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DLL3 is a dominant inhibitor of Notch signaling

•

Interacts with and inhibits

Notch1

in

cis

•

Induced by the key neuroendocrine

transcription factor,

ASCL1

•

Normally expressed during

development in the

Golgi

•

Aberrant cell surface

expression

in

>80% SCLC

, on both

cancer stem

and tumor cells

but not normal

adult tissues

•

Not prognostic,

and does

not

predict response to CT

Saunders et al., Sci Transl Med 2015

Tanaka et al

(Lung Cancer 2017)

:

83%, 32% (>50%), = OS