Abstract

Radiation therapy is an important treatment for head and neck squamous cell carcinoma (HNSCC). However, how to promote radiation sensitivity in HNSCC remains a challenge. This study aimed to investigate the radiosensitizing effects of fenofibrate on HNSCC and explore the underlying mechanisms. HNSCC cell lines CNE-2 and KB were subjected to ionizing radiation (IR), in the presence or absence of fenofibrate treatment. Cell growth and survival, apoptosis and cell cycle were evaluated. In addition, CNE-2 cells were xenografted into nude mice and subjected to IR and/ or fenofibrate treatment. The expression of cyclinB and CDK1 was detected by Western blotting. Our results showed that fenofibrate efficiently radiosensitized HNSCC cells and xenografts in mice, and induced apoptosis and G2/M arrest via reducing the activity of the CDK1/cyclinB1 kinase complex. These data suggest that fenofibrate could be a promising radiosensitizer for HNSCC radiotherapy.

Highlights

  • Head and neck cancers include malignancies of the oral cavity, nasopharynx, oropharynx, hypopharynx, larynx, paranasal sinuses and salivary glands

  • We demonstrated that incubating fenofibrate decrease head and neck squamous cell carcinoma (HNSCC) cell viability and proliferation in a dose-dependent manner

  • Our study has provided evidence that fenofibrate enhanced the radiosensitivity of HNSCC cells via inducing G2/M arrest

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Summary

Introduction

Head and neck cancers include malignancies of the oral cavity, nasopharynx, oropharynx, hypopharynx, larynx, paranasal sinuses and salivary glands. Squamous cell carcinoma is the most common histological type of head and neck cancer, accounting for 90% of all head and neck malignancies. Head and neck squamous cell carcinoma (HNSCC) is the sixth most common malignancy worldwide (Parkin et al, 2005). Despite the predominating primary therapy of radiation (RT), chemoradiation (CRT) or surgery, a 5-year survival rate is not obviously improved as a result of local recurrence and metastases (Ragin et al, 2007; Li et al, 2013). Ionizing radiation is one of the most effective approaches for local control. Current standard chemoradiation strategies have reached the upper limits of toxicity with complications and side effects, preventing successful treatment. The problem of how to increase tumor response to irradiation with targeted sensitizers has become a research focus in radiotherapy of HNSCC (Akervall et al, 2014; Zhang et al, 2014)

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