Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer

Introduction: Lysyl oxidase-like 4 is an amine oxidase from the lysyl oxidase family that was previously shown to be overexpressed in head and neck cancer and upregulated in response to hypoxia. The possible role of lysyl oxidase-like 4 as a tumor marker in advanced stage larynx cancer was investiga...

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Main Authors: Ozan Muzaffer Altuntaş, Nilda Süslü, Yeşim Gaye Güler Tezel, Hayriye Tatlı Doğan, Taner Yılmaz
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869421000549
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author Ozan Muzaffer Altuntaş
Nilda Süslü
Yeşim Gaye Güler Tezel
Hayriye Tatlı Doğan
Taner Yılmaz
author_facet Ozan Muzaffer Altuntaş
Nilda Süslü
Yeşim Gaye Güler Tezel
Hayriye Tatlı Doğan
Taner Yılmaz
author_sort Ozan Muzaffer Altuntaş
collection DOAJ
description Introduction: Lysyl oxidase-like 4 is an amine oxidase from the lysyl oxidase family that was previously shown to be overexpressed in head and neck cancer and upregulated in response to hypoxia. The possible role of lysyl oxidase-like 4 as a tumor marker in advanced stage larynx cancer was investigated. Objective: To investigate the expression of lysyl Oxidase-Like 4 protein in advanced stage laryngeal cancer and elucidate its possible role as a tumor marker, predictor of treatment response and prognosticator. Methods: Diagnostic specimens of 72 patients treated for stage III–IV laryngeal squamous cell carcinoma were evaluated for lysyl oxidase-like 4 expression by immunohistochemistry. Results: Lysyl oxidase-like 4 expression was correlated with advanced tumor stage (p = 0.041) and better differentiation (p = 0.025) but was independent of tumor diameter (p = 0.456). Response to induction chemotherapy or the need for salvage laryngectomy were not affected by lysyl oxidase-like 4 expression (p = 0.999, p = 0.070 respectively). Increased lysyl oxidase-like 4 expression was associated with better 2 year overall survival in both univariate (p = 0.036) and multivariate analyses (p = 0.014). Conclusion: Lysyl oxidase-like 4 expression emerges with advancing stages, is lost with worsening differentiation, and may have tumor suppressive properties in larynx cancer.
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spelling doaj.art-4548ac72848e4d118a43d15a0db4ecb92022-12-22T04:34:41ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-01886968974Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancerOzan Muzaffer Altuntaş0Nilda Süslü1Yeşim Gaye Güler Tezel2Hayriye Tatlı Doğan3Taner Yılmaz4Koç University, Faculty of Medicine, Department of Otorhinolaryngology, Istanbul, Turkey; Corresponding author.Hacettepe University, Faculty of Medicine, Department of Otorhinolaryngology, Ankara, TurkeyHacettepe University, Faculty of Medicine, Department of Pathology, Ankara, TurkeyYıldırım Beyazıt University, Department of Pathology, Ankara, TurkeyHacettepe University, Faculty of Medicine, Department of Otorhinolaryngology, Ankara, TurkeyIntroduction: Lysyl oxidase-like 4 is an amine oxidase from the lysyl oxidase family that was previously shown to be overexpressed in head and neck cancer and upregulated in response to hypoxia. The possible role of lysyl oxidase-like 4 as a tumor marker in advanced stage larynx cancer was investigated. Objective: To investigate the expression of lysyl Oxidase-Like 4 protein in advanced stage laryngeal cancer and elucidate its possible role as a tumor marker, predictor of treatment response and prognosticator. Methods: Diagnostic specimens of 72 patients treated for stage III–IV laryngeal squamous cell carcinoma were evaluated for lysyl oxidase-like 4 expression by immunohistochemistry. Results: Lysyl oxidase-like 4 expression was correlated with advanced tumor stage (p = 0.041) and better differentiation (p = 0.025) but was independent of tumor diameter (p = 0.456). Response to induction chemotherapy or the need for salvage laryngectomy were not affected by lysyl oxidase-like 4 expression (p = 0.999, p = 0.070 respectively). Increased lysyl oxidase-like 4 expression was associated with better 2 year overall survival in both univariate (p = 0.036) and multivariate analyses (p = 0.014). Conclusion: Lysyl oxidase-like 4 expression emerges with advancing stages, is lost with worsening differentiation, and may have tumor suppressive properties in larynx cancer.http://www.sciencedirect.com/science/article/pii/S1808869421000549Larynx cancerLOXL4 proteinHypoxiaOrgan preservationPrognosis
spellingShingle Ozan Muzaffer Altuntaş
Nilda Süslü
Yeşim Gaye Güler Tezel
Hayriye Tatlı Doğan
Taner Yılmaz
Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer
Brazilian Journal of Otorhinolaryngology
Larynx cancer
LOXL4 protein
Hypoxia
Organ preservation
Prognosis
title Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer
title_full Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer
title_fullStr Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer
title_full_unstemmed Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer
title_short Lysyl Oxidase Like-4 (LOXL4) as a tumor marker and prognosticator in advanced stage laryngeal cancer
title_sort lysyl oxidase like 4 loxl4 as a tumor marker and prognosticator in advanced stage laryngeal cancer
topic Larynx cancer
LOXL4 protein
Hypoxia
Organ preservation
Prognosis
url http://www.sciencedirect.com/science/article/pii/S1808869421000549
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