Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation

Pepsin plays an important role in laryngopharyngeal reflux (LPR), a risk factor for the development of hypopharyngeal squamous cell carcinomas (HPSCC). However, the role of pepsin in HPSCC is not clear. We show by immunohistochemistry that pepsin positivity occurs in a significant proportion of huma...

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Veröffentlicht in:PloS one 2020, Vol.15 (1), p.e0227408-e0227408
Hauptverfasser: Niu, Kai, Guo, Chunjie, Teng, Shiyong, Zhou, Dandan, Yu, Shuyuan, Yin, Wanzhong, Wang, Ping, Zhu, Wei, Duan, Maoli
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container_title PloS one
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creator Niu, Kai
Guo, Chunjie
Teng, Shiyong
Zhou, Dandan
Yu, Shuyuan
Yin, Wanzhong
Wang, Ping
Zhu, Wei
Duan, Maoli
description Pepsin plays an important role in laryngopharyngeal reflux (LPR), a risk factor for the development of hypopharyngeal squamous cell carcinomas (HPSCC). However, the role of pepsin in HPSCC is not clear. We show by immunohistochemistry that pepsin positivity occurs in a significant proportion of human primary HPSCC specimens, and in many cases matched adjacent uninvolved epithelia are negative for pepsin. Pepsin positivity is associated with nodal involvement, suggesting that pepsin may have a role in metastasis. Treatment of FaDu cancer cells with pepsin increased cell proliferation, possibly by inducing G1/S transition. We also observed significant changes in expression of genes involved in NF-kappaB, TRAIL and Notch signaling. Our data suggest that pepsin plays an important role in HPSCC and that targeting pepsin could have potential therapeutic benefits.
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subjects Aged
Biology and Life Sciences
Biotechnology
Cancer
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - pathology
Cell cycle
Cell growth
Cell Line, Tumor
Cell proliferation
Cytokines
Esophagus
Female
Flow cytometry
G1 Phase
Gene expression
Gene Expression Regulation, Neoplastic
Humans
Immunohistochemistry
Laryngeal Neoplasms - metabolism
Laryngeal Neoplasms - pathology
Male
Medicine and Health Sciences
Metastases
Microscopy
Middle Aged
Neoplasm Metastasis
Neoplasm Proteins - metabolism
NF-κB protein
Otolaryngology
Pepsin
Pepsin A - metabolism
Pepsin A - pharmacology
Pharyngeal Neoplasms - metabolism
Pharyngeal Neoplasms - pathology
Research and Analysis Methods
Risk analysis
Risk factors
S Phase
Signal Transduction
Signaling
Squamous cell carcinoma
Supervision
Surgery
Throat cancer
title Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
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