Evidence map›Paper›PMID 40673641›Full record

ReviewClinical and translational medicine2025

Decoding MHC loss: Molecular mechanisms and implications for immune resistance in cancer.

Pei Lin, Yunfan Lin, Xu Chen, Xinyuan Zhao, Li Cui

Abstract readReview
In one paragraph

Review in Clinical and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
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  12. The YYR (YY1- RKIP) Regulatory Axis in the pathogenesis of Cancer and Immune Evasion.Journal of experimental & clinical cancer research : CR · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pei LinSchool of Stomatology, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yunfan LinSchool of Stomatology, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xu ChenSchool of Stomatology, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xinyuan ZhaoSchool of Stomatology, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0003-4770-8877
Li CuiSchool of Stomatology, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-9814-6945

Funding

Guangdong Provincial Science and Technology Project Foundation 2022A0505050038National Natural Science Foundation of China 81901006National Natural Science Foundation of China 82372905Science and Technology Program of Guangzhou 2025A04J3464Science Research Cultivation Program of Stomatological Hospital PY2020002Scientific Research Talent Cultivation Project of Stomatological HospitalSouthern Medical University RC202005Young Top-notch Talent of Pearl River Talent Plan 0920220228
6 · The paper itself

Abstract

Loss or downregulation of major histocompatibility complex (MHC) molecules represents a key mechanism by which tumours escape immune recognition and acquire resistance to immunotherapeutic interventions. This review focuses on the central regulatory pathways. These includes transcriptional repression, lysosomal degradation, and post-translational modifications that disrupt MHC stability, trafficking, and surface expression. We highlight how these mechanisms impair antigen presentation and contribute to tumour immune evasion. In addition, we explore emerging therapeutic strategies focused on reactivating MHC expression to enhance tumour immunogenicity and improve the efficacy of immunotherapy. Finally, we discuss the translational potential of these approaches and the remaining challenges, including tumour heterogeneity, immunotoxicity and dynamic regulation within the tumour microenvironment, that must be addressed to optimize MHC-targeted interventions in cancer immunotherapy. HIGHLIGHTS: Tumour cells evade immune surveillance by downregulating MHC expression through transcriptional repression, lysosomal degradation and post-translational modifications. Pharmacological agents interventing epigenetic and metabolic can upregulate MHC expression and improve T cell activation. Combination strategies potentiate immunotherapy efficacy by reinvigorating tumour immunogenicity.

Indexed as

Major Histocompatibility ComplexNeoplasmsHumansImmunotherapyTumor Microenvironmentcancer immunotherapyimmune responsesMHC losstumour microenvironment

Identifiers

PMID40673641
PMCPMC12268796

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.