Gastro-duodenal fluid induced nuclear factor-?appaB activation and early pre-malignant alterations in murine hypopharyngeal mucosa.
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ABSTRACT: We recently described the role of gastro-duodenal fluids (GDFs) in generating changes consistent with hypopharyngeal neoplasia through activation of NF-?B pathway, using an in vitro model of human hypopharyngeal normal keratinocytes. Here, we further provide evidence that gastro-duodenal reflux is a risk factor for early pre-malignant alterations in hypopharyngeal mucosa (HM) related to an activated NF-?B oncogenic pathway, using both an in vitro and a novel in vivo model of C57Bl/6J mice. Histological, immunohistochemical and automated quantitative analysis documents significant NF-?B activation and early pre-malignant alterations in HM topically exposed to GDFs, compared to acid alone and other controls. Early pre-malignant histologic lesions exhibited increased Ki67, CK14 and ?Np63, cell proliferation markers, changes of cell adhesion molecules, E-Cadherin and ?-catenin, and STAT3 activation. The in vivo effect of NF-?B activation is positively correlated with p-STAT3, Ki67, CK14 or ?-catenin expression, while GDFs induce significant transcriptional activation of RELA(p65), bcl-2, TNF-?, STAT3, EGFR and wnt5A, in vivo. Our in vivo model demonstrates selectively activated NF-?B in response to topically administrated GDFs, leading to early pre-malignant events in HM.
SUBMITTER: Vageli DP
PROVIDER: S-EPMC4868729 | biostudies-literature | 2016 Feb
REPOSITORIES: biostudies-literature
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