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Updated: May 30, 2026

Three-Dimensional (3D) Tumor Spheroid Invasion Assay
Published on: May 1, 2015
Membranous expression of Her3 is associated with a decreased survival in head and neck squamous cell carcinoma
Mikiko Takikita1, Ran Xie, Joon-Yong Chung
1Tissue Array Research Program, Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Background:
Head and neck squamous cell carcinoma (HNSCC) still remains a lethal malignancy benefiting from the identification of the new target for early detection and/or development of new therapeutic regimens based on a better understanding of the biological mechanism for treatment. The overexpression of Her2 and Her3 receptors have been identified in various solid tumors, but its prognostic relevance in HNSCC remains controversial.
Methods:
Three hundred eighty-seven primary HNSCCs, 20 matching metasis and 17 recurrent HNSCCs were arrayed into tissue microarrays. The relationships between Her2 and Her3 protein expression and clinicopathological parameters/survival of HNSCC patients were analyzed with immunohistochemistry.
Results:
Her3 is detected as either a cytoplasmic or a membranous dominant expression pattern whereas Her2 expression showed uniform membranous form. In primary tumor tissues, high membranous Her2 expression level was found in 104 (26.9%) cases while positive membranous and cytoplasmic Her3 expression was observed in 34 (8.8%) and 300 (77.5%) samples, respectively. Membranous Her2 expression was significantly associated with histological grade (P = 0.021), as grade 2 tumors showed the highest positive expression. Membranous Her3 over-expression was significantly prevalent in metastatic tissues compared to primary tumors (P = 0.003). Survival analysis indicates that membranous Her3 expression is significantly associated with worse overall survival (P = 0.027) and is an independent prognostic factor in multivariate analysis (hazard ratio, 1.51; 95% confidence interval, 1.01-2.23; P = 0.040).
Conclusions:
These results suggest that membranous Her3 expression is strongly associated with poor prognosis of patients with HNSCC and is a potential candidate molecule for targeted therapy.
Insights
Membranous Her3 expression indicates a poor prognosis for head and neck squamous cell carcinoma (HNSCC) patients. This finding suggests Her3 as a potential target for new HNSCC therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Head and neck squamous cell carcinoma (HNSCC) is a lethal malignancy.
- Identifying new therapeutic targets and early detection methods for HNSCC is crucial.
- The prognostic relevance of Her2 and Her3 receptor overexpression in HNSCC is debated.
Purpose of the Study:
- To investigate the prognostic significance of Her2 and Her3 expression in HNSCC.
- To determine the relationship between Her2/Her3 protein levels and patient outcomes.
- To evaluate Her3 as a potential therapeutic target in HNSCC.
Main Methods:
- Analysis of Her2 and Her3 protein expression in 387 primary, 20 metastatic, and 17 recurrent HNSCC tissues using immunohistochemistry.
- Tissue microarrays were employed for protein expression analysis.
- Statistical analysis correlated protein expression with clinicopathological parameters and patient survival.
Main Results:
- Her3 exhibited both cytoplasmic and membranous expression patterns; Her2 showed uniform membranous expression.
- High membranous Her2 expression was observed in 26.9% of primary tumors.
- Membranous Her3 overexpression was more prevalent in metastatic tissues (P = 0.003) and associated with worse overall survival (P = 0.027), acting as an independent prognostic factor (HR, 1.51; P = 0.040).
Conclusions:
- Membranous Her3 expression is significantly linked to poor prognosis in HNSCC patients.
- Her3 represents a potential molecular target for novel HNSCC therapies.
- Further research into Her3-targeted treatments for HNSCC is warranted.
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