Ragos Vasileios, S Mastronikolis Nicholas, Tsiambas Evangelos, Baliou Evangelia, N Mastronikolis Stylianos, Tsoukalas Nikolaos, E Patsouri Eugenia, P Fotiades Panagiotis
Department of Maxillofacial Surgery, Department of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
J BUON. 2018 Nov-Dec;23(6):1569-1572.
Head and neck squamous cell carcinoma (HNSCC) includes a variety of SCCs derived from the anatomic regions of the oral and nasal cavity and also of the pharynx and larynx. Oral cavity SCC (OCSCC) demonstrates an increasing rate due to viral -related (High Risk Human Papilloma Virus-HR HPV) persistent infection, cigarette smoking and alcohol consumption. Gross chromosomal alterations (polysomy, aneuploidy) and specific gene aberrations such as amplifications, deletions, point mutations combined or not with epigenetic ones (promoter methylations and miRNA deregulations) are responsible for the progressive transformation of normal squamous epithelia to the corresponding malignant. In the majority of OCSCC cases, critical genes, such as p53 are found to be inactivated, leading to an overactivated cell cycle correlated to carcinogenetic process. P53 (gene location: 17p13.1) is a suppressor gene acting as a key regulator of the cell's genomic stability, function and homeostasis. P53 aberrant overexpression is frequently observed in OCSCC tissues as a result of point mutation or deletion. In the current special article we explored the role of the p53 gene deregulation - especially focused on its mutation status - in OCSCCs.
头颈部鳞状细胞癌(HNSCC)包括源自口腔、鼻腔以及咽和喉等解剖区域的多种鳞状细胞癌。口腔鳞状细胞癌(OCSCC)的发病率因病毒相关(高危型人乳头瘤病毒-HR HPV)持续感染、吸烟和饮酒而呈上升趋势。总体染色体改变(多倍体、非整倍体)以及特定基因异常,如扩增、缺失、点突变,无论是否与表观遗传异常(启动子甲基化和微小RNA失调)相结合,都是导致正常鳞状上皮逐渐转变为相应恶性肿瘤的原因。在大多数OCSCC病例中,发现关键基因如p53失活,导致与致癌过程相关的细胞周期过度激活。P53(基因定位:17p13.1)是一种抑癌基因,作为细胞基因组稳定性、功能和内环境稳定的关键调节因子。由于点突变或缺失,P53异常过表达在OCSCC组织中经常被观察到。在当前这篇专题文章中,我们探讨了p53基因失调的作用——尤其关注其突变状态——在OCSCC中的作用。