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免疫组化检测 YAP 和 dNp63 以及癌前病变和口腔鳞状细胞癌患者的生存分析。

Immunohistochemistry of YAP and dNp63 and survival analysis of patients bearing precancerous lesion and oral squamous cell carcinoma.

机构信息

Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

出版信息

Int J Med Sci. 2019 May 28;16(5):766-773. doi: 10.7150/ijms.29995. eCollection 2019.

Abstract

Yes-associated protein (YAP) is a candidate oncogene in various human cancers, and recently, it has been reported that YAP expression and its activity was enhanced by ΔNp63. However, the role of YAP and ΔNp63 expression in carcinogenesis and progression of oral squamous cell carcinoma (OSCC) has been unknown. Therefore, we investigated how YAP and ΔNp63 influence carcinogenesis and progression of OSCC. We performed immunohistochemical analyses in whole tissue samples to investigate YAP and ΔNp63 expression in normal oral mucosa, epithelial hyperplasia, oral epithelial dysplasia (OED; low/high grade), carcinoma (CIS), and OSCC. Furthermore, in OSCC, we analyzed clinical significance by using Kaplan-Meier survival analysis. In normal oral mucosa and epithelial hyperplasia, YAP expression was primarily confined to the basal and parabasal layers, but YAP expression was elevated in OED, CIS, and OSCC. In OED, YAP and ΔNp63 expression levels were markedly higher in high grade than in low grade. In OSCC groups, YAP and ΔNp63 expression patterns tended to differ according to histopathological differentiation of OSCC. Furthermore, the YAP high expression group, which showed YAP staining in >50% positive cells with strong cytoplasmic staining or >10% positive cells with nuclear reactivity, showed a tendency to have a poor survival rate. YAP and ΔNp63 expression levels correlated with grade of oral OED. Additionally, YAP expression was associated with OSCC survival rate. Our results suggested that YAP and ΔNp63 expression might serve as predictive markers to distinguish OSCC development and progression.

摘要

Yes 相关蛋白(YAP)是多种人类癌症中的候选癌基因,最近有报道称,ΔNp63 增强了 YAP 的表达及其活性。然而,YAP 和 ΔNp63 表达在口腔鳞状细胞癌(OSCC)发生和进展中的作用尚不清楚。因此,我们研究了 YAP 和 ΔNp63 如何影响 OSCC 的发生和进展。我们对全组织样本进行了免疫组织化学分析,以研究正常口腔黏膜、上皮增生、口腔上皮异型增生(OED;低/高级别)、癌前病变(CIS)和 OSCC 中的 YAP 和 ΔNp63 表达。此外,在 OSCC 中,我们使用 Kaplan-Meier 生存分析来分析临床意义。在正常口腔黏膜和上皮增生中,YAP 表达主要局限于基底层和副基底层,但在 OED、CIS 和 OSCC 中 YAP 表达上调。在 OED 中,YAP 和 ΔNp63 的表达水平在高级别中明显高于低级别。在 OSCC 组中,YAP 和 ΔNp63 的表达模式根据 OSCC 的组织病理学分化而有所不同。此外,YAP 高表达组(YAP 染色阳性细胞>50%,细胞质染色强或阳性细胞>10%,核反应性)的生存率有下降趋势。YAP 和 ΔNp63 的表达水平与口腔 OED 的分级相关。此外,YAP 表达与 OSCC 生存率相关。我们的结果表明,YAP 和 ΔNp63 的表达可能作为预测标志物,用于区分 OSCC 的发展和进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/024e/6566736/9e9f536f7a20/ijmsv16p0766g001.jpg

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