在口腔状细胞癌中NOTCH1信号通路的免疫组织化学评估:临床和预后意义
Juan Carlos de Vicente1,2,3, Paloma Lequerica-Fernández2,4, Héctor Torres Rivas5
1Department of Oral and Maxillofacial Surgery, Hospital Universitario Central de Asturias (HUCA), C/Carretera de Rubín, s/n, 33011 Oviedo, Asturias, Spain.
International journal of molecular sciences
|September 27, 2025
概括
NOTCH1通路表明口腔状细胞癌 (OSCC) 的预后不佳. 然而,联合p21和ps6表达可能会识别出具有良好的预后的患者,提供潜在的治疗点.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 癌症研究 癌症研究
背景情况:
- 口腔状细胞癌 (OSCC) 是一个重要的全球健康问题.
- NOTCH1信号通路在各种癌症中起着复杂的作用.
- 了解OSCC的预后标志物对于患者管理至关重要.
研究的目的:
- 研究OSCC中NOTCH1通路的临床和预后意义.
- 为了评估NOTCH1的表达及其下游目标,HES1和p21.
- 探索与上皮细胞-介质细胞过渡 (EMT) 和mTORC1激活的潜在机械联系.
主要方法:
- 免疫组织化学用于评估165名OSCC患者样本中的NOTCH1,HES1和p21表达.
- 分析了临床病理学数据和生存结果.
- 研究了与EMT标记物 (E-cadherin,Vimentin) 和mTORC1激活 (-S6) 的关联.
主要成果:
- 在35%的瘤中发现NOTCH1表达,与晚期,转移和较短的疾病特异性生存期 (DSS) 相相关.
- HES1和p21表达与早期临床阶段有关.
- 观察到p21和mTORC1激活 (pS6) 之间存在强烈的相关性,确定了预后良好的患者.
结论:
- NOTCH1表达是OSCC中DSS差的独立预测器.
- 结合p21和ps6表达可能成为OSCC的有利预后分类器.
- 针对NOTCH1途径或利用p21/pS6可能为OSCC提供新的治疗策略.
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