Human
angiosarcoma is a rare malignant vascular
tumor associated with extremely poor clinical outcome and generally arising in skin of the head and neck region. However, little is known about the molecular pathogeneses and useful immunohistochemical markers of
angiosarcoma. To investigate the mechanisms of
angiosarcoma progression, we collected 85 cases of human
angiosarcoma specimens with clinical records and analyzed ISO-HAS-B patient-derived
angiosarcoma cells. As control subjects, 54 cases of
hemangioma and 34 of
pyogenic granuloma were collected. Remarkably, consistent with our recent observations regarding the involvement of
survivin expression following Hippo pathway inactivation in the neoplastic proliferation of murine
hemangioendothelioma cells and human infantile
hemangioma, nuclear
survivin expression was observed in all cases of
angiosarcoma but not in
hemangiomas and pyogenic
granulomas, and the Hippo pathway was inactivated in 90.3% of yes-associated
protein (YAP) -positive
angiosarcoma cases. However,
survivin expression modes and YAP localization (Hippo pathway activation modes) were not correlated with survival. In addition, we confirmed that
survivin small interference RNA (
siRNA) transfection and
YM155, an anti-
survivin drug, elicited decreased nuclear
survivin expression and cell proliferation in ISO-HAS-B cells which expressed
survivin consistently. Conclusively, these findings support the importance of
survivin as a good marker and critical regulator of cellular proliferation for human
angiosarcoma and
YM155 as a potential therapeutic agent.