Prognostic significance of YAP1 expression and its association with neuroendocrine markers in resected pulmonary large cell neuroendocrine carcinoma (LCNEC)

Copyright © 2022. Published by Elsevier Inc..

BACKGROUND: YAP1 (Yes-associated protein 1), an important effector of the Hippo pathway, acts as an oncogene and is overexpressed in various malignant tumors. However, the function and expression pattern of YAP1 in pulmonary large cell neuroendocrine carcinoma (LCNEC) have not been systematically established. This study aimed to explore the relationship between YAP1 expression and neuroendocrine differentiation markers and their prognostic significance in LCNEC.

MATERIALS AND METHODS: YAP1 protein and neuroendocrine markers (INSM1, NeuroD1 and DLL3) expression were examined by immunohistochemical (IHC) staining in 80 resected pulmonary LCNEC cases. The possible association between these markers and clinicopathological features was evaluated and survival analyses were performed.

RESULTS: YAP1 was highly expressed in 25% LCNECs (20/80) , especially at a relatively higher T stage (p = 0.015). YAP1 expression was negatively correlated with INSM1 (χ2=11.53, p = 0.001) and DLL3(χ2=8.55, p = 0.004), but not with NeuroD1 (p = 0.482). For survival analyses, YAP1 expression was associated with worse disease-free survival (DFS) and overall survival (OS) (median DFS: 13 months vs. not reached (NR), p = 0.0096; median OS: not reached, NR vs. NR, p = 0.038), and was an unfavorable prognostic factor for DFS (HR:3.285; 95%CI: 1.526-7.071, p = 0.002) and OS (HR: 2.864, 95% CI: 0.932-8.796, p = 0.066).

CONCLUSIONS: YAP1 was found to be conversely correlated with neuroendocrine markers and a prognostic factor for worse survival in resected LCNEC patients, and mechanisms need to be further investigated.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Translational oncology - 25(2022) vom: 01. Nov., Seite 101538

Sprache:

Englisch

Beteiligte Personen:

Sun, Xujie [VerfasserIn]
Zhang, Jinyao [VerfasserIn]
Dong, Jiyan [VerfasserIn]
Liu, Li [VerfasserIn]
Li, Xue [VerfasserIn]
Xing, Puyuan [VerfasserIn]
Ying, Jianming [VerfasserIn]
Che, Yiqun [VerfasserIn]
Li, Junling [VerfasserIn]
Yang, Lin [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
NE-related marker
Pulmonary LCNEC
YAP1

Anmerkungen:

Date Revised 24.09.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.tranon.2022.101538

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346205581