Expression of maspin tumor suppressor and mTOR in laryngeal carcinoma

Purpose: The main aim of this study was to conduct a preliminary investigation into the possible relationship between mTOR and the nuclear tumor suppressor maspin in laryngeal carcinoma (LSCC). Materials and Methods: mTOR expression and maspin pattern were ascertained, also with the aid of image analysis in 79 consecutive LSCCs. Results: Considering the whole series, univariate statistical analysis identified significant differences in the distributions by lymph node status (N0 vs N+) between two subgroups of patients with and without loco-regional carcinoma recurrences (p=0.017). The log-rank test also showed a shorter disease-free survival (DFS) in pN+ patients (p=0.0008). mTOR expression was significantly higher in patients whose disease recurred (p=0.009). The DFS rate was also significantly shorter in cases of LSCC with an mTOR expression ≥11.55% (p=0.049). Multivariate analysis showed that N status (p=0.002) and mTOR expression (p=0.037) retained their prognostic significance in relation to cancer recurrence. In a subgroup of LSCCs with a non-nuclear maspin pattern, mTOR expression was significantly higher in patients whose disease recurred. Multivariate analysis disclosed that N stage (p=0.012) retained its independent prognostic significance for disease recurrence in this setting. mTOR expression showed a trend towards independent significance in terms of carcinoma recurrence (p=0.083). Conclusions: mTOR inhibitors seem promising for use in cancer therapies. Further investigations are needed on the prospects of incorporating modern mTOR inhibitors in multimodality or multitarget strategies against advanced LSCCs, also considering the role and expression of tumor suppressor genes.