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Arecoline-regulated ataxia telangiectasia mutated expression level in oral cancer progression
Hsi-Feng Tu1,2, Michael Yuanchien Chen3,4, Joseph Chieh-Yui Lai5
1Department of Dentistry, School of Dentistry, National Yang-Ming University, Taipei, Taiwan.
Background:
Ataxia telangiectasia mutated (ATM) regulates DNA repair and cell cycle. The present study analyzed arecoline-induced ATM expression during oral cancer progression.
Methods:
In vitro studies were performed using oral squamous cell carcinoma (OSCC) cell lines treated with arecoline to analyze cell response and ATM regulation. in vivo studies were performed using immunohistochemistry to detect ATM expression in normal, oral potentially malignant disorder (OPMD), and OSCC tissues.
Results:
Low-dose arecoline induced cell proliferation, ATM promoter activity, and DNA repair. High-dose arecoline induced cell cycle arrest, apoptosis, and DNA damage. ATM was overexpressed in OPMD tissues but was downregulated in OSCC tissues. ATM expression level was associated with the risk of developing dysplasia, buccal-OSCC, and with OSCC survival rate.
Conclusion:
High ATM expression helps DNA repair mechanisms to maintain the cells in the OPMD stage, but low ATM expression causes DNA damage accumulation to increase cell malignancy.
Insights
Arecoline affects Ataxia telangiectasia mutated (ATM) expression differently in oral cancer stages. High ATM protects pre-cancerous cells, while low ATM promotes oral cancer progression and malignancy.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- Ataxia telangiectasia mutated (ATM) is crucial for DNA repair and cell cycle regulation.
- Oral cancer progression involves complex molecular changes, including alterations in ATM expression.
Purpose of the Study:
- To investigate the role of arecoline in modulating ATM expression during oral cancer development.
- To analyze the correlation between ATM expression levels and oral potentially malignant disorders (OPMD) and oral squamous cell carcinoma (OSCC).
Main Methods:
- In vitro studies using OSCC cell lines treated with varying doses of arecoline.
- In vivo analysis of ATM expression in normal, OPMD, and OSCC tissues via immunohistochemistry.
Main Results:
- Low-dose arecoline promoted cell proliferation and DNA repair via ATM activation.
- High-dose arecoline induced cell cycle arrest, apoptosis, and DNA damage.
- ATM was upregulated in OPMD but downregulated in OSCC, correlating with dysplasia risk, tumor location, and survival rates.
Conclusions:
- Elevated ATM expression in OPMD facilitates DNA repair, maintaining cellular stability.
- Decreased ATM expression in OSCC leads to accumulated DNA damage, promoting malignancy and poor prognosis.
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