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生长抑素受体谱及生长抑素类似物治疗在口腔鳞状细胞癌中的分子及临床意义

Molecular and Clinical Implications of Somatostatin Receptor Profile and Somatostatin Analogues Treatment in Oral Cavity Squamous Cell Carcinoma.

作者信息

Sanjuan-Sanjuan Alba, Alors-Perez Emilia, Sanchez-Frías Marina, Dean-Ferrer Alicia, Gahete Manuel D, Heredero-Jung Susana, Luque Raúl M

机构信息

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC), E-14004 Cordoba, Spain.

University Hospital Reina Sofía (HURS), E-14004 Cordoba, Spain.

出版信息

Cancers (Basel). 2021 Sep 27;13(19):4828. doi: 10.3390/cancers13194828.

Abstract

Oral squamous cell carcinoma (OSCC) incidence has increased by 50% over the last decade. Unfortunately, surgery and adjuvant radiotherapy and chemotherapy are still the mainstream modality of treatment, underscoring the need for alternative therapies. Somatostatin-analogues (SSA) are efficacious and safe treatments for a variety of tumors, but the presence of somatostatin-receptors (SSTs) and pharmacological effects of SSA on OSCC are poorly known. In this study, we demonstrated that SST and SST levels were significantly higher in OSCC, compared to adjacent healthy control tissues. SST expression was associated with less regional metastasis and a lower recurrence rate. Moreover, SST was elevated in OSCC and associated with histopathological good prognosis factors, such as high peritumoral inflammation, smaller depth of invasion, and expansive vs. infiltrative front of tumor invasion. Importantly, treatment with different SSA (octreotide, lanreotide, and pasireotide) significantly reduced cell-proliferation in OSCC primary cell cultures. Altogether, this study demonstrated that SST is overexpressed in OSCC vs. healthy tissues and could represent a novel prognostic biomarker, since its expression is associated with tumors that show better prognostic factors and less recurrent rate. Moreover, our data unveil clear antitumoral effects of SSAs on OSCC, opening new avenues to explore their potential as targeting therapy to OSCC.

摘要

在过去十年中,口腔鳞状细胞癌(OSCC)的发病率增加了50%。不幸的是,手术以及辅助放疗和化疗仍然是主要的治疗方式,这凸显了对替代疗法的需求。生长抑素类似物(SSA)对多种肿瘤是有效且安全的治疗方法,但生长抑素受体(SSTs)在OSCC中的存在情况以及SSA对OSCC的药理作用却鲜为人知。在本研究中,我们证明与相邻的健康对照组织相比,OSCC中SST和SST水平显著更高。SST表达与较少的区域转移和较低的复发率相关。此外,SST在OSCC中升高,并与组织病理学良好预后因素相关,如高肿瘤周围炎症、较小的浸润深度以及肿瘤浸润的膨胀性与浸润性前沿。重要的是,用不同的SSA(奥曲肽、兰瑞肽和帕西瑞肽)治疗可显著降低OSCC原代细胞培养物中的细胞增殖。总之,本研究表明与健康组织相比,SST在OSCC中过表达,并且可能代表一种新的预后生物标志物,因为其表达与显示更好预后因素和更低复发率的肿瘤相关。此外,我们的数据揭示了SSA对OSCC具有明确的抗肿瘤作用,为探索其作为OSCC靶向治疗的潜力开辟了新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62b1/8508167/f9cd26df87e7/cancers-13-04828-g001.jpg

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