NDLI: Photodynamic Therapy as a Potent Radiosensitizer in Head and Neck Squamous Cell Carcinoma

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Photodynamic Therapy as a Potent Radiosensitizer in Head and Neck Squamous Cell Carcinoma

Content Provider	MDPI
Author	Cho, Won Kessel, David Rakowski, Joseph Loughery, Brian Najy, Abdo Pham, Tri Kim, Seongho Kwon, Yong Kato, Ikuko Kim, Harold Kim, Hyeong-Reh
Copyright Year	2021
Description	Despite recent advances in therapeutic modalities such as radiochemotherapy, the long-term prognosis for patients with advanced head and neck squamous cell carcinoma (HNSCC), especially nonviral HNSCC, remains very poor, while survival of patients with human papillomavirus (HPV)-associated HNSCC is greatly improved after radiotherapy. The goal of this study is to develop a mechanism-based treatment protocol for high-risk patients with HPV-negative HNSCC. To achieve our goal, we have investigated molecular mechanisms underlying differential radiation sensitivity between HPV-positive and -negative HNSCC cells. Here, we found that autophagy is associated with radioresistance in HPV-negative HNSCC, whereas apoptosis is associated with radiation sensitive HPV-positive HNSCC. Interestingly, we found that photodynamic therapy (PDT) directed at the endoplasmic reticulum (ER)/mitochondria initially induces paraptosis followed by apoptosis. This led to a substantial increase in radiation responsiveness in HPV-negative HNSCC, while the same PDT treatment had a minimal effect on HPV-positive cells. Here, we provide evidence that the autophagic adaptor p62 mediates signal relay for the induction of apoptosis, promoting ionizing radiation (XRT)-induced cell death in HPV-negative HNSCC. This work proposes that ER/mitochondria-targeted PDT can serve as a radiosensitizer in intrinsically radioresistant HNSCC that exhibits an increased autophagic flux.
Starting Page	1193
e-ISSN	20726694
DOI	10.3390/cancers13061193
Journal	Cancers
Issue Number	6
Volume Number	13
Language	English
Publisher	MDPI
Publisher Date	2021-03-10
Access Restriction	Open
Subject Keyword	Cancers Radiology, Nuclear Medicine and Imaging Photodynamic Therapy Er/mitochondrial Photosensitizer Paraptosis Apoptosis Autophagy
Content Type	Text
Resource Type	Article

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