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Updated: Jun 6, 2026

Translationally-Relevant Tumor Resection Model for Murine Preclinical Models of Oral Squamous Cell Carcinoma
Published on: April 3, 2026
Anoikis mediators in oral squamous cell carcinoma
J Bunek1, P Kamarajan, Y L Kapila
1Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
Abstract:
Anoikis - apoptotic cell death triggered by loss of extracellular matrix (ECM) contacts - is dysregulated in many chronic debilitating and fatal diseases. Mechanisms rendering tumor cells resistant to anoikis, although not completely understood, possess significant therapeutic promise. In death receptor-mediated anoikis mechanisms, focal adhesion kinase (FAK) and receptor-interacting protein (RIP) dissociate, leading to association of RIP with Fas, formation of the death-inducing signaling complex (DISC), activation of caspase-3, and propagation of anoikis. In contrast, anoikis resistance is accomplished through constitutive activation of survival pathways that include integrin-dependent activation of FAK and extracellular-signal-regulated kinase (ERK). In addition, FAK and RIP association confers anoikis resistance by inhibiting the association of RIP with Fas and formation of the death signaling complex, which allows cells to escape anoikis. Up-regulation of CD44 also contributes to survival signals and promotes anoikis resistance. This review will focus on the roles of death receptors, prosurvival pathways, and the molecular players involved in anoikis escalation and resistance in oral squamous cell carcinoma.
Insights
Anoikis resistance in cancer involves dysregulated cell death pathways. Understanding molecular mechanisms like focal adhesion kinase (FAK) and CD44 is crucial for developing new cancer therapies.
Area of Science:
- Cell Biology
- Molecular Oncology
Background:
- Anoikis, or apoptotic cell death due to loss of extracellular matrix (ECM) contact, is frequently dysregulated in diseases.
- Understanding anoikis resistance mechanisms in cancer is critical for therapeutic development.
Purpose of the Study:
- To review the molecular mechanisms of anoikis escalation and resistance.
- To focus on the roles of death receptors, prosurvival pathways, and key molecular players in oral squamous cell carcinoma.
Main Methods:
- Review of literature on anoikis, cell death pathways, and cancer biology.
- Analysis of molecular signaling cascades involved in anoikis resistance.
Main Results:
- Anoikis resistance can occur through constitutive activation of survival pathways (e.g., integrin-FAK-ERK).
- Focal adhesion kinase (FAK) and receptor-interacting protein (RIP) association inhibits death-inducing signaling complex (DISC) formation, conferring resistance.
- Up-regulation of CD44 contributes to survival signals and anoikis resistance.
Conclusions:
- Dysregulation of anoikis plays a significant role in cancer progression.
- Targeting specific molecular players like FAK, RIP, and CD44 may offer therapeutic strategies against oral squamous cell carcinoma.
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