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Authors Tian J, Liu X, Liu X, Jing P, Sa N, Wang H, Xu W
Received 26 May 2018
Accepted for publication 10 September 2018
Published 24 October 2018 Volume 2018:11 Pages 7395—7405
DOI https://doi.org/10.2147/OTT.S175423
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Cristina Weinberg
Peer reviewer comments 2
Editor who approved publication: Dr Sanjeev Srivastava
Objective: Hypopharyngeal squamous cell carcinoma (HSCC) remains one of the
most lethal malignancies in head and neck. Notch1 has been validated to play
prominent roles in the occurrence and development of various types of cancer.
The aim of this study was to explore the function and underlying mechanism of
Notch1 in HSCC.
Patients and methods: Seventy-one cancer tissue samples and adjacent
noncancerous formalin-fixed paraffin embedded tissue specimens were analyzed by
immunohistochemistry. As Notch1 is overexpressed in HSCC, we further questioned
whether there was a relationship between Notch1 and the clinicopathological
characteristics. After confirming the successful knockdown of Notch1 by siRNA,
the migration and invasion after gene knockdown were investigated by Transwell
chambers. We then tried to identify YBX1 and EGFR expression using real-time
PCR (RT-PCR) and Western blot analyses. To further determine whether the
downexpression of EGFR was caused by YBX1 and the overexpression of YBX1 was
caused by gene amplification, the expression of EGFR was detected by RT-PCR and
Western blot assays.
Results: We found that the expression of Notch1 and EGFR in
HSCC tissues was upregulated compared with those in the adjacent noncancerous
tissues. Further clinicopathological characteristics analysis revealed that the
expression of Notch1 was positively correlated with distant metastasis (P =0.003) and tumor differentiation
(P =0.031). The high expression of
Notch1 is an independent prognostic factor for a poor overall survival in
patients with HSCC (P =0.015, χ 2=10.403). Knocking down of Notch1 significantly
inhibits the migration and invasion of FaDu cells in vitro. Mechanistic
investigation reveals that Notch1 knockdown is found suppressing the expression
of EGFR at transcriptional level. Interestingly, we further found that Notch1
knockdown also decreased the expression of YBX1, which is a transcription
factor of EGFR. Moreover, the upregulation of YBX1 reverses the suppression of
Notch1 on EGFR. Furthermore, forced overexpression of YBX1 induced the invasion
of FaDu cells.
Conclusion: Taken together, we found a positively
cross-linked role of Notch1 signaling in the outcome of HSCC, providing a novel
valuable prognostic marker and potential therapeutic target for the treatment
of HSCC patients. Notch1 is a core signaling molecule for regulating migration
and invasion via interplaying with EGFR in HSCC cells.
Keywords: hypopharyngeal
squamous cell carcinoma, metastasis, Notch1, EGFR