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Updated: Mar 30, 2026

Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
The cyclic GMP/protein kinase G pathway as a therapeutic target in head and neck squamous cell carcinoma
Traci R Tuttle1, Michelle L Mierzwa2, Susanne I Wells3
1Department of Cancer Biology, University of Cincinnati School of Medicine, Cincinnati, OH 45267, USA.
Abstract:
Head and neck squamous cell carcinoma (HNSCC) is an aggressive disease with high mortality. Treatments, which can result in significant morbidity, have not substantially changed in three decades. The second messenger cyclic GMP (cGMP), which targets protein kinase G (PKG), is generated by guanylate cyclases (GCs), and is rapidly hydrolyzed by phosphodiesterases (PDEs). Activation of the cGMP/PKG pathway is antineoplastic in several cancer types, but its impact on HNSCC has not been fully exploited. We found differential expression of critical components of this pathway in four HNSCC cell lines. Several activators of soluble GC (sGC), as well as inhibitors of PDE5, increased intracellular cGMP, reduced cell viability, and induced apoptosis in HNSCC cells. The apoptotic effects of the sGC activator BAY 41-2272 and the PDE5 inhibitor Tadalafil (Cialis) were mediated by PKG. Furthermore, Tadalafil substantially reduced the growth of CAL27-derived tumors in athymic mice. Several drugs which either activate sGC or inhibit PDE5 are approved for treatment of nonmalignant conditions. These drugs could be repurposed as novel and effective therapeutics in patients with head and neck cancer.
Insights
This study explores the cyclic GMP-protein kinase G (PKG) pathway for head and neck squamous cell carcinoma (HNSCC) treatment. Targeting this pathway with specific drugs significantly reduced cancer cell viability and tumor growth, offering new therapeutic potential.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Head and neck squamous cell carcinoma (HNSCC) presents a significant challenge due to its aggressive nature and high mortality.
- Current HNSCC treatments have seen limited advancement over the past 30 years, often leading to substantial patient morbidity.
- The cyclic GMP (cGMP)/protein kinase G (PKG) signaling pathway, crucial in various cellular functions, has shown antineoplastic potential in other cancers but remains underexplored in HNSCC.
Purpose of the Study:
- To investigate the role and therapeutic potential of the cGMP/PKG pathway in head and neck squamous cell carcinoma.
- To evaluate the effects of soluble guanylate cyclase (sGC) activators and phosphodiesterase type 5 (PDE5) inhibitors on HNSCC cell lines.
- To assess the in vivo efficacy of targeting the cGMP/PKG pathway in HNSCC.
Main Methods:
- Differential expression analysis of cGMP/PKG pathway components in four HNSCC cell lines.
- Treatment of HNSCC cells with sGC activators and PDE5 inhibitors, assessing cell viability and apoptosis.
- Pharmacological inhibition of PDE5 using Tadalafil and activation of sGC using BAY 41-2272, with PKG mediation confirmed.
- Xenograft studies in athymic mice using CAL27-derived tumors to evaluate Tadalafil's in vivo anti-tumor effect.
Main Results:
- Differential expression of key cGMP/PKG pathway elements was observed in HNSCC cell lines.
- sGC activators and PDE5 inhibitors significantly decreased HNSCC cell viability and induced apoptosis.
- The apoptotic effects were confirmed to be PKG-mediated for both the sGC activator BAY 41-2272 and the PDE5 inhibitor Tadalafil.
- Tadalafil demonstrated significant tumor growth inhibition in a mouse model of HNSCC.
Conclusions:
- The cGMP/PKG pathway represents a promising therapeutic target for head and neck squamous cell carcinoma.
- Repurposing existing drugs that activate sGC or inhibit PDE5 could offer novel and effective treatment strategies for HNSCC patients.
- Further clinical investigation into these drug candidates for HNSCC is warranted.
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