PMID- 20052590 OWN - NLM STAT- MEDLINE DCOM- 20100914 LR - 20211020 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 267 IP - 7 DP - 2010 Jul TI - Laryngeal carcinoma lymph node metastasis and disease-free survival correlate with MASPIN nuclear expression but not with EGFR expression: a series of 108 cases. PG - 1103-10 LID - 10.1007/s00405-009-1186-2 [doi] AB - Despite advances in laryngeal squamous cell carcinoma (LSCC) treatment, patient survival has not improved in the last two decades. Novel, more effective strategies should be based on receptor-mediated LSCC-targeted therapy. The epidermal growth factor receptor (EGFR) is the most widely studied molecular target. MASPIN multifaceted anti-tumor effects have been rarely evaluated in LSCC. The aims of this study were to investigate EGFR and MASPIN expression and the role of sub-cellular MASPIN localization in LSSC. MASPIN and EGFR expression and the sub-cellular localization of MASPIN were assessed using a computerized image analysis system in 108 consecutive cases of operable LSCC. The rates of occurrence of lymph node metastases and recurrent disease were lower in patients with a nuclear pattern of MASPIN expression (p = 0.004, p = 0.0028). As expected, the loco-regional recurrence rate was lower in N0 patients (p = 0.009), but the disease recurrence rate was even lower in N0 patients with a nuclear localization of MASPIN (p = 0.020). Disease-free survival was longer in cases of LSCC with a nuclear MASPIN pattern (p = 0.003). The intensity of EGFR reactivity and the EGFR area fraction were unrelated to the clinico-pathological and prognostic parameters in LSCC. A nuclear MASPIN pattern is a promising prognostic indicator in LSCC, but further evidence is needed before elective neck dissection can be considered for cN0 LSCCs with a non-nuclear MASPIN pattern. Although a better understanding of the mechanisms behind sub-cellular MASPIN localization is mandatory, re-activating nuclear MASPIN in association with specific chemotherapeutic agents may be an important goal in the treatment of LSCC. FAU - Marioni, Gino AU - Marioni G AD - Otolaryngology Section, Department of Medical and Surgical Specialties, University of Padova, Via Giustiniani 2, 35128 Padua, Italy. gino.marioni@unipd.it FAU - Staffieri, Alberto AU - Staffieri A FAU - Bertolin, Andy AU - Bertolin A FAU - Giacomelli, Luciano AU - Giacomelli L FAU - D'Alessandro, Emiliano AU - D'Alessandro E FAU - Ottaviano, Giancarlo AU - Ottaviano G FAU - Accordi, Daria AU - Accordi D FAU - Stramare, Roberto AU - Stramare R FAU - de Filippis, Cosimo AU - de Filippis C FAU - Blandamura, Stella AU - Blandamura S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100106 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 RN - 0 (SERPIN-B5) RN - 0 (Serpins) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Analysis of Variance MH - Biopsy MH - Carcinoma, Squamous Cell/*metabolism/pathology MH - Chi-Square Distribution MH - Diagnostic Imaging MH - Disease-Free Survival MH - ErbB Receptors/*metabolism MH - Female MH - Humans MH - Immunoenzyme Techniques MH - Laryngeal Neoplasms/*metabolism/pathology MH - Laryngectomy MH - Laryngoscopy MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Neoplasm Staging MH - Prognosis MH - Proportional Hazards Models MH - Serpins/*metabolism EDAT- 2010/01/07 06:00 MHDA- 2010/09/15 06:00 CRDT- 2010/01/07 06:00 PHST- 2009/09/27 00:00 [received] PHST- 2009/12/16 00:00 [accepted] PHST- 2010/01/07 06:00 [entrez] PHST- 2010/01/07 06:00 [pubmed] PHST- 2010/09/15 06:00 [medline] AID - 10.1007/s00405-009-1186-2 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2010 Jul;267(7):1103-10. doi: 10.1007/s00405-009-1186-2. Epub 2010 Jan 6.