PMID- 26511677 OWN - NLM STAT- MEDLINE DCOM- 20160803 LR - 20160322 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 126 IP - 4 DP - 2016 Apr TI - The prognostic role of E-cadherin and beta-catenin overexpression in laryngeal squamous cell carcinoma. PG - E148-55 LID - 10.1002/lary.25736 [doi] AB - OBJECTIVES/HYPOTHESIS: Epithelial-to-mesenchymal transition (EMT) consists of a rapid and reversible change in the cellular phenotype toward the mesenchymal cell phenotype that facilitates cell migration and invasion of the tumor into surrounding tissues followed by metastasis. In the present study, we sought to determine the clinical significance of E-cadherin, N-cadherin, beta-catenin, alpha-catenin, gamma-catenin, caveolin-1, and vimentin in a cohort of patients with stage I to IVA laryngeal squamous cell carcinoma (LSCC) treated with surgery with or without adjuvant therapy using immunohistochemical analyses. STUDY DESIGN: Individual retrospective cohort study. METHODS: E-cadherin, N-cadherin, beta-catenin, alpha-catenin, gamma-catenin, caveolin-1, and vimentin immunohistochemical expression were evaluated in a cohort of 82 patients with stages I to IVA LSCC. The Fisher exact test was used for categorical variables, and the Mann-Whitney test where appropriate for continuous variables. Survival comparisons was performed using the log-rank test. A multivariate analysis using the Cox proportional hazards model was performed and considered all EMT markers. RESULTS: In multivariate analysis, T stage was an independent risk factor for adverse disease-specific survival (DSS) and overall survival (OS) (P = .025 and .019, respectively). Cytoplasmic beta-catenin overexpression was independently associated with a longer DSS (P = .0007), and E-cadherin overexpression was found to be an independent risk factor for poor OS (P = .030). CONCLUSIONS: E-cadherin and beta-catenin pathways could represent future therapeutic targets in the treatment of LSCC. However, validation of our results in prospective cohorts of patients with LSCCs is required before their clinical implementation. LEVEL OF EVIDENCE: NA. CI - (c) 2015 The American Laryngological, Rhinological and Otological Society, Inc. FAU - Greco, Antonio AU - Greco A AD - Department Organs of Sense, ENT Section, "Sapienza" University of Rome, Rome, Italy. FAU - De Virgilio, Armando AU - De Virgilio A AD - Department Organs of Sense, ENT Section, "Sapienza" University of Rome, Rome, Italy. AD - Department of Surgical Science, "Sapienza" University of Rome, Rome, Italy. FAU - Rizzo, Maria Ida AU - Rizzo MI AD - Department of Surgical Science, "Sapienza" University of Rome, Rome, Italy. FAU - Pandolfi, Fabio AU - Pandolfi F AD - Department Organs of Sense, ENT Section, "Sapienza" University of Rome, Rome, Italy. FAU - Rosati, Davide AU - Rosati D AD - Department Organs of Sense, ENT Section, "Sapienza" University of Rome, Rome, Italy. FAU - de Vincentiis, Marco AU - de Vincentiis M AD - Department Organs of Sense, ENT Section, "Sapienza" University of Rome, Rome, Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151029 PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Cadherins) RN - 0 (beta Catenin) SB - IM MH - Adult MH - Aged MH - Cadherins/*biosynthesis/genetics MH - Carcinoma, Squamous Cell/genetics/*metabolism MH - Cohort Studies MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Laryngeal Neoplasms/genetics/*metabolism MH - Male MH - Middle Aged MH - Prognosis MH - Retrospective Studies MH - beta Catenin/*biosynthesis/genetics OTO - NOTNLM OT - E-cadherin OT - caveolin-1 OT - epithelial-to-mesenchymal transition OT - larynx carcinoma OT - beta-catenin EDAT- 2015/10/30 06:00 MHDA- 2016/08/04 06:00 CRDT- 2015/10/30 06:00 PHST- 2015/06/16 00:00 [received] PHST- 2015/09/09 00:00 [revised] PHST- 2015/09/22 00:00 [accepted] PHST- 2015/10/30 06:00 [entrez] PHST- 2015/10/30 06:00 [pubmed] PHST- 2016/08/04 06:00 [medline] AID - 10.1002/lary.25736 [doi] PST - ppublish SO - Laryngoscope. 2016 Apr;126(4):E148-55. doi: 10.1002/lary.25736. Epub 2015 Oct 29.