The microenvironment of aerodigestive cancers contains tumor promoting inflammatory signals often involved in innate immunity. SCCHN is an epithelial malignancy characterized by the secretion of inflammatory mediators that can promote tumorigenesis and lymph node metastasis. The chemokine receptor CCR7 is a key molecule whose aberrant expression in SCCHN has been linked to pro-survival, invasive and metastatic pathways. Indeed, the selective upregulation of CCR7 in metastatic SCCHN tumors has been previously described. However, the mechanisms of CCR7 expression have not yet been elucidated. Inflammatory cytokines are known to upregulate CCR7 in immune cells through downstream NF-κB dependent mechanisms. In addition, antimicrobial peptides such as human β-defensin 3 (HBD3) are capable of promoting an inflammatory microenvironment and may possess tumor-promoting properties. Given the frequent overexpression NF-κB in SCCHN and its association with a more aggressive SCCHN phenotype, I hypothesized that NF-κB may be a key mediator of invasive and metastatic disease by promoting CCR7 expression in SCCHN tumors. Indeed, I identified and studied four potential NF-κB binding sites in the promoter region upstream of the CCR7 gene and report on their relative contribution to CCR7 expression in metastatic SCCHN. Furthermore, I demonstrate that HBD3 induces CCR7 expression in dendritic cells as well as primary SCCHN tumors in an NF-κB-dependent fashion. Interestingly, HBD3 stimulation provides anti-apoptotic signals to SCCHN cells, as evidenced by tumor resistance to cisplatin-induced cell death.
As presented in this dissertation, these findings suggest that HBD3 represents a novel, NF-κB-regulated mediator of CCR7 expression and anti-apoptotic pathways, which may be exploited by developing SCCHN tumors to enhance their growth, survival and evolution into a metastatic phenotype. NF-κB appears to be a key regulator of basal and inducible CCR7 expression. The observed NF-κB induction of CCR7 and its subsequent downstream pathways provide clinically important therapeutic targets to control the progression and metastasis of SCCHN tumors.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-04242011-234925 |
| Date | 28 April 2011 |
| Creators | Mburu, Yvonne K. |
| Contributors | Lawrence P. Kane, Michael R. Shurin, Jill M. Siegfried, William H. Walker, Robert L. Ferris |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-04242011-234925/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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