IntroductionHead and neck squamous cell carcinoma (HNSCC) represents approximately 6% of all cancers and about 500 000 cases are diagnosed every year.1 Over the past 20 years, diagnosis and management of HNSCC have improved through combined efforts in surgery, radiotherapy and chemotherapy, but the overall 5-y survival rate for patients is still only 40-50%. 2 The high rate of recurrence of HSNCC and its significant metastatic potential after conventional therapy appear to be major contributing factors for restricted survival of HNSCC patients.3 Therefore, understanding the molecular cancer pathways of underlying HNSCC metastasis would help to improve the therapy of the disease.Discoidin domain receptor 2 (DDR2) is a receptor tyrosine kinase (RTK) that can be activated by fibrillar collagens, 4-6 and implicated in several cancer cell behaviors, including VEGF expression, tumor angiogenesis, invasion, and metastasis. [7][8][9] Matrix metalloproteinases (MMPs) are an important subset of downstream target genes of DDR2 signaling. 10,11 EMT plays an important role in the metastasis of HNSCC by facilitating primary tumor invasion through the basement membrane and migration through the tumor-associated stroma or extracellular matrix (ECM).12-14 It has been reported that DDR2 is a critical regulator of EMT.15 Though previous studies have investigated the function of DDR2 in some common tumors, there has not been functional characterization of the potential role of DDR2 in HNSCC. Therefore, the aim of the current study was to investigate this issue.
Results
DDR2 is highly expressed in high-grade HNSCCIn order to explore the role of DDR2 in HNSCC, we first compared its expression levels in non-cancerous and cancer tissues. The results of real-time quantitative PCR (qPCR) showed that the mRNA expression level of DDR2 was much higher in all the tumor tissues than in their normal counterparts, and
Keywords: DDR2, HNSCC, tumor metastasis, EMT, hypoxiaBackground: Discoidin domain receptor 2 (DDR2) is a unique receptor tyrosine kinase (RTK) that is activated by fibrillar collagens. although DDR2 contributes to the metastasis of some tumors, its role in head and neck squamous cell carcinoma (hNsCC) remains unknown. The aim of this study was to investigate the expression level, clinical and pathological significance, and biologic function of DDR2 in hNsCC.Methods: Real-time quantitative PCR, western blot, and immunohistochemical staining were employed to assess the expression levels of DDR2 in hNsCC specimens. adenovirus-mediated overexpression of DDR2 was used to evaluate its consequences on cell proliferation, invasion, migration, and the process of hypoxia-induced epithelial-mesenchymal transition (eMT). Then nude mouse xenograft and tail vein metastasis models were utilized to validate the in vitro results.Results: DDR2 was highly expressed in high grade hNsCC tissues and lowly expressed in low grade hNsCC tissues, but absent or rarely expressed in cancer-associated normal tissues. Both the frequency and expression intensit...