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Updated: Dec 31, 2025

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Apoptosis signaling molecules as treatment targets in head and neck squamous cell carcinoma
Thomas J Ow1,2, Carlos Thomas2, Cory D Fulcher1
1Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York, U.S.A.
Objectives:
To evaluate BCL-2 family signaling molecules in head and neck squamous cell carcinoma (HNSCC) and examine the ability of therapeutic agents with variable mechanisms of action to induce apoptosis in HNSCC cells.
Methods:
messenger ribonculeic acid (mRNA) expression of BAK, BAX, B-cell lymphoma (Bcl-2), BCL2 Like 1 (BCL2L1), and MCL1 were measured in The Cancer Genome Atlas (TCGA) head and neck cancer dataset, as well as in a dataset from a cohort at Montefiore Medical Center (MMC). Protein expression was similarly evaluated in a panel of HNSCC cell lines (HN30, HN31, HN5, MDA686LN, UMSCC47). Cell viability and Annexin V assays were used to assess the efficacy and apoptotic potential of a variety of agents (ABT-263 [navitoclax], A-1210477, and bortezomib.
Results:
Expression of BAK, BAX, BCL2L1, and MCL1 were each significantly higher than expression of BCL2 in the TCGA and MMC datasets. Protein expression demonstrated the same pattern of expression when examined in HNSCC cell lines. Treatment with combined ABT-263 (navitoclax)/A-1210477 or with bortezomib demonstrated apoptosis responses that approached or exceeded treatment with staurospaurine control.
Conclusion:
HNSCC cells rely on inhibition of apoptosis via BCL-xL and MCL-1 overexpression, and induction of apoptosis remains a potential therapeutic option as long as strategies overcome redundant anti-apoptotic signals.
Level Of Evidence:
NA Laryngoscope, 130:2643-2649, 2020.
Insights
Head and neck squamous cell carcinoma (HNSCC) cells resist apoptosis through BCL-xL and MCL-1. Therapeutic agents like navitoclax and bortezomib can induce apoptosis in HNSCC, offering a potential treatment strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Head and neck squamous cell carcinoma (HNSCC) exhibits complex signaling pathways that influence treatment resistance.
- The BCL-2 family of proteins plays a critical role in regulating apoptosis, a key process in cancer cell death.
Purpose of the Study:
- To investigate the expression of key BCL-2 family signaling molecules in HNSCC.
- To assess the efficacy of therapeutic agents in inducing apoptosis in HNSCC cells.
Main Methods:
- Messenger ribonucleic acid (mRNA) and protein expression of BAK, BAX, BCL-2, BCL2L1, and MCL1 were analyzed in HNSCC datasets and cell lines.
- Cell viability and Annexin V assays were employed to evaluate the apoptotic effects of ABT-263 (navitoclax), A-1210477, and bortezomib.
Main Results:
- BAK, BAX, BCL2L1, and MCL1 showed significantly higher expression than BCL2 in both The Cancer Genome Atlas (TCGA) and Montefiore Medical Center (MMC) datasets.
- Protein expression patterns corroborated mRNA findings in HNSCC cell lines.
- Treatment with combined ABT-263/A-1210477 or bortezomib induced apoptosis comparable to or exceeding the staurosporine control.
Conclusions:
- HNSCC cells depend on BCL-xL and MCL-1 overexpression to inhibit apoptosis.
- Targeting these anti-apoptotic signals with specific agents presents a viable therapeutic strategy for HNSCC.
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