Evaluation of cannabinoid CB1 and CB2 receptors expression in mobile tongue squamous cell carcinoma: associations with clinicopathological parameters and patients’ survival

Cannabinoid receptors (CB1R and CB2R) constitute essential members of the endocannabinoid system (ECS) which participates in many different functions indispensable to homeostatic regulation in several tissues, exerting also antitumorigenic effects. The present study aimed to assess the clinical sign...

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Veröffentlicht in:Tumor biology 2016-03, Vol.37 (3), p.3647-3656
Hauptverfasser: Theocharis, Stamatios, Giaginis, Constantinos, Alexandrou, Paraskevi, Rodriguez, Jose, Tasoulas, Jason, Danas, Eugene, Patsouris, Efstratios, Klijanienko, Jerzy
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container_end_page 3656
container_issue 3
container_start_page 3647
container_title Tumor biology
container_volume 37
creator Theocharis, Stamatios
Giaginis, Constantinos
Alexandrou, Paraskevi
Rodriguez, Jose
Tasoulas, Jason
Danas, Eugene
Patsouris, Efstratios
Klijanienko, Jerzy
description Cannabinoid receptors (CB1R and CB2R) constitute essential members of the endocannabinoid system (ECS) which participates in many different functions indispensable to homeostatic regulation in several tissues, exerting also antitumorigenic effects. The present study aimed to assess the clinical significance of CB1R and CB2R protein expression in mobile tongue squamous cell carcinoma (SCC). CB1R and CB2R expression was assessed immunohistochemically on 28 mobile tongue SCC tissue samples and was analyzed in relation with clinicopathological characteristics and overall and disease-free patients’ survival. CB1R, CB2R, and concomitant CB1R/CB2R expression was significantly increased in older compared to younger mobile tongue SCC patients ( p  = 0.0243, p  = 0.0079, and p  = 0.0366, respectively). Enhanced CB2R and concomitant CB1R/CB2R expression was significantly more frequently observed in female compared to male mobile tongue SCC patients ( p  = 0.0025 and p  = 0.0016, respectively). Elevated CB2R expression was significantly more frequently observed in mobile tongue SCC patients presenting well-defined tumor shape compared to those with diffuse ( p  = 0.0430). Mobile tongue SCC patients presenting enhanced CB1R, CB2R, or concomitant CB1R/CB2R expression showed significantly longer overall (log-rank test, p  = 0.004, p  = 0.011, p  = 0.018, respectively) and disease-free (log-rank test, p  = 0.003, p  = 0.007, p  = 0.027, respectively) survival times compared to those with low expression. In multivariate analysis, CB1R was identified as an independent prognostic factor for disease-free patients’ survival (Cox-regression analysis, p  = 0.032). The present study provides evidence that CB1R and CB2R may play a role in the pathophysiological aspects of the mobile tongue SCC and even each molecule may constitute a potential target for the development of novel anti-cancer drugs for this type of malignancy.
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The present study aimed to assess the clinical significance of CB1R and CB2R protein expression in mobile tongue squamous cell carcinoma (SCC). CB1R and CB2R expression was assessed immunohistochemically on 28 mobile tongue SCC tissue samples and was analyzed in relation with clinicopathological characteristics and overall and disease-free patients’ survival. CB1R, CB2R, and concomitant CB1R/CB2R expression was significantly increased in older compared to younger mobile tongue SCC patients ( p  = 0.0243, p  = 0.0079, and p  = 0.0366, respectively). Enhanced CB2R and concomitant CB1R/CB2R expression was significantly more frequently observed in female compared to male mobile tongue SCC patients ( p  = 0.0025 and p  = 0.0016, respectively). Elevated CB2R expression was significantly more frequently observed in mobile tongue SCC patients presenting well-defined tumor shape compared to those with diffuse ( p  = 0.0430). Mobile tongue SCC patients presenting enhanced CB1R, CB2R, or concomitant CB1R/CB2R expression showed significantly longer overall (log-rank test, p  = 0.004, p  = 0.011, p  = 0.018, respectively) and disease-free (log-rank test, p  = 0.003, p  = 0.007, p  = 0.027, respectively) survival times compared to those with low expression. In multivariate analysis, CB1R was identified as an independent prognostic factor for disease-free patients’ survival (Cox-regression analysis, p  = 0.032). The present study provides evidence that CB1R and CB2R may play a role in the pathophysiological aspects of the mobile tongue SCC and even each molecule may constitute a potential target for the development of novel anti-cancer drugs for this type of malignancy.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>26459312</pmid><doi>10.1007/s13277-015-4182-8</doi><tpages>10</tpages></addata></record>
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ispartof Tumor biology, 2016-03, Vol.37 (3), p.3647-3656
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subjects Adult
Age Factors
Aged
Aged, 80 and over
Biomarkers, Tumor - biosynthesis
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Female
Humans
Immunohistochemistry
Kaplan-Meier Estimate
Male
Medical prognosis
Middle Aged
Multivariate Analysis
Oral cancer
Original Article
Outcome Assessment (Health Care) - methods
Outcome Assessment (Health Care) - statistics & numerical data
Pathology
Prognosis
Proportional Hazards Models
Receptor, Cannabinoid, CB1 - biosynthesis
Receptor, Cannabinoid, CB2 - biosynthesis
Sex Factors
Tongue Neoplasms - metabolism
Tongue Neoplasms - pathology
Tongue Neoplasms - surgery
Tumors
title Evaluation of cannabinoid CB1 and CB2 receptors expression in mobile tongue squamous cell carcinoma: associations with clinicopathological parameters and patients’ survival
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