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HLA class II expression on tumor cells and low numbers of tumor-associated macrophages predict clinical outcome in oropharyngeal cancer.

Bianca Cioni ,
Ekaterina S Jordanova ,
Erik Hooijberg ,
Rianne van der Linden ,
Renee X de Menezes ,
Katherine Tan ,
Stefan Willems ,
Joris B W Elbers ,
Annegien Broeks ,
Andries M Bergman ,
Charlotte L Zuur ,
Jan Paul de Boer

Abstract

METHODS

A comprehensive multivariate analysis with clinical and immune variables (human leukocyte antigen [HLA] I/II, programmed death ligand 1 (PD-L1), programmed death receptor 1 (PD1), T cells, and macrophages) was performed in 142 OPSCC patients.

CONCLUSIONS

\We identified new prognostic markers for patients with oropharyngeal cancer, which can be used for selecting patients that can benefit from immunotherapy.

RESULTS

We found an inverse correlation between the expression of HLA class II molecules on tumor cells and CD68+ CD163+ tumor-associated macrophages (TAMs). High HLA-DP/DQ/DR expression and low number of TAMs were associated with longer disease-specific survival and disease-free survival (DFS). Furthermore, a new population of CD8+ FoxP3+ T cells was correlated with shorter DFS in multivariate analysis.

BACKGROUND

Human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma (OPSCC) is a highly immunogenic tumor and differences in tumor microenvironment might contribute to the improved survival of HPV-positive OPSCC patient.

More about this publication

Head & neck

Volume 41
Issue nr. 2
Pages 463-478
Publication date 01-02-2019

Full text links

Publisher website (DOI) 10.1002/hed.25442
Europe PubMed Central 30549362
Pubmed 30549362

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