Skip to main content
Top
Published in: Annals of Surgical Oncology 10/2007

01-10-2007 | Gastrointestinal Oncology

Expression of Human Leukocyte Antigen G (HLA-G) Correlates with Poor Prognosis in Gastric Carcinoma

Authors: Shang-mian Yie, Hong Yang, Shang-rong Ye, Ke Li, Dan-dan Dong, Xin-mei Lin

Published in: Annals of Surgical Oncology | Issue 10/2007

Login to get access

Abstract

Objective

We had previously demonstrated that human leukocyte antigen G (HLA-G) was expressed in a majority of primary colorectal carcinomas and that the detection of HLA-G expression had a strong and independent prognostic value for that cancer. Currently, we investigate whether or not HLA-G is also expressed in patients with gastric carcinoma and whether the expression has any clinical application value.

Methods

The expression of HLA-G was investigated immunohistochemically in 160 patients with gastric carcinoma. The correlation between HLA-G status and various clinicopathological parameters was analyzed with the levels of HLA-G expression used to compare the survival length amongst patients.

Results

HLA-G protein expression was observed in 71% (113 of 160) of the primary site of gastric carcinomas, but not in the normal stomach tissues. HLA-G expression in the tumors was significantly correlated with the tumor location, histological grade, depth of invasion, lymph nodal metastasis, clinical stages of the disease, and host immune response (P = .012, .008, .001, .038, .030, and .016, respectively). Patients with HLA-G positive tumors had a significantly shorter survival time than those patients with tumors that were HLA-G negative (P = .001). As well, in multivariate analysis, HLA-G demonstrated an independent prognostic factor (P = .0001, relative risk 9.08; 95% confidence interval, 3.44–24.0).

Conclusions

Overall, our results indicated that the expression of HLA-G is a characteristic feature of gastric carcinoma and that immunostaining by anti-HLA-G antibody may be a potentially useful prognostic indicator.
Literature
1.
go back to reference Tanaka K, Yoshioka T, Bieberich C, et al. Role of the major histocompatibility complex class I antigens in tumor growth and metastasis. Ann Rev Immunol 1988; 6:359–80CrossRef Tanaka K, Yoshioka T, Bieberich C, et al. Role of the major histocompatibility complex class I antigens in tumor growth and metastasis. Ann Rev Immunol 1988; 6:359–80CrossRef
2.
go back to reference Ferrone S, Marincola FM. Loss of HLA class I antigens by melanoma cells: molecular mechanism, functional significance and clinical relevance. Immunol Today 1995; 16:487–94PubMedCrossRef Ferrone S, Marincola FM. Loss of HLA class I antigens by melanoma cells: molecular mechanism, functional significance and clinical relevance. Immunol Today 1995; 16:487–94PubMedCrossRef
3.
go back to reference Garrido F, Ruiz-Cabello F, Cabrera T, et al. Implications for immunosurveillance of altered HLA class I phenotypes in human tumours. Immunol Today 1997; 18:89–95PubMedCrossRef Garrido F, Ruiz-Cabello F, Cabrera T, et al. Implications for immunosurveillance of altered HLA class I phenotypes in human tumours. Immunol Today 1997; 18:89–95PubMedCrossRef
4.
go back to reference Hicklin DJ, Marincola FM, Ferrone S. HLA class I antigen downregulation in human cancers: T-cell immunotherapy revives an old story. Mol Med Today 1999; 5:178–86PubMedCrossRef Hicklin DJ, Marincola FM, Ferrone S. HLA class I antigen downregulation in human cancers: T-cell immunotherapy revives an old story. Mol Med Today 1999; 5:178–86PubMedCrossRef
5.
go back to reference Seliger B, Abken H, Ferrone S. HLA-G and MIC expression in tumors and their role in anti-tumor immunity. TRENDS in Immunol 2003; 24:82–7CrossRef Seliger B, Abken H, Ferrone S. HLA-G and MIC expression in tumors and their role in anti-tumor immunity. TRENDS in Immunol 2003; 24:82–7CrossRef
6.
go back to reference LeMaoult J, Le Discorde M, Rouas-Freiss N, et al. Biology and functions of human leukocyte antigen-G in health and sickness. Tissue Antigens 2003: 62: 273–84PubMedCrossRef LeMaoult J, Le Discorde M, Rouas-Freiss N, et al. Biology and functions of human leukocyte antigen-G in health and sickness. Tissue Antigens 2003: 62: 273–84PubMedCrossRef
7.
go back to reference Singer G, Kurman RJ, McMaster MT, et al. HLA-G immunoreactivity is specific for intermediate trophoblast in gestational trophoblastic disease and can serve as a useful marker in differential diagnosis. Am J Surg Pathol 2002; 26:914–20PubMedCrossRef Singer G, Kurman RJ, McMaster MT, et al. HLA-G immunoreactivity is specific for intermediate trophoblast in gestational trophoblastic disease and can serve as a useful marker in differential diagnosis. Am J Surg Pathol 2002; 26:914–20PubMedCrossRef
8.
go back to reference Ibrahim EC, Aractingi S, Allory Y, et al. Analysis of HLA antigen expression in benign and malignant melanocytic lesions reveals that upregulation of HLA-G expression correlates with malignant transformation, high inflammatory infiltration and HLA-A1 genotype. Int J Cancer 2004; 108:243–50CrossRef Ibrahim EC, Aractingi S, Allory Y, et al. Analysis of HLA antigen expression in benign and malignant melanocytic lesions reveals that upregulation of HLA-G expression correlates with malignant transformation, high inflammatory infiltration and HLA-A1 genotype. Int J Cancer 2004; 108:243–50CrossRef
9.
go back to reference Bukur J, Rebmann V, Grosse-Wilde H, et al. Functional role of human leukocyte antigen-G up-regulation in renal cell carcinoma. Cancer Res 2003; 63:4107–11PubMed Bukur J, Rebmann V, Grosse-Wilde H, et al. Functional role of human leukocyte antigen-G up-regulation in renal cell carcinoma. Cancer Res 2003; 63:4107–11PubMed
10.
go back to reference Urosevic M, Kurrer MO, Kamarashev J, et al. Human leukocyte antigen G up-regulation in lung cancer associates with high-grade human histology, leukocyte antigen class I loss and interleukin-10 production. Am J Pathol 2001; 159:817–24PubMed Urosevic M, Kurrer MO, Kamarashev J, et al. Human leukocyte antigen G up-regulation in lung cancer associates with high-grade human histology, leukocyte antigen class I loss and interleukin-10 production. Am J Pathol 2001; 159:817–24PubMed
11.
go back to reference Lefebvre S, Antoinc M, Uzan S, et al. Specific activation of the non-classical class I histocompatibility HLA-G antigen and expression of the ILT2 inhibitory receptor in human breast cancer. J Pathol 2002; 196:266–74PubMedCrossRef Lefebvre S, Antoinc M, Uzan S, et al. Specific activation of the non-classical class I histocompatibility HLA-G antigen and expression of the ILT2 inhibitory receptor in human breast cancer. J Pathol 2002; 196:266–74PubMedCrossRef
12.
go back to reference Urosevic M, Willers J, Mueller B, et al. HLA-G protein up-regulation in primary cutaneous lymphomas is associated with interleukin-10 expression in large cell T-cell lymphomas and indolent B-cell lymphomas. Blood 2002; 99:609–17PubMedCrossRef Urosevic M, Willers J, Mueller B, et al. HLA-G protein up-regulation in primary cutaneous lymphomas is associated with interleukin-10 expression in large cell T-cell lymphomas and indolent B-cell lymphomas. Blood 2002; 99:609–17PubMedCrossRef
13.
go back to reference Davidson B, Elstrand MB, McMaster MT, et al. HLA-G expression in effusions is a possible marker of tumor susceptibility to chemotherapy in ovarian carcinoma. Gynecol Oncol 2005; 96:42–7PubMedCrossRef Davidson B, Elstrand MB, McMaster MT, et al. HLA-G expression in effusions is a possible marker of tumor susceptibility to chemotherapy in ovarian carcinoma. Gynecol Oncol 2005; 96:42–7PubMedCrossRef
14.
go back to reference Barrier BF, Kendall BS, Sharpe-Timms K, et al. Characterization of human leukocyte antigen-G (HLA-G) expression in endometrial adenocarcinoma. Gynecol Oncol 2006; 103:25–30PubMedCrossRef Barrier BF, Kendall BS, Sharpe-Timms K, et al. Characterization of human leukocyte antigen-G (HLA-G) expression in endometrial adenocarcinoma. Gynecol Oncol 2006; 103:25–30PubMedCrossRef
15.
go back to reference Hansel DE, Rahmanb A, Wilentz RE, et al. HLA-G upregulation in pre-malignant and malignant lesions of the gastrointestinal tract Int J Gastrointest Cancer 2005; 35:15–24PubMedCrossRef Hansel DE, Rahmanb A, Wilentz RE, et al. HLA-G upregulation in pre-malignant and malignant lesions of the gastrointestinal tract Int J Gastrointest Cancer 2005; 35:15–24PubMedCrossRef
16.
go back to reference Fukushima Y, Oshika Y, Nakamura M, et al. Increased expression of human histocompatibility leukocyte antigen-G in colorectal cancer cells. Int J Mo Med 1998; 2:349–51 Fukushima Y, Oshika Y, Nakamura M, et al. Increased expression of human histocompatibility leukocyte antigen-G in colorectal cancer cells. Int J Mo Med 1998; 2:349–51
17.
go back to reference Ishigami S, Natsugoe S, Miyazono F, et al. HLA-G expression in gastric cancer. Anticancer Res 2006: 2467–72 Ishigami S, Natsugoe S, Miyazono F, et al. HLA-G expression in gastric cancer. Anticancer Res 2006: 2467–72
18.
go back to reference Carosella ED, Moreau P, Le Maoult J, Le Discorde M, Dausset J, Rouas-Freiss N. HLA-G molecules: from maternal-fetal tolerance to tissue acceptance. Adv Immunol 2003; 81:199–252PubMedCrossRef Carosella ED, Moreau P, Le Maoult J, Le Discorde M, Dausset J, Rouas-Freiss N. HLA-G molecules: from maternal-fetal tolerance to tissue acceptance. Adv Immunol 2003; 81:199–252PubMedCrossRef
19.
go back to reference Le Discorde M, Moreau P, Sabatier P, et al. Expression of HLA-G in human cornea, an immune-privileged tissue. Hum Immunol 2003; 64:1039–44PubMedCrossRef Le Discorde M, Moreau P, Sabatier P, et al. Expression of HLA-G in human cornea, an immune-privileged tissue. Hum Immunol 2003; 64:1039–44PubMedCrossRef
20.
go back to reference Ito T, Ito N, Saathoff M, et al. Immunology of the human nail apparatus: the nail matrix is a site of relative immune privilege. J Invest Dermatol 2005; 125:1139–48PubMedCrossRef Ito T, Ito N, Saathoff M, et al. Immunology of the human nail apparatus: the nail matrix is a site of relative immune privilege. J Invest Dermatol 2005; 125:1139–48PubMedCrossRef
21.
go back to reference Cirulli V, Zalatan J, McMaster M, et al. The class I HLA repertoire of pancreatic islets comprises the nonclassical class Ib antigen HLA-G. Diabetes 2006; 55:1214–22PubMedCrossRef Cirulli V, Zalatan J, McMaster M, et al. The class I HLA repertoire of pancreatic islets comprises the nonclassical class Ib antigen HLA-G. Diabetes 2006; 55:1214–22PubMedCrossRef
22.
go back to reference Bainbridge DR, Ellis SA, Sargent IL. HLA-G suppresses proliferation of CD4 (+) T-lymphocytes. J Reprod Immunol 2000; 48:17–26PubMedCrossRef Bainbridge DR, Ellis SA, Sargent IL. HLA-G suppresses proliferation of CD4 (+) T-lymphocytes. J Reprod Immunol 2000; 48:17–26PubMedCrossRef
23.
go back to reference Lila N, Rouas-Freiss N, Dausset J, et al. Soluble HLA-G protein secreted by allo-specific CD4+ T cells suppresses the allo-proliferative response: a CD4+ T cell regulatory mechanism. Proc Natl Acad Sci USA 2001; 98:12150–5PubMedCrossRef Lila N, Rouas-Freiss N, Dausset J, et al. Soluble HLA-G protein secreted by allo-specific CD4+ T cells suppresses the allo-proliferative response: a CD4+ T cell regulatory mechanism. Proc Natl Acad Sci USA 2001; 98:12150–5PubMedCrossRef
24.
go back to reference Le Gal FA, Riteau B, Sedlik C, et al. HLA-G-mediated inhibition of antigen-specific cytotoxic T lymphocytes. Int Immunol 1999; 11:1351–6PubMedCrossRef Le Gal FA, Riteau B, Sedlik C, et al. HLA-G-mediated inhibition of antigen-specific cytotoxic T lymphocytes. Int Immunol 1999; 11:1351–6PubMedCrossRef
25.
go back to reference Riteau B, Menier C, Khalil-Daher I, et al. HLA-G1 co-expression boosts the HLA class I-mediated NK lysis inhibition. Int Immunol 2001; 13:193–201PubMedCrossRef Riteau B, Menier C, Khalil-Daher I, et al. HLA-G1 co-expression boosts the HLA class I-mediated NK lysis inhibition. Int Immunol 2001; 13:193–201PubMedCrossRef
26.
go back to reference Rebmann V, Regel J, Stolke D, et al. Secretion of sHLA-G molecules in malignancies. Semin Cancer Biol 2003; 13:371–7PubMedCrossRef Rebmann V, Regel J, Stolke D, et al. Secretion of sHLA-G molecules in malignancies. Semin Cancer Biol 2003; 13:371–7PubMedCrossRef
27.
go back to reference Sebti Y, Le Friec G, Pangault C, et al. Soluble HLA-G molecules are increased in lymphoproliferative disorders. Hum Immunol 2003; 64:1093–101PubMedCrossRef Sebti Y, Le Friec G, Pangault C, et al. Soluble HLA-G molecules are increased in lymphoproliferative disorders. Hum Immunol 2003; 64:1093–101PubMedCrossRef
28.
go back to reference Nuckel H, Rebmann V, Durig J, et al. HLA-G expression is associated with an unfavorable outcome and immunodeficiency in chronic lymphocytic leukemia. Blood 2005; 105:1694–8PubMedCrossRef Nuckel H, Rebmann V, Durig J, et al. HLA-G expression is associated with an unfavorable outcome and immunodeficiency in chronic lymphocytic leukemia. Blood 2005; 105:1694–8PubMedCrossRef
29.
go back to reference Ugurel S, Rebmann V, Ferrone S, et al. Soluble human leukocyte antigen-G serum level is elevated in melanoma patients and is further increased by interferon-alpha immunotherapy. Cancer 2001; 92:369–76PubMedCrossRef Ugurel S, Rebmann V, Ferrone S, et al. Soluble human leukocyte antigen-G serum level is elevated in melanoma patients and is further increased by interferon-alpha immunotherapy. Cancer 2001; 92:369–76PubMedCrossRef
30.
go back to reference Singer G, Rebmann V, Chen YC, et al. HLA-G is a potential tumor marker in malignant ascites. Clin Cancer Res 2003; 9:4460–4PubMed Singer G, Rebmann V, Chen YC, et al. HLA-G is a potential tumor marker in malignant ascites. Clin Cancer Res 2003; 9:4460–4PubMed
31.
go back to reference Ye SR, Yang H, Li K, et al. Human leukocyte antigen G (HLA-G) expression: as a significant prognostic indicator for patients with colorectal cancer. Modern Pathol 2007; 20:375–83CrossRef Ye SR, Yang H, Li K, et al. Human leukocyte antigen G (HLA-G) expression: as a significant prognostic indicator for patients with colorectal cancer. Modern Pathol 2007; 20:375–83CrossRef
32.
go back to reference Parkin DM, Bray FI, Devesa SS. Cancer burden in the year 2000: the global picture. Eur J Cancer 2001; 37(suppl):4–66CrossRef Parkin DM, Bray FI, Devesa SS. Cancer burden in the year 2000: the global picture. Eur J Cancer 2001; 37(suppl):4–66CrossRef
33.
go back to reference Yang L, Parkin DM, Ferlay J, et al. Estimates of cancer incidence in China for 2000 and projections for 2005. Cancer Epidemiol Biomarkers Prev 2005; 14:243–50PubMedCrossRef Yang L, Parkin DM, Ferlay J, et al. Estimates of cancer incidence in China for 2000 and projections for 2005. Cancer Epidemiol Biomarkers Prev 2005; 14:243–50PubMedCrossRef
34.
go back to reference Fenogilo-Preiser C, Carneiro F, Correa P, et al. Gastric carcinoma. In: Hamilton S, Aaltonin L (ed.) Pathology and Genetics. Tumors of the Digestive System, vol. 1, Lyon, France: Lyon Press, 2000:37–52 Fenogilo-Preiser C, Carneiro F, Correa P, et al. Gastric carcinoma. In: Hamilton S, Aaltonin L (ed.) Pathology and Genetics. Tumors of the Digestive System, vol. 1, Lyon, France: Lyon Press, 2000:37–52
35.
go back to reference Menier C, Saez B, Horejsi V, et al. Characterization of monoclonal antibodies recognizing HLA-G or HLA-E: new tools to analyze the expression of nonclassical HLA class I molecules. Hum Immunol 2003; 64:315–26PubMedCrossRef Menier C, Saez B, Horejsi V, et al. Characterization of monoclonal antibodies recognizing HLA-G or HLA-E: new tools to analyze the expression of nonclassical HLA class I molecules. Hum Immunol 2003; 64:315–26PubMedCrossRef
36.
go back to reference Alexander J, Watanabe T, Wu TT, et al. Histopathological identification of colon cancer with microsatellite instability. Am J Pathol 2001; 158:527–35PubMed Alexander J, Watanabe T, Wu TT, et al. Histopathological identification of colon cancer with microsatellite instability. Am J Pathol 2001; 158:527–35PubMed
37.
go back to reference Ferlay J, Bray F, Pisani P, et al. GLOBOCAN 2002: Cancer incidence, mortality and prevalence worldwide. Lyon: IARC Press, Cited April 15, 2005. Available from: URL: http://wwwdep.iarc.fr/ Ferlay J, Bray F, Pisani P, et al. GLOBOCAN 2002: Cancer incidence, mortality and prevalence worldwide. Lyon: IARC Press, Cited April 15, 2005. Available from: URL: http://​wwwdep.​iarc.​fr/​
38.
go back to reference Yang L. Incidence and mortality of gastric cancer in China. World J Gastroenterol 2006; 12:17–20PubMed Yang L. Incidence and mortality of gastric cancer in China. World J Gastroenterol 2006; 12:17–20PubMed
39.
go back to reference Crawford J. The gastrointestinal tract. In: Robbins SLCR, Kumar V, Schoen FJ (ed.) Pathologic Basis of Disease. Philadelphia: WB Saunders Co., 1994:755–83 Crawford J. The gastrointestinal tract. In: Robbins SLCR, Kumar V, Schoen FJ (ed.) Pathologic Basis of Disease. Philadelphia: WB Saunders Co., 1994:755–83
40.
go back to reference Pinto-de-sousa J, David L, Seixas M, et al. Clinicopathologic profiles and prognosis of gastric carcinoma from the cardia, fundus/body and antrum. Dig Surg 2001; 18:102–10PubMedCrossRef Pinto-de-sousa J, David L, Seixas M, et al. Clinicopathologic profiles and prognosis of gastric carcinoma from the cardia, fundus/body and antrum. Dig Surg 2001; 18:102–10PubMedCrossRef
41.
go back to reference Jemal A, Clegg LX, Ward E, et al. Annual report to the nation on the status of cancer, 1975–2001, with a special feature regarding survival. Cancer 2004; 101:3–27PubMedCrossRef Jemal A, Clegg LX, Ward E, et al. Annual report to the nation on the status of cancer, 1975–2001, with a special feature regarding survival. Cancer 2004; 101:3–27PubMedCrossRef
42.
go back to reference Dicken BJ, Bigam DL, Cass C, Mackey JR, Joy AA, Stewart M, Hamilton SM. Gastric Adenocarcinoma: Review and Considerations for Future Directions. Ann Surg 2005; 241:27–39PubMed Dicken BJ, Bigam DL, Cass C, Mackey JR, Joy AA, Stewart M, Hamilton SM. Gastric Adenocarcinoma: Review and Considerations for Future Directions. Ann Surg 2005; 241:27–39PubMed
43.
go back to reference Rouas-Freiss N, Philippe Moreau P, et al. HLA-G Proteins in Cancer: Do They Provide Tumor Cells with an Escape Mechanism? Cancer Res 2005; 65:10139–44PubMedCrossRef Rouas-Freiss N, Philippe Moreau P, et al. HLA-G Proteins in Cancer: Do They Provide Tumor Cells with an Escape Mechanism? Cancer Res 2005; 65:10139–44PubMedCrossRef
44.
go back to reference Malmberg KJ, Levitsky V, Norell H, et al. IFN-gamma protects short-term ovarian carcinoma cell lines from CTL lysis via a CD94/NKG2A-dependent mechanism J Clin Invest 2002; 110:1515–23PubMedCrossRef Malmberg KJ, Levitsky V, Norell H, et al. IFN-gamma protects short-term ovarian carcinoma cell lines from CTL lysis via a CD94/NKG2A-dependent mechanism J Clin Invest 2002; 110:1515–23PubMedCrossRef
Metadata
Title
Expression of Human Leukocyte Antigen G (HLA-G) Correlates with Poor Prognosis in Gastric Carcinoma
Authors
Shang-mian Yie
Hong Yang
Shang-rong Ye
Ke Li
Dan-dan Dong
Xin-mei Lin
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 10/2007
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-007-9464-y

Other articles of this Issue 10/2007

Annals of Surgical Oncology 10/2007 Go to the issue