Related Experiment Video
Updated: Jan 25, 2026

Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
Published on: August 14, 2021
Analysis of DLL3 and ASCL1 in Surgically Resected Small Cell Lung Cancer (HOT1702)
Megumi Furuta1, Jun Sakakibara-Konishi2, Hajime Kikuchi3
1Department of Respiratory Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Background:
Delta-like protein 3 (DLL3) is a Notch ligand that has an important role in the tumorigenesis of small cell lung cancer (SCLC). Recently, rovalpituzumab tesirine (Rova-T), a DLL3-targeted antibody-drug conjugate, has been developed for treating SCLC. DLL3 is a transcriptional target of the achaete-scute homolog-1 (ASCL1) transcription factor, which is involved in pulmonary neuroendocrine cell development. However, the relationship between DLL3 and/or ASCL1 expression and the clinical features of SCLC remains unknown, especially for early-stage resected SCLC. This study aimed to investigate the expression of DLL3 and ASCL1 in resected SCLC samples using immunohistochemical analysis.
Materials And Methods:
We collected 95 surgically resected SCLC samples, which were formalin fixed and paraffin embedded. Immunohistochemistry staining was performed to investigate the correlation between the expression of either DLL3 or ASCL1 and clinicopathological features of study patients.
Results:
Seventy-seven (83%) of 93 immunohistochemically evaluable samples were positive for DLL3 (expression in ≥1% of tumor cells), and DLL3-high expression (≥75%) was observed in 44 samples (47%). Sixty-one (64%) of 95 samples were positive for ASCL1 (expression in ≥5% of tumor cells). A positive correlation was observed between DLL3 and ASCL1 expression. DLL3 and ASCL1 expression were not associated with survival in SCLC patients. DLL3 was more prevalent in patients with advanced clinical disease.
Conclusion:
DLL3 and ASCL1 were highly expressed in patients with surgically resected SCLC. DLL3 and ASCL1 may be targets for the treatment of SCLC.
Implications For Practice:
This article examines the relationship between delta-like protein 3 (DLL3) and achaete-scute homolog-1 (ASCL1) protein expression with the clinical features of 95 surgically resected small cell lung cancer (SCLC). DLL3 is attracting attention because rovalpituzumab tesirine (Rova-T), a DLL3-targeted antibody-drug conjugate, was developed recently. DLL3 and ASCL1 were highly expressed in patients with surgically resected SCLC. DLL3 and ASCL1 may be targets for the treatment of early-stage SCLC, including with Rova-T.
Insights
Delta-like protein 3 (DLL3) and ASCL1 are highly expressed in small cell lung cancer (SCLC). These proteins may serve as therapeutic targets for SCLC treatment, including with Rova-T.
Area of Science:
- Oncology
- Molecular Biology
Background:
- Delta-like protein 3 (DLL3) is a Notch ligand implicated in small cell lung cancer (SCLC) tumorigenesis.
- ASCL1 is a transcription factor involved in pulmonary neuroendocrine cell development and regulates DLL3 expression.
- Rovalpituzumab tesirine (Rova-T) is a novel DLL3-targeted antibody-drug conjugate for SCLC treatment.
Purpose of the Study:
- To investigate the expression of DLL3 and ASCL1 in surgically resected SCLC samples.
- To determine the correlation between DLL3 and ASCL1 expression and clinicopathological features.
- To explore the potential of DLL3 and ASCL1 as therapeutic targets in SCLC.
Main Methods:
- Analysis of 95 surgically resected SCLC samples using immunohistochemical staining.
- Correlation analysis between DLL3/ASCL1 expression and patient clinicopathological features.
Main Results:
- DLL3 expression was detected in 83% of samples, with high expression in 47%.
- ASCL1 expression was observed in 64% of samples.
- A positive correlation was found between DLL3 and ASCL1 expression; neither was associated with survival, but DLL3 was more prevalent in advanced disease.
Conclusions:
- DLL3 and ASCL1 are highly expressed in surgically resected SCLC.
- DLL3 and ASCL1 represent potential therapeutic targets for SCLC, including early-stage disease and Rova-T treatment.
Related Concept Videos
Cancer Survival Analysis
Lung Capacity
Cancer Cell Migration through Invadopodia
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Cancer Stem Cells and Tumor Maintenance
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Pleura of the Lungs

