Kenji Akie, Hiroshi Nishihara, Mitsuru Munakata, Naomi Watanabe, Osamu Honjo, Hiroshi Yokouchi, Mitsunori Higuchi, Masao Harada, Fumiko Sugaya, Shigeo Yamazaki, Takashi Ishida, Masaharu Nishimura, Hidetaka Uramoto, Jun Sakakibara-Konishi, Hirotoshi Dosaka-Akita, Hajime Kikuchi, Satoshi Oizumi, Tetsuya Kojima, Yoshinori Minami, Megumi Furuta, Kei Takamura, Hiroyuki Suzuki, Yuka Fujita, Toshiyuki Harada, Fumihiro Tanaka, and Hiroshi Isobe
// Hajime Kikuchi 1 , Jun Sakakibara-Konishi 1 , Megumi Furuta 1 , Hiroshi Yokouchi 2 , Hiroshi Nishihara 3 , Shigeo Yamazaki 4 , Hidetaka Uramoto 5, 6 , Fumihiro Tanaka 5 , Masao Harada 7 , Kenji Akie 8 , Fumiko Sugaya 9 , Yuka Fujita 10 , Kei Takamura 11 , Tetsuya Kojima 12 , Toshiyuki Harada 13 , Mitsunori Higuchi 14, 15 , Osamu Honjo 9, 16 , Yoshinori Minami 17 , Naomi Watanabe 18 , Satoshi Oizumi 1, 7 , Hiroyuki Suzuki 15 , Takashi Ishida 2, 19 , Hirotoshi Dosaka-Akita 20 , Hiroshi Isobe 12 , Mitsuru Munakata 2 , Masaharu Nishimura 6 1 Department of Medicine, Hokkaido University School of Medicine, Sapporo, Japan 2 Department of Pulmonary Medicine, Fukushima Medical University, Fukushima, Japan 3 Department of Translational Pathology, Hokkaido University Graduate School of Medicine, Sapporo, Japan 4 Department of Thoracic Surgery, Keiyukai Sapporo Hospital, Sapporo, Japan 5 Department of Surgery, University of Occupational and Environmental Health, Kita-kyushu, Japan 6 Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Japan 7 Department of Respiratory Medicine, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan 8 Department of Respiratory Disease, Sapporo City General Hospital, Sapporo, Japan 9 Department of Respiratory Medicine, Teine Keijinkai Hospital, Sapporo, Japan 10 Department of Respiratory Medicine, National Hospital Organization Asahikawa Medical Center, Asahikawa, Japan 11 Department of Medicine, Obihiro Kosei Hospital, Obihiro, Japan 12 Department of Medical Oncology, KKR Sapporo Medical Center, Sapporo, Japan 13 Center for Respiratory Diseases, JCHO Hokkaido Hospital, Sapporo, Japan 14 Department of Thoracic Surgery, Fukushima Red Cross Hospital, Fukushima, Japan 15 Department of Thoracic Surgery, Fukushima Medical University, Fukushima, Japan 16 Department of Respiratory Medicine, Sapporo-Kosei General Hospital, Sapporo, Japan 17 Respiratory Center, Asahikawa Medical University, Asahikawa, Japan 18 Department of Internal Medicine, Sunagawa City Medical Center, Sunagawa, Japan 19 Clinical Oncology Center, Fukushima Medical University Hospital, Fukushima, Japan 20 Department of Medical Oncology, Hokkaido University Graduate School of Medicine, Sapporo, Japan Correspondence to: Jun Sakakibara-Konishi, email: konishj@med.hokudai.ac.jp Keywords: small cell lung cancer, Notch1, Numb, immunohistochemistry, surgery Received: August 04, 2016 Accepted: December 12, 2016 Published: January 02, 2017 ABSTRACT Notch signaling in tumorigenesis functions as an oncogene or tumor suppressor according to the type of malignancy. Numb represses intracellular Notch signaling. Previous studies have demonstrated that Notch signaling suppresses the proliferation of small cell lung cancer (SCLC) cell lines. However, in SCLC, the association between Notch1 and Numb expression and clinicopathological factors or prognosis has remained unclear. In this study, we evaluated the expression of Notch1 and Numb in SCLC. We immunohistochemically assessed 125 SCLCs that were surgically resected at 16 institutions participating in either the Hokkaido Lung Cancer Clinical Study Group Trial (HOT) or the Fukushima Investigative Group for Healing Thoracic Malignancy (FIGHT) between 2003 and 2013. Correlations between Notch1 or Numb expression and various clinicopathological features were evaluated. Notch1 expression was associated with ECOG performance status. Numb expression was associated with age, sex, and pathological histology (SCLC or Combined SCLC). Analysis of cellular biological expression did not demonstrate a significant correlation between the expression of Notch1 and of Numb. Multivariate Cox regression analysis showed that high Notch1 expression was an independent favorable prognostic factor for SCLC(hazard ratio = 0.503, P = 0.023). High Notch1 expression, but not Numb expression, is associated with favorable prognosis in SCLC.