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Updated: Jan 27, 2026

A Model for Perineural Invasion in Head and Neck Squamous Cell Carcinoma
Published on: January 5, 2017
Survivin overexpression in head and neck squamous cell carcinomas as a new therapeutic target (Review)
M A Frassanito1, I Saltarella2, A Vinella1
1Department of Biomedical Sciences and Human Oncology, Unit of General Pathology, University of Bari Aldo Moro, I‑70124 Bari, Italy.
Abstract:
Head and neck squamous cell carcinoma (HNSCC) is the sixth most commonly diagnosed cancer worldwide. It has poor clinical outcome due to intrinsic or acquired drug resistance. Deregulation of both apoptosis and autophagy contributes to chemotherapy resistance and disease progression. A new member of the inhibitors of apoptosis protein (IAP) family, namely survivin, is selectively overexpressed in tumors, including HNSCC, but not in normal tissues. Thus, it is considered a tumor biomarker. Here, we reviewed survivin expression and function in tumor progression focusing on its nodal role in the regulation of cell apoptosis and autophagy. Based on literature data, survivin targeting may be envisaged as a novel therapeutic strategy.
Insights
Survivin, a protein overexpressed in head and neck squamous cell carcinoma (HNSCC), plays a key role in regulating apoptosis and autophagy. Targeting survivin presents a potential new therapeutic strategy for HNSCC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Head and neck squamous cell carcinoma (HNSCC) is a globally prevalent cancer with poor prognosis.
- Chemotherapy resistance in HNSCC is linked to dysregulation of apoptosis and autophagy.
- Survivin, an inhibitor of apoptosis protein (IAP), is overexpressed in HNSCC and serves as a tumor biomarker.
Purpose of the Study:
- To review the expression and function of survivin in tumor progression.
- To elucidate survivin's role in regulating apoptosis and autophagy in HNSCC.
- To explore survivin targeting as a potential therapeutic strategy for HNSCC.
Main Methods:
- Literature review of studies on survivin expression and function.
- Analysis of survivin's involvement in apoptosis and autophagy pathways.
- Evaluation of survivin as a therapeutic target based on existing data.
Main Results:
- Survivin is selectively overexpressed in HNSCC tumors compared to normal tissues.
- Survivin is a critical regulator of both apoptosis and autophagy.
- Its overexpression contributes to chemoresistance and disease progression in HNSCC.
Conclusions:
- Survivin's nodal role in regulating apoptosis and autophagy makes it a significant factor in HNSCC progression.
- Targeting survivin offers a promising novel therapeutic avenue for managing HNSCC.
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