Review Article

Role of Immune Escape Mechanisms in Hodgkin's Lymphoma Development and Progression: A Whole New World with Therapeutic Implications

Table 1

Recompilation of the different factors implicated in the tumoral immune escape in HL.

StrategyMechanismsRegulated factors

Tumoral protective actionUpregulation of growth and survival receptors expression [6]IL-7R, IL-9R, IL-13R, TACI, and CCR5 tumoral cells
Downregulation of transcription factors [71]IL-6R, TACI, RANK, TNFR-1, Cys-LT receptors, and NOTCH-1
Upregulation of Th2 cells attractant chemokines [28]TARC, MDC
Upregulation of apoptosis/proliferation modulators [20, 28, 7274]Fas, FasL, IL-1β, TGF-β, TNFR, IL-13, IL-3
Upregulation of immunoregulatory protein and regulatory T cells [27, 33]Gal-1, PD1
Downregulation of adhesion factors [79]HGF, c-MET
Downregulation of cytotoxic cells activity [75, 77, 126135]MHC I, PI9, IL-10, TGF-β, LAG-3, CTLA-4
Upregulation of inhibitory T cells activator [31]PGE2
Selection of minor side population [87, 88, 91]MDR1, ABCG2, gemcitabine resistance factor

Reprogramming of tumoral cellsMutations/downregulation of MHC class II [92]CIITA
Upregulation of death receptors ligands [33]PDL1
Upregulation of immunosuppressive factors [32, 93]TGF-β, PD-1

Tolerance induction by TAMMacrophage deviation to Th2 differentiation (TAM) [110, 112, 113]IL-6, TNF, IL-1β, IL-23
Upregulation of inflammatory and matrix-remodeling genes [125]C1Qalpha, C1Qbeta, and CXCL9

Tolerance induction by TregsConversion of naïve regulatory T cells to CD4+ CD25+ [101, 102]Foxp3
Dowregulation of CTL activity [104, 105]IL-2Rα (CD25), Il-10, TNF-β