RT Journal Article SR Electronic T1 The MAPK Pathway Is a Predominant Regulator of HLA-A Expression in Esophageal and Gastric Cancer JF The Journal of Immunology JO J. Immunol. FD American Association of Immunologists SP 6261 OP 6272 DO 10.4049/jimmunol.1301597 VO 191 IS 12 A1 Mimura, Kousaku A1 Shiraishi, Kensuke A1 Mueller, Anja A1 Izawa, Shinichiro A1 Kua, Ley-Fang A1 So, Jimmy A1 Yong, Wei-Peng A1 Fujii, Hideki A1 Seliger, Barbara A1 Kiessling, Rolf A1 Kono, Koji YR 2013 UL http://www.jimmunol.org/content/191/12/6261.abstract AB Downregulation of HLA class I expression may contribute to a poor prognosis in cancer patients. There is limited information about epigenetic and oncogenic regulation of HLA class I, and multiple mechanisms may be involved. In the current study, we examined the relationship between the HER2-signaling pathway (MAPK and PI3K-Akt) and the expression of HLA class I and Ag-processing machinery (APM) components. A panel of gastric and esophageal cancer cell lines was treated with wortmannin as an Akt-signal inhibitor; the MAPK signal inhibitor PD98059; lapatinib, which inhibits both the epidermal growth factor receptor and HER2 tyrosine kinase; or siRNA for MAPK. The levels of HER2-signaling molecules, APM components, and HLA class I were evaluated by Western blot, quantitative PCR, and flow cytometry. Resected gastric tumor tissues (n = 102) were analyzed for p-Erk and HLA class I expression by immunohistochemistry. As a result, inhibition of the MAPK pathway induced upregulation of HLA-A02 and HLA-A24 expression in parallel with an increase in APM components and enhanced target sensitivity to tumor Ag–specific CTL lysis. HLA-A expression was predominantly regulated by the MAPK pathway, but it was also influenced, in part, by the Akt pathway. There was a strong inverse correlation between p-Erk expression and HLA class I expression in clinical tumor samples. In conclusion, HLA-A expression is predominantly regulated by the MAPK pathway in gastric and esophageal cancer.