Modulatory effect of cytokines on natural killer and antibody dependent cellular cytotoxicity directed to squamous cell carcinoma targets by lymphocytes from oral cancer patients

1993 ◽  
Vol 29 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Smruti A. Desai ◽  
Hina S. Maniar ◽  
R.S. Rao ◽  
A.R. Fakih ◽  
Sudha G. Gangal
Author(s):  
Amit Dhawan

AbstractOral squamous cell carcinoma is the third most common cancer in Indian subcontinent affecting people with lower socioeconomic status. Due to inadequate screening facilities and lack of awareness among individuals most of the oral cancer cases are detected at an advanced stage. As early stage oral squamous cell carcinoma patients can be treated with single modality treatment (surgery or radical radiotherapy), multimodality regimen (surgery followed by concurrent chemoradiation) is adopted for high risk advanced stage cancers with multiple adverse features like extra nodal extension, lymphovascular invasion and perineural spread. The chapter outlines the principles of adjunctive therapy in oral cancer patients with special reference to different techniques, indications of radiotherapy and role of chemotherapeutic regimes in improving the overall survival of advanced stage oral cancer patients.


Cancers ◽  
2021 ◽  
Vol 13 (16) ◽  
pp. 4043
Author(s):  
Pei-Feng Liu ◽  
Chih-Wen Shu ◽  
Cheng-Hsin Lee ◽  
Huei-Cin Sie ◽  
Huei-Han Liou ◽  
...  

Guanylate binding protein 5 (GBP5) is the interferon (IFN)-inducible subfamily of guanosine triphosphatases (GTPases) and is involved in pathogen defense. However, the role played by GBP5 in cancer development, especially in oral squamous cell carcinoma (OSCC), is still unknown. Herein, next-generation sequencing analysis showed that the gene expression levels of GBP5 were significantly higher in OSCC tissues compared with those found in corresponding tumor adjacent normal tissues (CTAN) from two pairs of OSCC patients. Higher gene expression levels of GBP5 were also found in tumor tissues of 23 buccal mucosal squamous cell carcinoma (BMSCC)/14 tongue squamous cell carcinoma (TSCC) patients and 30 oral cancer patients from The Cancer Genome Atlas (TCGA) database compared with those in CTAN tissues. Immunohistochemical results showed that protein expression levels of GBP5 were also higher in the tumor tissues of 353 OSCC patients including 117 BMSCC, 187 TSCC, and 49 lip squamous cell carcinoma patients. Moreover, TCGA database analysis indicated that high gene expression levels of GBP5 were associated with poor overall survival in oral cancer patients with moderate/poor cell differentiation, and associated with poor disease-free survival in oral cancer patients with moderate/poor cell differentiation and lymph node metastasis. Furthermore, GBP5-knockdowned cells exhibited decreased cell growth, arrest at G1 phase, and decreased invasion/migration. The gene expression of markers for epithelial−mesenchymal transition and cancer stemness was also reduced in GBP5-silenced oral cancer cells. Taken together, GBP5 might be a potential biomarker and therapeutic target for OSCC patients, especially for those with poor cell differentiation and lymph node metastasis.


Author(s):  
Poonam Raj ◽  
Devendra Kumar Gupta ◽  
Sameer Samuel ◽  
Sanajeet Kumar Singh

<p class="abstract"><strong>Background:</strong> Oral cancer is one of the leading causes of dysphagia worldwide and is extremely common in Indian males. Swallowing dysfunction occurs due to the disease itself, its predisposing factors like tobacco chewing or smoking and the treatment undertaken which includes surgery of the primary as well as neck dissection and the adjuvant radiotherapy or chemoradiotherapy. This study was aimed to evaluate swallowing dysfunction in patients of locally advanced squamous cell carcinoma of the oral cavity prior to treatment and post-surgery and adjuvant therapy.</p><p class="abstract"><strong>Methods:</strong> 30 consecutive patients of advanced oral cavity squamous cell carcinoma planned for definitive treatment at a tertiary care center were randomly selected and included in the study. Evaluation of swallowing function was carried out using a dysphagia score and FEES (functional endoscopic evaluation of swallowing) initially during work-up for surgery, then three to four weeks post-surgery and finally six to eight weeks post adjuvant therapy.</p><p class="abstract"><strong>Results:</strong> Results of the study revealed that swallowing dysfunctions was observed in all the timelines of the study. Smoking, larger resection and advanced tumour stage were strong risk factors for postoperative aspiration and dysphagia complications in oral cancer patients. Multi-modality treatment also increased the incidence of post treatment dysphagia.</p><p><strong>Conclusions:</strong> Subjective and objective assessment of swallowing dysfunctions have to be considered as important tools to assess dysphagia pre and post treatment in oral cancer patients to detect swallowing dysfunction especially silent aspiration to institute early intervention in terms of swallow therapy.</p>


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