PMID- 28446541 OWN - NLM STAT- MEDLINE DCOM- 20171204 LR - 20190221 IS - 1472-4146 (Electronic) IS - 0021-9746 (Linking) VI - 70 IP - 12 DP - 2017 Dec TI - Nuclear survivin expression correlates with endoglin-assessed microvascularisation in laryngeal carcinoma. PG - 1033-1037 LID - 10.1136/jclinpath-2016-204230 [doi] AB - AIMS: Survivin-a member of the family of inhibitor of apoptosis proteins that control cell division, apoptosis and metastasis-is overexpressed in virtually all human cancers, including laryngeal squamous cell carcinoma (LSCC). Recent findings also correlate survivin expression with the regulation of angiogenesis. The novel main aim of this study was a preliminary investigation into the potential role of survivin expression in LSCC neoangiogenesis, as determined by endoglin-assessed microvascular density (MVD). METHODS: Immunohistochemical expression of nuclear survivin and endoglin-assessed MVD were ascertained by image analysis in 75 consecutive LSCCs. RESULTS: Statistical analysis disclosed a strong direct correlation between nuclear survivin expression and MVD. Patients whose nuclear survivin expression was >/=6.0% had a significantly higher LSCC recurrence rate, and a significantly shorter disease-free survival (DFS) than those with a nuclear survivin expression <6.0%. The LSCC recurrence rate was also higher and the DFS shorter in patients with endoglin-assessed MVD >/=6.89%. The OR for recurrence was 2.79 in patients with LSCC with a nuclear survivin expression >/=6.0%, and 12.31 in those with an MVD>/=6.89%. CONCLUSIONS: Survivin-targeting strategies to enhance tumour cell response to apoptosis and inhibit tumour growth should receive more attention with a view to developing agents for use in multimodality advanced LSCC treatment, or combined with conventional chemotherapy. Given the present preliminary evidence in LSCC, survivin targeting should also be further investigated for anti-angiogenic purposes, to reduce tumour blood flow and induce cancer necrosis. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. FAU - Marioni, Gino AU - Marioni G AD - Department of Neurosciences DNS, Otolaryngology Section, University of Padova, Padova, Italy. FAU - Ottaviano, Giancarlo AU - Ottaviano G AD - Department of Neurosciences DNS, Otolaryngology Section, University of Padova, Padova, Italy. FAU - Marchese-Ragona, Rosario AU - Marchese-Ragona R AD - Department of Neurosciences DNS, Otolaryngology Section, University of Padova, Padova, Italy. FAU - Fasanaro, Elena AU - Fasanaro E AD - Department of Radiotherapy, Veneto Institute of Oncology, IOV-IRCCS, Padova, Italy. FAU - Tealdo, Giulia AU - Tealdo G AD - Department of Neurosciences DNS, Otolaryngology Section, University of Padova, Padova, Italy. FAU - Zanotti, Claudia AU - Zanotti C AD - Department of Neurosciences DNS, Otolaryngology Section, University of Padova, Padova, Italy. FAU - Randon, Benedetto AU - Randon B AD - Department of Neurosciences DNS, Otolaryngology Section, University of Padova, Padova, Italy. FAU - Giacomelli, Luciano AU - Giacomelli L AD - Department of Medicine DIMED, University of Padova, Italy. FAU - Stellini, Edoardo AU - Stellini E AD - Department of Neurosciences DNS, Odontostomatology Institute, University of Padova, Padova, Italy. FAU - Blandamura, Stella AU - Blandamura S AD - Department of Medicine DIMED, University of Padova, Italy. LA - eng PT - Journal Article DEP - 20170426 PL - England TA - J Clin Pathol JT - Journal of clinical pathology JID - 0376601 RN - 0 (BIRC5 protein, human) RN - 0 (Biomarkers, Tumor) RN - 0 (ENG protein, human) RN - 0 (Endoglin) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Survivin) SB - IM MH - Aged MH - Biomarkers, Tumor/*analysis MH - Carcinoma, Squamous Cell/*chemistry/mortality/pathology/surgery MH - Cell Nucleus/*chemistry/pathology MH - Disease-Free Survival MH - Endoglin/*analysis MH - Female MH - Head and Neck Neoplasms/*chemistry/mortality/pathology/surgery MH - Humans MH - Immunohistochemistry MH - Inhibitor of Apoptosis Proteins/*analysis MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*chemistry/mortality/pathology/surgery MH - Male MH - Microvessels/*chemistry/pathology MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Odds Ratio MH - Risk Factors MH - Squamous Cell Carcinoma of Head and Neck MH - Survivin MH - Time Factors OTO - NOTNLM OT - ANGIOGENESIS OT - CARCINOMA OT - LARYNX COIS- Competing interests: None declared. EDAT- 2017/04/28 06:00 MHDA- 2017/12/05 06:00 CRDT- 2017/04/28 06:00 PHST- 2016/11/14 00:00 [received] PHST- 2017/03/02 00:00 [revised] PHST- 2017/04/08 00:00 [accepted] PHST- 2017/04/28 06:00 [pubmed] PHST- 2017/12/05 06:00 [medline] PHST- 2017/04/28 06:00 [entrez] AID - jclinpath-2016-204230 [pii] AID - 10.1136/jclinpath-2016-204230 [doi] PST - ppublish SO - J Clin Pathol. 2017 Dec;70(12):1033-1037. doi: 10.1136/jclinpath-2016-204230. Epub 2017 Apr 26.