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Published on: January 12, 2020
Notch3 overexpression associates with poor prognosis in human non-small-cell lung cancer
Yuan-zi Ye1, Zhi-hong Zhang, Xiao-yun Fan
1Department of Respiratory Medicine, Anhui Geriatric Institute, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, PR China.
Abstract:
Notch3 receptor is one of the mammalian Notch family receptors (Notch1-4) which plays an important role in the regulation of cellular proliferation, differentiation, and apoptosis. Overexpression of Notch3 is associated with tumorigenesis. In order to assess the expression of Notch3 in Chinese non-small-cell lung cancer (NSCLC) patients and determine its association with prognosis, we designed a prospective study with five years of follow-up to evaluate Notch3 expression in NSCLC tissues and adjacent non-cancerous normal lung tissues from 131 patients undergoing surgical treatment by immunohistochemistry and western blot analysis. Notch3 had high expression in 67 of 131 cases of NSCLC (51.1 %), which was significantly higher than in adjacent noncancerous lung tissues. Moreover, Notch3 overexpression was significantly correlated with TNM stage (P = 5.41e-07 in squamous cell carcinoma, P = 5.338e-07 in adenocarcinoma) and lymph node metastasis (P = 0.00764 in squamous cell carcinoma, P = 0.01491 in adenocarcinoma). Kaplan-Meier survival analysis showed that the overall survival times in patients expressing Notch3 in NSCLC were shorter. Multivariate analysis further demonstrated that Notch3 was an independent prognostic factor for patients with NSCLC. Therefore, Notch3 might be a useful biomarker to predict the prognosis of patients with NSCLC.
Insights
Notch3 receptor is overexpressed in Chinese non-small-cell lung cancer (NSCLC) and linked to advanced stages and poorer survival. This suggests Notch3 may serve as a prognostic biomarker for NSCLC patients.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Signaling
Background:
- The Notch3 receptor is a key regulator of cell processes and its overexpression is implicated in cancer development.
- Understanding Notch3's role in non-small-cell lung cancer (NSCLC) is crucial for identifying prognostic markers.
Purpose of the Study:
- To investigate Notch3 expression levels in Chinese NSCLC patients.
- To determine the association between Notch3 expression and clinicopathological features and prognosis in NSCLC.
Main Methods:
- Prospective study with 5-year follow-up.
- Immunohistochemistry and western blot analysis of Notch3 expression in 131 NSCLC tissues and adjacent normal lung tissues.
- Statistical analysis including Kaplan-Meier survival and multivariate analysis.
Main Results:
- Notch3 was highly expressed in 51.1% of NSCLC cases, significantly more than in normal lung tissue.
- Notch3 overexpression correlated significantly with TNM stage and lymph node metastasis in both squamous cell carcinoma and adenocarcinoma.
- Patients with Notch3-expressing NSCLC had shorter overall survival times.
Conclusions:
- Notch3 is significantly overexpressed in NSCLC and associated with adverse prognostic factors.
- Notch3 serves as an independent prognostic factor for NSCLC.
- Notch3 may be a valuable biomarker for predicting NSCLC patient prognosis.
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