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Carcinogenesis Advance Access originally published online on May 22, 2003
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Carcinogenesis, Vol. 24, No. 8, 1301-1315, August 2003
© 2003 Oxford University Press


CANCER BIOLOGY

Roles of keratinocyte inflammation in oral cancer: regulating the prostaglandin E2, interleukin-6 and TNF-{alpha} production of oral epithelial cells by areca nut extract and arecoline

Jiiang-Huei Jeng, Ying-Jan Wang1, Bor-Luen Chiang2, Po-Hsuen Lee, Chiu-Po Chan3, Yuan-Soon Ho4, Tong-Mei Wang, Jang-Jaer Lee, Liang-Jiunn Hahn and Mei-Chi Chang5,6

Laboratory of Dental Pharmacology and Toxicology, Department of Dentistry, National Taiwan University Hospital and National Taiwan University College of Medicine, Taiwan
1 Graduate Institute of Environmental Medicine, National Cheng-Kung University, Taiwan
2 Department of Pediatrics, National Taiwan University Hospital and Graduate Institute of Clinical Medicine, National Taiwan University, Taiwan
3 Department of Dentistry, Chang-Gung Memorial Hospital, Taipei, Taiwan
4 Department of Biomedical Technology, Taipei Medical College, Taipei, Taiwan
5 Team of Biomedical Science, Chang-Gung Institute of Technology, 261 Wen-Hwa 1 Road, Kwei-Shan, Taoyuan 33333, Taiwan

6 To whom correspondence should be addressed. Tel: +886 3 2118999; Fax: +886 3 2118866; Email: mcchang{at}mail.cgit.edu.tw

Betel quid (BQ) chewing is an etiologic factor of oral cancer and submucus fibrosis (OSF). Keratinocyte inflammation is crucial for the pathogenesis of cancer and tissue fibrosis. We found that areca nut (AN) extract (100–400 µg/ml) induced PGE2 production by KB cells by 2.34- to 23.1-fold and also TNF-{alpha} production by gingival keratinocytes (GK). Arecoline (0.2–1.2 mM) elevated PGE2 production by KB cells by 2.5- to 6.1-fold. AN extract (200–400 µg/ml) also induced IL-6 production by GK (7.5- to 8.4-fold) and KB cells. In contrast, arecoline (0.1–1.2 mM) suppressed IL-6 production by GK and KB cells, with 42–81 and 41–63% inhibition, respectively. A 48 h exposure of GK to 800–1200 µg/ml AN extract led to 37–69% cell death. Arecoline cytotoxicity to GK was noted at concentrations of 0.8–1.2 mM, which led to 28–38% cell death. AN extract (400–800 µg/ml) induced Cox-2 and IL-6 mRNA expression and also COX-2 protein production by KB cells. IL-6 (5–100 ng/ml) suppressed GK growth by 20–33%, but enhanced oral fibroblast (OMF) and KB cell growth. PGE2 (0.05–5 µg/ml) and anti-IL-6 antibody (ab) (50–1000 ng/ml) showed little effect on GK and KB cell growth. Incubation of GK and KB cells with aspirin, anti-IL-6 ab and anti-TNF-{alpha} ab showed little effect on arecoline- and AN-induced cytotoxicity, cell cycle arrest and apoptosis. Exposure to anti-TNF-{alpha} ab slightly affected arecoline- and AN-modulated PGE2 and IL-6 production by GK and KB cells. Arecoline- and AN-conditioned medium decreased phytohemagglutinin-mediated CD4+ and CD8+ T cell activation. These results indicate that BQ chewing contributes to the pathogenesis of cancer and OSF by impairing T cell activation and by induction of PGE2, TNF-{alpha} and IL-6 production, which affect oral mucosal inflammation and growth of OMF and oral epithelial cells.


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