ABSTRACT: BACKGROUND:Protein kinase C iota (PKC?) and protein kinase C zeta (PKC?) are two atypical protein kinase (aPKC) enzymes that contribute to cell proliferation and cancer development. The Hippo/YAP pathway is commonly disrupted and upregulated in cancers. Herein, the expression patterns and clinical relevance of PKC? and PKC? are evaluated in relation to YAP, a downstream effector of Hippo, in lung adenocarcinoma (LAC). The protein and mRNA expression levels of PKC?, PKC?, YAP, and their phosphorylated forms, namely p-PKC?, p-PKC? and p-YAP, are evaluated in relation to clinicopathological factors, including patient survival. METHODS:A total of 200 primary LAC tissue samples were examined by immunohistochemistry for PKC?, p-PKC?, PKC?, p-PKC?, YAP, and p-YAP protein expression. Sixty pairs of LAC and non-neoplastic lung tissue samples were assessed for PRKCI, PRKCZ, and YAP mRNA levels. PKC?, p-PKC?, PKC?, and p-PKC? protein expression were evaluated by Western blot analysis in the PC9 and PC9/GR LAC cell lines with YAP modulation. RESULTS:LAC demonstrated cytoplasmic PKC?, p-PKC?, PKC?, and p-PKC? immunostaining patterns. Positive aPKC protein expressions were related with poor patient survival. Especially, increased p-PKC? protein expression was significantly correlated with higher pathological stage and shortened overall survival. YAP overexpression contributes phosphorylation of PKC? and PKC? protein expression in the LAC cell line. CONCLUSIONS:PKC? and PKC? are related to YAP in LAC. PKC? and PKC? play distinct roles in LAC; specifically, p-PKC? overexpression is suggested to underlie factors that indicate a poor prognosis.