Abstract

Oral cancer continues to be a significant public health problem worldwide. Recently conducted clinical trials demonstrate the ability of black raspberries (BRBs) to modulate biomarkers of molecular efficacy that supports a chemopreventive strategy against oral cancer. However, it is essential that a preclinical animal model of black raspberry (BRB) chemoprevention which recapitulates human oral carcinogenesis be developed, so that we can validate biomarkers and evaluate potential mechanisms of action. We therefore established the ability of BRBs to inhibit oral lesion formation in a carcinogen-induced rat oral cancer model and examined potential mechanisms. F344 rats were administered 4-nitroquinoline 1-oxide (4NQO) (20 µg/ml) in drinking water for 14 weeks followed by regular drinking water for 6 weeks. At week 14, rats were fed a diet containing either 5 or 10% BRB, or 0.4% ellagic acid (EA), a BRB phytochemical. Dietary administration of 5 and 10% BRB reduced oral lesion incidence and multiplicity by 39.3 and 28.6%, respectively. Histopathological analyses demonstrate the ability of BRBs and, to a lesser extent EA, to inhibit the progression of oral cancer. Oral lesion inhibition by BRBs was associated with a reduction in the mRNA expression of pro-inflammatory biomarkers Cxcl1, Mif, and Nfe2l2 as well as the anti-apoptotic and cell cycle associated markers Birc5, Aurka, Ccna1, and Ccna2. Cellular proliferation (Ki-67 staining) in tongue lesions was inhibited by BRBs and EA. Our study demonstrates that, in the rat 4NQO oral cancer model, dietary administration of BRBs inhibits oral carcinogenesis via inhibition of pro-inflammatory and anti-apoptotic pathways.

Highlights

  • It is estimated that there are about 48,330 new cases and 9,570 deaths due to oral cancer in the US annually [1]

  • Our results demonstrate that experimental rat oral carcinogenesis represents an essential tool for the extended investigation of BRBmediated oral chemoprevention, and validate the involvement of inflammatory, apoptotic, and cell cycle associated pathways in the oral cancer inhibitory activity of black raspberries (BRBs)

  • Food consumption analysis for each dietary group compared to 4-nitroquinoline 1-oxide (4NQO)-only control group showed no significant differences in animals fed with 5 and 10% BRB diets

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Summary

Introduction

It is estimated that there are about 48,330 new cases and 9,570 deaths due to oral cancer in the US annually [1]. This amounts to greater than one person every hour every day that dies from oral cancer. Oral Cancer Chemoprevention by BRBs are common. Despite advances in oral cancer treatment strategies, survival rates have not significantly improved over the past three decades. New and effective approaches to oral cancer prevention and therapy are needed, and it is essential that these strategies be developed and tested in preclinical models that reflect essential features of human oral carcinogenesis

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