RT Journal Article SR Electronic T1 Protein and mRNA Expression of Notch Pathway Components in Operable Tumors of Patients with Laryngeal Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 6495 OP 6503 VO 34 IS 11 A1 KRIKELIS, DIMITRIOS A1 KOTOULA, VASSILIKI A1 BOBOS, MATTHEOS A1 FOUNTZILAS, ELENA A1 MARKOU, KONSTANTINOS A1 KARASMANIS, ILIAS A1 ANGOURIDAKIS, NIKOLAOS A1 VLACHTSIS, KONSTANTINOS A1 KALOGERAS, KONSTANTINE T. A1 NIKOLAOU, ANGELOS A1 FOUNTZILAS, GEORGE YR 2014 UL http://ar.iiarjournals.org/content/34/11/6495.abstract AB Background: There exist substantial evidence that laryngeal cancer represents a unique entity among squamous head and neck carcinomas. Materials and Methods: Tumors from 289 patients with squamous cell laryngeal cancer were assessed for protein (immunohistochemistry) and mRNA (qRT-PCR) expression of Notch pathway components (Notch1 to 4 receptors and Jagged1 ligand) on tissue microarrays. Results: In univariate analysis, enhanced nuclear Jagged1 expression conferred a longer disease-free survival (DFS) (p=0.013) and overall survival (OS) (p=0.004), in contrast to the unfavorable prognostic value of Notch3 for both DFS (p=0.009) and OS (p=0.024). In multivariate analysis, overexpression of either Notch or cytoplasmic Jagged1 conferred an unfavorable effect on DFS (Hazard Ratio=1.88, 95% Confidence Interval=1.03-3.43, p=0.04). Conclusion: Our study indicates a consistent unfavorable effect of Notch3 and cytoplasmic Jagged1 protein expression, a favorable impact of nuclear Jagged 1 localization, and a differential prognostic value of Notch2 expression according to the presence of cytoplasmic Jagged 1.