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Updated: Feb 14, 2026

A Model for Perineural Invasion in Head and Neck Squamous Cell Carcinoma
Published on: January 5, 2017
CC-223 inhibits human head and neck squamous cell carcinoma cell growth
Jun-Ying Wang1, Xin Jin1, Xin Zhang1
1Department of ENT, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, China.
Abstract:
mTOR over-activation is associated with the progression of head and neck squamous cell carcinoma (HNSCC). CC-223 is a novel and potent mTOR kinase inhibitor. Its activity against human HNSCC cells is studied here. In established SCC-9 cells and primary human oral cavity carcinoma (OCC) cells, CC-223 treatment at only nM concentrations significantly inhibited survival, proliferation and cell cycle progression. Furthermore, CC-223 provoked apoptosis activation in human HNSCC cells. CC-223 is more efficient in killing HNSCC cells than other known Akt-mTOR inhibitors: RAD001, MK-2206 and AZD-2014. CC-223 was however non-cytotoxic to the primary human oral epithelial cells. Further studies demonstrate that CC-223 almost completely blocked mTOR complex 1 (mTORC1) and mTORC2 activation in SCC-9 cells and primary OCC cells. In vivo, oral administration of CC-223 at well-tolerated doses potently inhibited SCC-9 xenograft tumor growth in severe combined immunodeficient mice. mTORC1 and mTORC2 activation was largely inhibited in CC-223-treated tumor tissues. Overall, targeting the mTOR kinase by CC-223 inhibits human HNSCC cell growth in vitro and in vivo. CC-223 might have a translational value for the treatment of HNSCC.
Insights
CC-223, an mTOR kinase inhibitor, effectively suppressed head and neck squamous cell carcinoma (HNSCC) growth and induced apoptosis in preclinical models. This novel compound demonstrated potent anti-cancer activity with minimal toxicity to normal cells.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Aberrant mTOR signaling is implicated in head and neck squamous cell carcinoma (HNSCC) progression.
- Targeting the mTOR pathway presents a potential therapeutic strategy for HNSCC.
Purpose of the Study:
- To investigate the efficacy of CC-223, a novel mTOR kinase inhibitor, against human HNSCC cells.
- To evaluate the in vitro and in vivo anti-cancer activity of CC-223 in HNSCC models.
Main Methods:
- Treatment of SCC-9 and primary oral cavity carcinoma (OCC) cells with CC-223.
- Assessment of cell survival, proliferation, cell cycle, and apoptosis.
- Evaluation of mTOR complex 1 (mTORC1) and mTOR complex 2 (mTORC2) activation.
- In vivo studies using SCC-9 xenografts in immunodeficient mice.
Main Results:
- CC-223 significantly inhibited HNSCC cell survival, proliferation, and cell cycle progression at nanomolar concentrations.
- CC-223 induced apoptosis in HNSCC cells and was more potent than other Akt-mTOR inhibitors.
- CC-223 demonstrated negligible cytotoxicity towards primary human oral epithelial cells.
- CC-223 effectively blocked mTORC1 and mTORC2 activation both in vitro and in vivo.
- Oral administration of CC-223 potently inhibited tumor growth in vivo with well-tolerated doses.
Conclusions:
- CC-223 exhibits potent anti-cancer activity against HNSCC by inhibiting mTOR kinase.
- CC-223 demonstrates a favorable safety profile, being non-cytotoxic to normal oral epithelial cells.
- CC-223 shows translational potential as a therapeutic agent for HNSCC treatment.
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