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Updated: Jun 3, 2026

Isolation and Characterization of a Head and Neck Squamous Cell Carcinoma Subpopulation Having Stem Cell Characteristics
Published on: May 11, 2016
Resistance to apoptosis-inducing stimuli in CD44+ head and neck squamous cell carcinoma cells
Kazuaki Chikamatsu1, Hiroki Ishii, Goro Takahashi
1Department of Otolaryngology-Head and Neck Surgery, University of Yamanashi, Faculty of Medicine, Chuo, Yamanashi, 409-3898, Japan. chikamatsu@yamanashi.ac.jp
Background:
CD44 was identified previously as a surface marker in cancer stem cells (CSCs) of head and neck squamous cell carcinoma (HNSCC). Most cancer treatments have been linked to the activation of the apoptosis-signaling pathway; however, the resistance mechanisms to apoptosis in CSCs have not yet been fully elucidated.
Methods:
The sensitivity of CD44+ cells to diverse apoptosis-inducing stimuli was compared with that of CD44- cells. Furthermore, cell cycle changes and the expression of anti-apoptosis-related genes were examined using flow cytometry and real-time quantitative reverse transcription-polymerase chain reaction (RT-PCR).
Results:
CD44+ cells were resistant to various apoptosis-inducing stimuli. Moreover, CD44+ cells showed a higher proportion of cells in G2/M phase of the cell cycle and upregulation of Bcl-2 and inhibitor of apoptosis (IAP) family genes compared with CD44- cells.
Conclusion:
Treatment resistance in CSCs seems to be regulated by various mechanisms, and, therefore, additional treatment strategies to target CSCs are required in patients with HNSCC.
Insights
Cancer stem cells (CSCs) in head and neck squamous cell carcinoma (HNSCC) exhibit resistance to apoptosis, mediated by CD44 expression. Targeting these CD44+ CSCs requires novel therapeutic strategies for HNSCC treatment.
Area of Science:
- Oncology
- Molecular Biology
Background:
- CD44 is a marker for cancer stem cells (CSCs) in head and neck squamous cell carcinoma (HNSCC).
- Apoptosis resistance mechanisms in HNSCC CSCs are not fully understood, hindering effective cancer treatment.
Purpose of the Study:
- To investigate the role of CD44 in apoptosis resistance of HNSCC CSCs.
- To elucidate the molecular mechanisms underlying treatment resistance in HNSCC CSCs.
Main Methods:
- Compared apoptosis sensitivity of CD44+ and CD44- cells to various stimuli.
- Analyzed cell cycle distribution using flow cytometry.
- Quantified expression of anti-apoptosis genes (Bcl-2, IAPs) via RT-PCR.
Main Results:
- CD44+ HNSCC cells demonstrated significant resistance to apoptosis-inducing agents.
- CD44+ cells exhibited an increased proportion in the G2/M phase of the cell cycle.
- Upregulation of Bcl-2 and inhibitor of apoptosis (IAP) family genes was observed in CD44+ cells.
Conclusions:
- Treatment resistance in HNSCC CSCs is multifactorial, involving CD44 expression.
- Novel therapeutic strategies targeting CD44+ CSCs are essential for improving HNSCC patient outcomes.
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