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10.1158/0008-5472.CAN-14-1346

http://scihub22266oqcxt.onion/10.1158/0008-5472.CAN-14-1346
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C4253591!4253591!25297633
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suck abstract from ncbi


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pmid25297633      Cancer+Res 2014 ; 74 (23): 7024-36
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  • Hedgehog signaling drives radioresistance and stroma-driven tumor repopulation in head and neck squamous cancers #MMPMID25297633
  • Gan GN; Eagles J; Keysar SB; Wang G; Glogowska MJ; Altunbas C; Anderson RT; Le PN; Morton JJ; Frederick B; Raben D; Wang XJ; Jimeno A
  • Cancer Res 2014[Dec]; 74 (23): 7024-36 PMID25297633show ga
  • Local control and overall survival in patients with advanced head and neck squamous cell cancer (HNSCC) remains dismal. Signaling through the Hedgehog (Hh) pathway is associated with epithelial-to-mesenchymal transition (EMT) and activation of the Hh effector transcription factor Gli1 is a poor prognostic factor in this disease setting. Here we report that increased GLI1 expression in the leading edge of HNSCC tumors is further increased by irradition where it contributes to therapy resistance. Hh pathway blockade with cyclopamine suppressed GLI1 activation and enhanced tumor sensitivity to radiotherapy. Further, radiotherapy-induced GLI1 expression was mediated in part by the mTOR/S6K1 pathway. Stroma exposed to radiotherapy promoted rapid tumor repopulation and this effect was suppressed by Hh inhibition. Our results demonstrate that GLI1 is upregulated at the tumor-stroma intersection in HNSCC is elevated by radiotherapy where it contributes to stromal-mediated resistance, and that Hh inhibitors offer a rational strategy to reverse this process to sensitize HNSCC to radiotherapy.
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