MHC class I antigens are lost or downregulated in invasive tumors comp
ared with autologous normal tissues. This is observed in most of the n
ewly induced experimental tumors analyzed if they are cloned before pa
ssaging in vivo. Similarly, this is observed in 40%-90% of human tumor
s using the available panel of anti-HLA class I monoclonal antibodies.
In both systems the tumor populations are heterogeneous for H-2/HLA e
xpression and composed of clones that express different amounts of MHC
class I antigens. This heterogeneity may have a profound influence on
tumor behavior, considering the role that MHC antigens play in T and
natural killer cell-mediated responses. It is possible that the tumor
escape mechanisms from T and natural killer cells select variants that
express a particular MHC class I altered phenotype. We review the MHC
changes detected in different experimental as well as human tumors an
d demonstrate the relevance of these altered H-2/HLA tumor phenotypes
for implementing immunotherapeutic strategies based on T or natural ki
ller cell-mediated responses.