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Updated: Jan 22, 2026

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
Contribution of p38 MAPK Pathway to Norcantharidin-Induced Programmed Cell Death in Human Oral Squamous Cell
Chi-Hyun Ahn1, Kyoung-Ok Hong1, Bohwan Jin2
1Department of Oral Pathology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul 03080, Korea.
Abstract:
Norcantharidin (NCTD), a demethylated analog of cantharidin isolated from blister beetles, has been used as a promising anticancer agent; however, the underlying function of NCTD against human oral squamous cell carcinoma (OSCC) has not been fully understood. Here, this study was aimed to investigate the apoptotic effect and molecular targets of NCTD in human OSCC in vitro and in vivo. The anticancer effects of NCTD and its related molecular mechanisms were evaluated by trypan blue exclusion assay, live/dead assay, western blotting, 4-6-Diamidino-2-Phenylindole (DAPI) staining, flow cytometric analysis, Terminal Deoxynucleotidyl Transferase dUTP Nick end Labeling (TUNEL) assay, and immunohistochemistry. NCTD significantly inhibited cell growth and increased the number of dead cells in HSC-3 and HN22 cell lines. It induced the following apoptotic phenomena: (1) the cleavages of poly (ADP-ribose) polymerase and casepase-3; (2) increase in apoptotic morphological changes (nuclear condensation and fragmentation); (3) increase in annexin V-positive cells or sub-G1 population of cells. NCTD significantly activated the p38 mitogen-activated protein kinase (MAPK) pathway but inactivated the signal transducer and activator of transcription (STAT)3 pathway. A p38 MAPK inhibitor (SB203580) partially attenuated NCTD-induced programmed cell death (apoptosis) in both cell lines, whereas ectopic overexpression of STAT3 did not affect it. NCTD strongly suppressed tumor growth in the tumor xenograft bearing HSC-3 cells, and the number of TUNEL-positive cells increased in NCTD-treated tumor tissues. In addition, NCTD did not cause any histopathological changes in the liver nor the kidney. NCTD induced programmed cell death via the activation of p38 MAPK in OSCC. Therefore, these results suggest that NCTD could be a potential anticancer drug candidate for the treatment of OSCC.
Insights
Norcantharidin (NCTD) effectively inhibits oral squamous cell carcinoma (OSCC) growth by inducing apoptosis through p38 MAPK pathway activation. This study suggests NCTD as a potential anticancer drug for OSCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Norcantharidin (NCTD), a cantharidin analog, shows anticancer potential.
- The precise mechanisms of NCTD against oral squamous cell carcinoma (OSCC) remain unclear.
Purpose of the Study:
- To investigate the apoptotic effects and molecular targets of NCTD in human OSCC.
- To evaluate NCTD's efficacy in vitro and in vivo.
Main Methods:
- Cell viability assays (trypan blue, live/dead), western blotting, DAPI staining, flow cytometry, TUNEL assay, and immunohistochemistry were employed.
- In vivo studies utilized tumor xenografts in mice.
- Specific pathway inhibitors and genetic manipulation were used to elucidate molecular mechanisms.
Main Results:
- NCTD significantly inhibited OSCC cell growth and induced apoptosis, evidenced by caspase cleavage, morphological changes, and increased Annexin V-positive cells.
- NCTD activated the p38 MAPK pathway and inactivated the STAT3 pathway.
- In vivo, NCTD suppressed tumor growth and increased apoptosis in tumor tissues without causing significant liver or kidney toxicity.
Conclusions:
- NCTD induces programmed cell death (apoptosis) in OSCC cells primarily through p38 MAPK activation.
- NCTD demonstrates significant anticancer activity against OSCC in vitro and in vivo.
- NCTD represents a promising therapeutic candidate for oral squamous cell carcinoma treatment.
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