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Alterations in genetic pathways following radiotherapy for head and neck cancer.


ABSTRACT:

Background

Radiotherapy (RT) is an integral component in the treatment of head and neck cancer (HNC).We hypothesized there would be alterations in gene-expression and pathway activity in HNC samples obtained in recurrent HNC that were previously treated with RT, when compared to RT-naïve disease.

Methods

Patient data was abstracted from a prospectively maintained database. Linear-microarray analysis and supervised gene-set enrichment-analysis were employed to compare RT-naive and recurrent disease after prior-RT.

Results

A total of 157 patients were analyzed, 96 (61%) were RT-naive and 61 (39%) had RT.After radiation, there was upregulation of genes associated with angiogenesis, protein-translation-machinery, cell-cycle regulation, and growth factors, and downregulation associated with Myc activity, and hypoxic response (all P?ConclusionPatients with recurrences salvaged surgically post-RT had significant alterations in gene-expression and in Wnt/B-catenin and MYC-target pathways. These pathways may represent potential targets to prevent development of resistance to RT.

SUBMITTER: Naghavi AO 

PROVIDER: S-EPMC7771332 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Publications

Alterations in genetic pathways following radiotherapy for head and neck cancer.

Naghavi Arash O AO   Kim Youngchul Y   Yang George Q GQ   Ahmed Kamran A KA   Caudell Jimmy J JJ  

Head & neck 20191213 2


<h4>Background</h4>Radiotherapy (RT) is an integral component in the treatment of head and neck cancer (HNC).We hypothesized there would be alterations in gene-expression and pathway activity in HNC samples obtained in recurrent HNC that were previously treated with RT, when compared to RT-naïve disease.<h4>Methods</h4>Patient data was abstracted from a prospectively maintained database. Linear-microarray analysis and supervised gene-set enrichment-analysis were employed to compare RT-naive and  ...[more]

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