Related Experiment Video
Updated: Sep 11, 2025

09:08
Integration of Bioinformatics Approaches and Experimental Validations to Understand the Role of Notch Signaling in Ovarian Cancer
Published on: January 12, 2020
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Deciphering NOTCH1 as a Biomarker in Adenoid Cystic Carcinoma: Insights From a Systematic Review With Meta-Analysis
Isabela de Sousa Slivar1, Bruno de Andrade Zanesco1, Manoela Domingues Martins2,3
1Department of Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, Brazil.
Summary
NOTCH1 alterations are linked to prognosis in adenoid cystic carcinoma (ACC). NOTCH1 mutations, Notch1, and NICD1 expression predict survival outcomes, aiding ACC risk stratification.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- NOTCH1 alterations are frequently implicated in adenoid cystic carcinoma (ACC) prognosis.
- Existing research findings on NOTCH1's prognostic role in ACC are fragmented.
- An integrative analysis is needed to consolidate the evidence on NOTCH1-related biomarkers in ACC.
Purpose of the Study:
- To conduct an integrative analysis of NOTCH1-related biomarkers in adenoid cystic carcinoma (ACC).
- To evaluate the prognostic value of NOTCH1 alterations, including mutations and protein expression, in ACC.
- To determine the association between NOTCH1 biomarkers and survival outcomes in ACC patients.
Main Methods:
- A comprehensive literature search was performed across multiple scientific databases.
- Inclusion criteria focused on studies examining NOTCH1 features at ACC diagnosis and their correlation with survival.
- Meta-analysis was employed for studies with similar methodologies to synthesize results.
Main Results:
- Twelve studies met the inclusion criteria, analyzing NOTCH1 mutational status, Notch1 immunoexpression, and NICD1 immunoexpression.
- NOTCH1 alterations were associated with overall survival, disease-free survival, and progression-free survival.
- Meta-analyses revealed increased risks: 2.31-fold for death with NOTCH1 mutations, 2.6-fold for death with positive NICD1 expression, and 1.91-fold for recurrence with high Notch1 expression.
Conclusions:
- This review highlights the significant prognostic relevance of NOTCH1 in adenoid cystic carcinoma.
- NOTCH1-related biomarkers demonstrate potential as valuable tools for risk stratification in ACC.
- Further research integrating these biomarkers could refine patient management and treatment strategies.
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