Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?

Small cell lung cancer (SCLC) subtype classification, based on high-level expression of key transcriptional regulators; ASCL1 (SCLC-A), NEUROD1 (SCLC-N), POU2F3 (SCLC-P), and YAP1 (SCLC-Y), has recently been proposed. YAP1 (and POU2F3) has attracted attention as an important factor for non-neuroendo...

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Main Authors: Hitomi Kawai, Ryouta Matsuoka, Takeshi Ito, Daisuke Matsubara
Format: Article
Language:English
Published: IMR Press 2022-03-01
Series:Frontiers in Bioscience-Landmark
Subjects:
Online Access:https://www.imrpress.com/journal/FBL/27/3/10.31083/j.fbl2703108
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author Hitomi Kawai
Ryouta Matsuoka
Takeshi Ito
Daisuke Matsubara
author_facet Hitomi Kawai
Ryouta Matsuoka
Takeshi Ito
Daisuke Matsubara
author_sort Hitomi Kawai
collection DOAJ
description Small cell lung cancer (SCLC) subtype classification, based on high-level expression of key transcriptional regulators; ASCL1 (SCLC-A), NEUROD1 (SCLC-N), POU2F3 (SCLC-P), and YAP1 (SCLC-Y), has recently been proposed. YAP1 (and POU2F3) has attracted attention as an important factor for non-neuroendocrine (non-NE) phenotypic subtyping of SCLC. However, subsequent studies reported that YAP1 expression alone cannot define a single group in primary SCLC, which makes it difficult to understand what SCLC-Y is by focusing only on SCLC. In this review, we concluded that YAP1 is an essential anti-neuroendocrine factor in both SCLC and non-small cell lung cancer (NSCLC) based on previous studies, including our own analysis of the cell lines and primary tumors of SCLC and NSCLC. The classification of SCLC-Y is a concept mainly established from the analysis of cell lines, and SCLC-Y cell lines correspond to “variant type” SCLC cell lines. Primary SCLC and large cell neuroendocrine carcinoma (LCNEC) are typically heterogeneous tumors composed mostly of NE-type cells, but they contain a small number of non-NE-type cells. Importantly, individual cells with NE features exhibit YAP1 loss, whereas the non-NE-type cells exhibit YAP1 expression. Although rare in primary SCLC, some cases of primary LCNEC have many YAP1-positive cells, which is correlated with chemotherapy resistance. YAP1 staining may be useful in the exclusion diagnosis of SCLC or in the selection of treatment for LCNEC.
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spelling doaj.art-46e39965d7974fe59cc97aed002f3bdf2022-12-21T23:33:48ZengIMR PressFrontiers in Bioscience-Landmark2768-67012022-03-0127310810.31083/j.fbl2703108S2768-6701(22)00446-4Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?Hitomi Kawai0Ryouta Matsuoka1Takeshi Ito2Daisuke Matsubara3Department of Pathology, Tsukuba University Hospital, 305-8576 Ibaraki, JapanDepartment of Pathology, Tsukuba University Hospital, 305-8576 Ibaraki, JapanDivision of Molecular Pathology, Institute of Medical Science, University of Tokyo, 108-0071 Tokyo, JapanDepartment of Pathology, Tsukuba University Hospital, 305-8576 Ibaraki, JapanSmall cell lung cancer (SCLC) subtype classification, based on high-level expression of key transcriptional regulators; ASCL1 (SCLC-A), NEUROD1 (SCLC-N), POU2F3 (SCLC-P), and YAP1 (SCLC-Y), has recently been proposed. YAP1 (and POU2F3) has attracted attention as an important factor for non-neuroendocrine (non-NE) phenotypic subtyping of SCLC. However, subsequent studies reported that YAP1 expression alone cannot define a single group in primary SCLC, which makes it difficult to understand what SCLC-Y is by focusing only on SCLC. In this review, we concluded that YAP1 is an essential anti-neuroendocrine factor in both SCLC and non-small cell lung cancer (NSCLC) based on previous studies, including our own analysis of the cell lines and primary tumors of SCLC and NSCLC. The classification of SCLC-Y is a concept mainly established from the analysis of cell lines, and SCLC-Y cell lines correspond to “variant type” SCLC cell lines. Primary SCLC and large cell neuroendocrine carcinoma (LCNEC) are typically heterogeneous tumors composed mostly of NE-type cells, but they contain a small number of non-NE-type cells. Importantly, individual cells with NE features exhibit YAP1 loss, whereas the non-NE-type cells exhibit YAP1 expression. Although rare in primary SCLC, some cases of primary LCNEC have many YAP1-positive cells, which is correlated with chemotherapy resistance. YAP1 staining may be useful in the exclusion diagnosis of SCLC or in the selection of treatment for LCNEC.https://www.imrpress.com/journal/FBL/27/3/10.31083/j.fbl2703108reviewyap1sclclcnechgnecsclc-ysclc-ichemo-sensitivity
spellingShingle Hitomi Kawai
Ryouta Matsuoka
Takeshi Ito
Daisuke Matsubara
Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?
Frontiers in Bioscience-Landmark
review
yap1
sclc
lcnec
hgnec
sclc-y
sclc-i
chemo-sensitivity
title Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?
title_full Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?
title_fullStr Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?
title_full_unstemmed Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?
title_short Molecular Subtypes of High-Grade Neuroendocrine Carcinoma (HGNEC): What is YAP1-Positive HGNEC?
title_sort molecular subtypes of high grade neuroendocrine carcinoma hgnec what is yap1 positive hgnec
topic review
yap1
sclc
lcnec
hgnec
sclc-y
sclc-i
chemo-sensitivity
url https://www.imrpress.com/journal/FBL/27/3/10.31083/j.fbl2703108
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