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3 Natalia Aptsiauri Angel Miguel Garcia-Lora Teresa Cabrera MHC Class I Antigens In Malignant Cells Immune Escape and Response to Immunotherapy

4 Natalia Aptsiauri Servicio de Análisis Clínicos Hosp. Universitario Virgen de las Nieves Granada, Spain Angel Miguel Garcia-Lora Servicio de Análisis Clínicos Hosp. Universitario Virgen de las Nieves Granada, Spain Teresa Cabrera Departamento de Bioquímica y Biología Molecular III e Inmunología Universidad de Granada Granada, Spain ISBN ISBN (ebook) DOI / Springer New York Heidelberg Dordrecht London Library of Congress Control Number: Teresa Cabrera 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a speci fi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (

5 Acknowledgments We would like to thank David Diez Cabrera a professional artist for the fi gures. We would also like to acknowledge all the contributions of the students and investigators who have been part of the large research group at the Department of Clinical Analysis at the Virgen de las Nieves University Hospital in Granada, Spain. This work has been supported over the years by grants from the Fondo de Investigaciones Sanitarias (FIS), Red Genomica del Cancer (RETIC), Plan Andaluz de Investigación (Group CTS-143), Servicio Andaluz de Salud (SAS), Plan Nacional de Investigación Cientí fi ca, Desarrollo e Innovación Tecnológica (Proyectos SAF , and SAF ) in Spain; and from different European projects. v

6

7 Contents 1 Overview of MHC Class I Antigens... 1 MHC Class I Genes and Molecules... 1 MHC Class I Antigen Processing, Transport, and Assembly... 2 The Role of MHC Antigens in T- and NK-Cell-Mediated Immunity... 4 Mechanisms of Cancer Immune Escape... 5 References HLA Class I Expression in Human Cancer Altered HLA Class I Expression in Malignant Cells Difficulties to Define HLA Class I Altered Phenotypes in Tumor Tissue Reversible and Irreversible Molecular Defects Underlying Altered Expression of HLA Class I Antigens on Tumor Cells Reversible Defects Irreversible Alterations Correlation Between HLA Class I Defects and Cancer Progression in Humans Role of HLA Class I Altered Expression in Resistance to Immunotherapy HLA and Resistance to Immunotherapy in Melanoma and Bladder Cancer References MHC Class I Expression in Experimental Mouse Models of Cancer: Immunotherapy of Tumors with Different MHC-I Expression Patterns Immunotherapy of Primary Tumors with Different Levels of MHC-I Expression Immunotherapy Against Metastases Derived from Primary Tumors with Different MHC-I Cell Surface Expression vii

8 viii Contents Immunotherapy Used as Anti-metastatic Treatment in a Murine Tumor Model Composed of Several Clones with Different MHC-I Expression GR9 Murine Tumor Model In Vivo Local Growth and Metastatic Capacity of the Studied Fibrosarcoma Clones Immunotherapy as Anti-metastatic Treatment of A7 Fibrosarcoma Clone with High Level of MHC-I Expression Immunotherapy as Anti-metastatic Treatment of B7 Clone with an Intermediate Level of MHC-I Expression Immunotherapy as Anti-metastatic Treatment Against Metastatic Colonization Generated from GR9 Fibrosarcoma Cells Chapter Summary References Potential Therapeutic Approaches for Increasing Tumor Immunogenicity by Upregulation of Tumor HLA Class I Expression References Conclusions... 51

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