RT Journal Article T1 The Escape of Cancer from T Cell-Mediated Immune Surveillance: HLA Class I Loss and Tumor Tissue Architecture A1 Garrido, Federico A1 Perea, Francisco A1 Bernal, Mónica A1 Sánchez-Palencia, Abel A1 Aptsiauri, Natalia A1 Ruiz-Cabello, Francisco K1 HLA class I loss K1 Tumor infiltrating lymphocytes (TILs) K1 Tumor immune escape K1 Humanos K1 Inmunoterapia K1 Activación de linfocitos K1 Macrófagos K1 Mutación K1 Neoplasia K1 Linfocitos t citotóxicos K1 Escape del Tumor K1 Microambiente tumoral AB Tumor immune escape is associated with the loss of tumor HLA class I (HLA-I) expression commonly found in malignant cells. Accumulating evidence suggests that the efficacy of immunotherapy depends on the expression levels of HLA class I molecules on tumors cells. It also depends on the molecular mechanism underlying the loss of HLA expression, which could be reversible/"soft" or irreversible/"hard" due to genetic alterations in HLA, β2-microglobulin or IFN genes. Immune selection of HLA-I negative tumor cells harboring structural/irreversible alterations has been demonstrated after immunotherapy in cancer patients and in experimental cancer models. Here, we summarize recent findings indicating that tumor HLA-I loss also correlates with a reduced intra-tumor T cell infiltration and with a specific reorganization of tumor tissue. T cell immune selection of HLA-I negative tumors results in a clear separation between the stroma and the tumor parenchyma with leucocytes, macrophages and other mononuclear cells restrained outside the tumor mass. Better understanding of the structural and functional changes taking place in the tumor microenvironment may help to overcome cancer immune escape and improve the efficacy of different immunotherapeutic strategies. We also underline the urgent need for designing strategies to enhance tumor HLA class I expression that could improve tumor rejection by cytotoxic T-lymphocytes (CTL). PB MDPI YR 2017 FD 2017-02-27 LK http://hdl.handle.net/10668/2691 UL http://hdl.handle.net/10668/2691 LA en NO Garrido F, Perea F, Bernal M, Sánchez-Palencia A, Aptsiauri N, Ruiz-Cabello F. The Escape of Cancer from T Cell-Mediated Immune Surveillance: HLA Class I Loss and Tumor Tissue Architecture. Vaccines (Basel). 2017;5(1). pii: E7 NO (This article belongs to the Special Issue Mechanisms of Tumor Escape from Host Immunity) DS RISalud RD Apr 4, 2025