Abstract. The aim of the present study was to investigate the expression levels of Yes-associated protein (YAP) in different grades of laryngeal squamous cell carcinoma (LSCC) tissues and vocal cord polyps tissues, and to investigate any correlations with clinical factors. The expression of YAP in 128 cases of LSCC and 10 cases of vocal cord polyps tissues was tested using immunohistochemistry. YAP was primarily present in the nucleus of LSCC and controls, whereas phosphorylated YAP expression was present in the cytoplasm. The results indicated that YAP expression was upregulated in LSCC samples compared with vocal cord polyps tissues. YAP expression was positively correlated with the malignant degree of LSCC (P<0.01) and a high level of YAP expression in LSCC tissues was correlated with pathological type, lymphatic metastasis and clinical stage. The present study provided evidence for the expression and localization of YAP in LSCC and vocal cord polyps tissues. Thus, YAP may be involved in the occurrence and development of LSCC as an oncogene.
IntroductionLaryngeal carcinoma is a common malignant tumor in otolaryngology that seriously endangers physical and mental health (1). The incidence of laryngeal malignant tumors is ~1-5% of all whole body malignant tumors and is ranked third of all otolaryngology malignant tumors. Laryngeal squamous cell carcinoma (LSCC) accounts for 95% of laryngeal carcinoma and tends to occur in middle-aged and older males (2). Due to the early presence of hoarseness (3), glottic carcinoma can be detected timely. However, it brings challenges for the diagnosis of LSCC owing to the unapparent symptoms in the early stage of supraglottic and subglottic carcinomas (4). Early diagnosis and treatment of LSCC are critical in improving the 5-year survival rate and quality of life of patients (5-7).The Hippo pathway was originally observed to be a key pathway that is involved in the regulation of the size of organs of Drosophila melanogaster by regulating cell proliferation and apoptosis (8). Previous studies on the regulation of the development and size of mammals (9-11) indicated that the Hippo pathway was quite conservative. It was also demonstrated that abnormal functions of Hippo pathway were closely associated with the occurrence, development and prognosis of tumors (12,13), which has become a popular subject of cancer research.The aim of the present study was to investigate the expression and localization of YAP in LSCC and vocal cord polyps tissues as well as the clinical significance thereof.
Materials and methodsSample collection. Approval for the present study was obtained from the Human Research Ethics Committee of Lihuili Hospital, Ningbo, China. Prior to sample collection, the patients and their family members were informed with regard to the process of the study and the possible risks. Tissues were collected from 128 patients with LSCC and 10 patients with vocal cord polyps between January 2009 and January 2013 at the Ningbo University Affiliated Lihuili Hospital. All patients s...