TGF-β downregulation overcomes gemcitabine resistance in oral squamous cell carcinoma

Yun-Ze Xuan1,1, Cheng-Ri Jin1,1, Kang-Juan Yang2

  • 1Department of Dentistry, Affiliated Hospital of Yanbian University, Yanji, Jilin, China.

Abstract

Insights

Transforming growth factor-beta (TGF-β) drives oral cancer resistance to gemcitabine by activating NF-κB and AKT. Silencing TGF-β enhances gemcitabine efficacy, offering a potential strategy to overcome treatment resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Oral squamous cell carcinoma (OSCC) poses a significant health challenge.
  • Gemcitabine is a chemotherapeutic agent used in cancer treatment.
  • Understanding mechanisms of drug resistance is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying gemcitabine resistance in OSCC.
  • To identify potential therapeutic targets for overcoming this resistance.

Main Methods:

  • OSCC cells were treated with gemcitabine and/or TGF-β targeting shRNA.
  • Assays included Western blot, ELISA, migration, and MTT assays.
  • In vivo animal experiments were conducted to validate findings.

Main Results:

  • Gemcitabine treatment increased NF-κB and AKT activity in OSCC cells, correlating with resistance.
  • Downregulation of TGF-β significantly reduced NF-κB and AKT phosphorylation.
  • TGF-β silencing enhanced gemcitabine sensitivity, induced cell death, and reduced epithelial-mesenchymal transition (EMT).

Conclusions:

  • Cellular TGF-β levels are a key determinant of gemcitabine resistance in OSCC.
  • TGF-β silencing presents a promising strategy to sensitize OSCC to gemcitabine and overcome resistance.
  • Targeting TGF-β may improve chemotherapeutic efficacy in oral cancer treatment.

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