Yes-associated
protein, a downstream effector of the Hippo signaling pathway, has been linked to progression of
non-small-cell lung carcinoma. The aim of this study was to investigate expression of Yes-associated
protein in
lung adenocarcinoma and
squamous cell carcinoma. Associations of Yes-associated
protein expression with clinicopathologic parameters, expression of cell cycle-specific markers, and
epidermal growth factor receptor gene amplification were also analyzed. In a univariate analysis of the 66
adenocarcinomas, high nuclear expression of Yes-associated
protein was significantly correlated with expression of
cyclin A and
mitogen-activated protein kinase. Multivariate analysis, including age and sex, showed that
cyclin A expression was independently correlated with nuclear expression of Yes-associated
protein in
adenocarcinomas. Furthermore, high nuclear expression of Yes-associated
protein was also a significant predictor of
epidermal growth factor receptor gene amplification for
adenocarcinoma. For the 102
squamous cell carcinomas, univariate analysis revealed that high cytoplasmic expression of Yes-associated
protein was correlated with the low pathologic TNM staging (stage I) and histologic grading. Multivariate analysis, including age and sex, showed that cytoplasmic expression of Yes-associated
protein was an independent predictor of low pathologic TNM staging. These results indicate that nuclear overexpression of Yes-associated
protein contributes to pulmonary
adenocarcinoma growth and that high cytoplasmic expression of Yes-associated
protein is an independent predictor of low pathologic TNM staging and histologic grading. The differential effects of Yes-associated
protein expression patterns in
adenocarcinomas and
squamous cell carcinomas suggest that Yes-associated
protein may play important roles in different pathways in distinct
tumor subtypes. These observations may, therefore, lead to new perspectives on therapeutic targeting of these
tumor types.