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Updated: Feb 4, 2026

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
Loss of Notch1 predisposes oro-esophageal epithelium to tumorigenesis
Wanlada Sawangarun1, Masita Mandasari1, Junko Aida2
1Department of Oral Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-0034, Japan.
Abstract:
Notch signaling functions in diverse developmental and homeostatic processes, including stem cell self-renewal and cell fate determination. Notch1-inactivating mutations are frequently detected in skin and oro-esophageal cancers, suggesting a role for Notch1 as a tumor suppressor. Here, we clarify the contribution of Notch1 deficiency to oro-esophageal tumorigenesis using a physiological experimental model. Tongue and esophageal tumors induced in mice by 4-nitroquinoline-1-oxide (4-NQO) showed pathophysiological similarities to human tumors, including decreased Notch1 expression in the basal cells. We created mutant mice (N1cKO), in which the Notch1 gene was disrupted specifically in the squamous epithelium. The epithelium formed normally in N1cKO mice, and although multiple skin tumors were detected at 65 weeks, no tumors developed in the tongue and esophagus. However, 4-NQO-induced tumorigenesis assays revealed that tumor onset occurred earlier in N1cKO mice than in wild-type littermates, and the tumors arose preferentially from the Notch1-negative epithelium, indicating the tumor susceptibility of Notch1-deficient epithelium. Notch1 regulates the expression of TERT, and age-related telomere erosion was more rapid in Notch1-deficient basal cells. Our results indicated that although Notch1 deficiency had little effect on squamous epithelium formation, it predisposed the affected epithelium to tumor development, at least in part through accelerated telomere erosion.
Insights
Notch1 deficiency in squamous epithelium accelerates tumor development, particularly in the tongue and esophagus. This occurs due to increased susceptibility and faster telomere erosion in Notch1-deficient cells.
Area of Science:
- Oncology
- Developmental Biology
- Cell Biology
Background:
- Notch signaling is crucial for cell fate and stem cell renewal.
- Notch1-inactivating mutations are common in skin and oro-esophageal cancers, suggesting a tumor suppressor role.
- Oro-esophageal tumors in mice induced by 4-nitroquinoline-1-oxide (4-NQO) mimic human cancer, showing reduced Notch1 expression.
Purpose of the Study:
- To investigate the specific role of Notch1 deficiency in oro-esophageal tumorigenesis using a mouse model.
- To determine if Notch1-deficient squamous epithelium is more susceptible to tumor development.
Main Methods:
- Generated Notch1 conditional knockout (N1cKO) mice with Notch1 disruption in squamous epithelium.
- Induced tongue and esophageal tumors using 4-NQO in N1cKO and wild-type mice.
- Analyzed tumor onset, incidence, and cellular changes, including telomere length and TERT expression.
Main Results:
- N1cKO mice showed normal epithelial development but increased susceptibility to skin tumors.
- 4-NQO treatment led to earlier tumor onset in N1cKO mice, with tumors originating from Notch1-negative epithelium.
- Notch1 deficiency accelerated age-related telomere erosion in basal cells, linked to TERT regulation.
Conclusions:
- Notch1 deficiency predisposes squamous epithelium to tumor development, despite normal initial formation.
- Accelerated telomere erosion is a key mechanism by which Notch1 deficiency promotes tumorigenesis.
- These findings highlight Notch1's role as a tumor suppressor in oro-esophageal tissues.
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