PMID- 22549618 OWN - NLM STAT- MEDLINE DCOM- 20121005 LR - 20190221 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 122 IP - 8 DP - 2012 Aug TI - Immunohistochemical expression patterns of the HER4 receptors in normal mucosa and in laryngeal squamous cell carcinomas: antioncogenic significance of the HER4 protein in laryngeal squamous cell carcinoma. PG - 1724-33 LID - 10.1002/lary.23311 [doi] AB - OBJECTIVES/HYPOTHESIS: The prognosis for laryngeal squamous cell carcinoma (LSCC) has not shown any improvement in the last 30 years because of inadequate prognostic stratification. Therefore, the detection of reliable molecular markers may have a significant impact on clinical practice. As promising data regarding HER1/EGFR have been published, the purpose of the present study was to elucidate the role of the other receptors of the HER family. STUDY DESIGN: Retrospective. METHODS: We used quantitative immunohistochemistry to evaluate the expression pattern of the HER4 receptors cytokeratin (CK)-14, CK-17, and proliferating cell nuclear antigen in 67 LSCCs and assessed correlations with various prognostic parameters. RESULTS: HER1 levels inversely correlated with those of HER2-4. The negative prognostic value of HER1 was confirmed, and a protective role for HER2-4 was found. Specifically, the overexpression of HER4 and its nuclear localization are protective and are associated with a better prognosis. CONCLUSIONS: Semiquantitative evaluation of HER2-4 provides predictive information that can be combined with HER1 expression data for molecular characterization of LSCC. The pattern of localization of HER4 is an easily evaluable qualitative parameter with a clear correlation with prognosis. The immunohistochemical methods described in this article are reliable, reproducible, and potentially translatable to clinical practice. CI - Copyright (c) 2012 The American Laryngological, Rhinological, and Otological Society, Inc. FAU - Bussu, Francesco AU - Bussu F AD - Department of Otolaryngology, Catholic University of the Sacred Heart, Rome. francescobussu@yahoo.it FAU - Ranelletti, Franco O AU - Ranelletti FO FAU - Gessi, Marco AU - Gessi M FAU - Graziani, Cristina AU - Graziani C FAU - Lanza, Paola AU - Lanza P FAU - Lauriola, Libero AU - Lauriola L FAU - Paludetti, Gaetano AU - Paludetti G FAU - Almadori, Giovanni AU - Almadori G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120501 PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Keratin-14) RN - 0 (Keratin-17) RN - 0 (Proliferating Cell Nuclear Antigen) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ERBB4 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-4) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*pathology/therapy MH - Chemoradiotherapy, Adjuvant MH - Combined Modality Therapy MH - ErbB Receptors/*analysis MH - Female MH - Follow-Up Studies MH - Head and Neck Neoplasms/*pathology/therapy MH - Humans MH - *Immunoenzyme Techniques MH - Keratin-14/analysis MH - Keratin-17/analysis MH - Laryngeal Mucosa/pathology MH - Laryngeal Neoplasms/*pathology/therapy MH - Laryngectomy MH - Larynx/pathology MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neck Dissection MH - Neoplasm Grading MH - Neoplasm Staging MH - Prognosis MH - Proliferating Cell Nuclear Antigen/analysis MH - Receptor, ErbB-4 MH - Sensitivity and Specificity MH - Squamous Cell Carcinoma of Head and Neck EDAT- 2012/05/03 06:00 MHDA- 2012/10/06 06:00 CRDT- 2012/05/03 06:00 PHST- 2011/10/12 00:00 [received] PHST- 2012/01/21 00:00 [revised] PHST- 2012/02/27 00:00 [accepted] PHST- 2012/05/03 06:00 [entrez] PHST- 2012/05/03 06:00 [pubmed] PHST- 2012/10/06 06:00 [medline] AID - 10.1002/lary.23311 [doi] PST - ppublish SO - Laryngoscope. 2012 Aug;122(8):1724-33. doi: 10.1002/lary.23311. Epub 2012 May 1.