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SMOKING, CHROMOSOME DAMAGE AND AN ABNORMAL DNA DAMAGE RESPONSE IN HEAD AND NECK SQUAMOUS CELL CARCINOMA (HNSCC)

Smoking is one of the leading risk factors that contribute to the development of head and neck squamous cell carcinoma (HNSCC). Smoking induces chromosome breaks. One of the most frequent and earliest alterations in HNSCC is the segmental loss of the short arm of chromosome 3 (3p). Another frequent observation is the activation of one of the most common fragile sites in HNSCC, FRA3B, which spans the FHIT gene, considered to be a tumor suppressor. Distal to FHIT is FANCD2, which encodes a protein required for the proper function of the Fanconi anemia/BRCA pathway and eventual repair of DNA damage through homologous recombination repair. Recently, it has been observed that FANCD2 gene and protein expression is decreased in HNSCC cells. Therefore, we hypothesize that 3p loss, resulting from the activation of the fragile site FRA3B, leads to FANCD2 gene copy loss and a defective DNA damage response. Western blots showed decreased expression of FHIT protein in HNSCC cell lines. Fluorescence in situ hybridization revealed partial loss of FANCD2 in HNSCC cell lines studied. Western blotting and quantitative RT-PCR showed decreased FANCD2 protein and gene expression in HNSCC cell lines with FANCD2 gene copy loss. HNSCC cell lines with decreased FHIT protein expression, FANCD2 gene copy loss, and decreased FANCD2 gene and protein expression exhibited decreased FANCD2 and RAD51 focus formation. Our results suggest that smoking could induce breakage of the fragile site, FRA3B, leading to FANCD2 loss and resulting in defective DNA damage repair. The use of targeted therapy on cancer cells with deficient DNA damage repair, like CHEK1 small molecule inhibitors, could improve the currently available cancer treatment schemes. The public health relevance of our studies involves the use of an abnormal FA/BRCA pathway as a marker for selective use of targeted cancer therapy for HNSCC.

Identiferoai:union.ndltd.org:PITT/oai:PITTETD:etd-06092009-153339
Date28 September 2009
CreatorsFlores Obando, Rafael Ernesto
ContributorsWilliam S. Saunders, Ph.D., Robert E. Ferrell, Ph.D., Susanne M. Gollin, Ph.D.
PublisherUniversity of Pittsburgh
Source SetsUniversity of Pittsburgh
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.library.pitt.edu/ETD/available/etd-06092009-153339/
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