Impact of apurinic/apyrimidinic endonuclease 1/redox factor-1 on treatment response and survival in oral squamous cell carcinoma

Kan Tai Hsia*, Chung Ji Liu, Kwei Mar, Li Han Lin, Chun Shu Lin, Ming Fang Cheng, Herng Sheng Lee, Shang Yi Chiu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background Apurinic/apyrimidinic endonuclease 1/redox factor-1 (APE1/Ref-1) is a multifunctional protein involved in DNA repair and redox signaling. The purpose of this study was to investigate the relationship between APE1/Ref-1 expression and clinicopathological features, survival, and treatment response in patients with oral squamous cell carcinoma (OSCC) and cell lines. Methods APE1/Ref-1 expression in OSCC was evaluated by immunohistochemistry, and its relationship to patient outcomes and treatment response was assessed statistically. The effects of stable short hairpin (sh)RNA-mediated knockdown of APE1/Ref-1 on cell survival, migration, and chemoradiation sensitivity were determined in OSCC cell lines. Results APE1/Ref-1 immunostaining was correlated with positive lymph node status, and higher APE1/Ref-1 expression was significantly associated with poor prognosis and reduced treatment response. Consistent with the clinical studies, APE1/Ref-1 expression in OSCC cell lines was implicated in the regulation of migration and cisplatin-induced apoptosis. Conclusion Elevated APE1/Ref-1 expression may be used to predict poor survival and may confer chemoresistance in OSCC.

Original languageEnglish
Pages (from-to)550-559
Number of pages10
JournalHead and Neck
Volume38
Issue number4
DOIs
StatePublished - 1 Apr 2016

Keywords

  • apurinic/apyrimidinic endonuclease/redox factor 1 (APE1/Ref-1)
  • cisplatin
  • immunohistochemistry
  • knockdown
  • oral squamous cell carcinoma (OSCC)

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