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Updated: Apr 30, 2026

Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
Epigenetic alterations in head and neck cancer: a brief update
Henrik Hellquist1,2,3, Pedro Castelo-Branco4,5,6, Göran Stenman7
1Faculty of Medicine and Biomedical Sciences (FMCB), University of Algarve, Gambelas Campus, Bld. 2, 8005-139, Faro, Portugal. henrikhellquist@pm.me.
Abstract:
DNA methylation of tumour suppressor genes is the most well-studied epigenetic alterations in head and neck cancer. The tumour suppressor genes CDKN2A, RASSF1, and TIMP3 are the most frequently investigated, but the methylation status has been analysed in more than another dozen genes, for example MGMT. In oral squamous cell carcinoma (OSCC) methylation of MGMT, DAPK, and CDKN2A are promising biomarkers of prognostic value. Inhibition of LSD1, encoding a histone demethylase, attenuates the development and growth of OSCC. Methylation of TIMP3 in sinonasal adenocarcinoma (intestinal type) is associated with a significant worse survival, an association not seen in sinonasal squamous cell carcinoma. Olfactory neuroblastoma can be distinguished into four unique subgroups by methylation profiling. Methylation of RASSF1 is seen in NUT carcinoma, and significantly higher RASSF1 methylation is found in SMARCB1/INI1-deficient tumours compared to the less aggressive SMARCB1/INI-proficient tumours. Genome-wide methylation profiling in combination with IDH2 mutation status suggests that tumours with undifferentiable SNUC morphology can be classified into for subgroups. Most salivary gland carcinoma subtypes have specific epigenetic signatures. Four of the most common subtypes, adenoid cystic carcinoma (ADCC), mucoepidermoid carcinoma (MEC), acinic cell carcinoma (ACC), and carcinoma ex pleomorphic adenoma (CXPA) have all methylation of RASSF1A, two (MEC and ADCC) also of TIMP3 and two (MEC and CXPA) of p16INK4a. A methylation landscape of 20 salivary gland tumours (SGTs) is nowadays available.
Insights
Epigenetic alterations, specifically DNA methylation of tumor suppressor genes, are key in head and neck cancers. Methylation profiling identifies distinct subgroups and potential biomarkers for various head and neck malignancies.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- DNA methylation is a critical epigenetic alteration in head and neck cancers.
- Tumor suppressor genes like CDKN2A, RASSF1, and TIMP3 are frequently investigated for methylation status.
- Specific methylation patterns are observed across various head and neck malignancies, including oral squamous cell carcinoma (OSCC) and sinonasal tumors.
Purpose of the Study:
- To explore the role of DNA methylation in head and neck cancers.
- To identify potential prognostic biomarkers through methylation profiling.
- To understand the epigenetic landscape of different head and neck tumor subtypes.
Main Methods:
- Analysis of DNA methylation status in tumor suppressor genes.
- Methylation profiling across diverse head and neck cancer types.
- Correlation of methylation patterns with clinical outcomes and tumor characteristics.
Main Results:
- Methylation of MGMT, DAPK, and CDKN2A shows prognostic value in OSCC.
- Inhibition of histone demethylase LSD1 impacts OSCC development.
- TIMP3 methylation is linked to worse survival in sinonasal adenocarcinoma.
- Methylation profiling distinguishes subgroups in olfactory neuroblastoma and SNUC.
- Specific methylation signatures are identified in salivary gland carcinoma subtypes (ADCC, MEC, ACC, CXPA).
Conclusions:
- DNA methylation patterns serve as valuable biomarkers for diagnosis, prognosis, and subtyping in head and neck cancers.
- Epigenetic alterations play a significant role in the pathogenesis and progression of these malignancies.
- Further research into methylation landscapes can refine classification and therapeutic strategies for head and neck tumors.
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