November 2016 -- Source: Scopus
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MSK Authors
  1. Ronald P DeMatteo
    637 DeMatteo
  2. Jinru Shia
    721 Shia
  3. Peter Allen
    501 Allen
  4. William R Jarnagin
    911 Jarnagin
  5. Yuman Fong
    775 Fong
  6. T Peter Kingham
    620 Kingham