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Updated: Jan 25, 2026

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
Published on: May 10, 2021
Targeting the unfolded protein response in head and neck and oral cavity cancers
Daniel W Cole1, Peter F Svider1, Kerolos G Shenouda1
1Department of Otolaryngology - Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI, USA.
Abstract:
Many FDA-approved anti-cancer therapies, targeted toward a wide array of molecular targets and signaling networks, have been demonstrated to activate the unfolded protein response (UPR). Despite a critical role for UPR signaling in the apoptotic execution of cancer cells by many of these compounds, the authors are currently unaware of any instance whereby a cancer drug was developed with the UPR as the intended target. With the essential role of the UPR as a driving force in the genesis and maintenance of the malignant phenotype, a great number of pre-clinical studies have surged into the medical literature describing the ability of dozens of compounds to induce UPR signaling in a myriad of cancer models. The focus of the current work is to review the literature and explore the role of the UPR as a mediator of chemotherapy-induced cell death in squamous cell carcinomas of the head and neck (HNSCC) and oral cavity (OCSCC), with an emphasis on preclinical studies.
Insights
Many anti-cancer drugs activate the unfolded protein response (UPR), a key pathway in cancer cell death. This review explores UPR
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- FDA-approved anti-cancer therapies frequently activate the unfolded protein response (UPR).
- UPR signaling is critical for the apoptotic execution of cancer cells induced by various chemotherapeutic agents.
- Despite its role in cancer, UPR is not currently an intended drug target in cancer therapy development.
Purpose of the Study:
- To review existing literature on the role of the UPR in mediating chemotherapy-induced cell death.
- To explore the UPR's involvement in squamous cell carcinomas of the head and neck (HNSCC) and oral cavity (OCSCC).
- To focus on preclinical studies investigating UPR signaling in HNSCC and OCSCC.
Main Methods:
- Comprehensive literature review of preclinical studies.
- Analysis of research focusing on UPR activation by anti-cancer therapies.
- Examination of UPR's role in HNSCC and OCSCC models.
Main Results:
- Numerous preclinical studies demonstrate that various compounds can induce UPR signaling in diverse cancer models.
- The UPR plays an essential role in driving the genesis and maintenance of the malignant phenotype.
- Evidence suggests UPR activation contributes to chemotherapy-induced cell death in HNSCC and OCSCC.
Conclusions:
- The unfolded protein response is a significant mediator of chemotherapy-induced apoptosis in head and neck cancers.
- Targeting the UPR presents a potential therapeutic strategy for HNSCC and OCSCC.
- Further preclinical research is warranted to fully elucidate and exploit the UPR's role in these cancers.
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