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Areca nut components affect COX-2, cyclin B1/cdc25C and keratin expression, PGE2 production in keratinocyte is related to reactive oxygen species, CYP1A1, Src, EGFR and Ras signaling.
[oral submucous fibrosis]
Chewing
of
betel
quid
(
BQ
)
increases
the
risk
of
oral
cancer
and
oral
submucous
fibrosis
(
OSF
)
,
possibly
by
BQ-induced
toxicity
and
induction
of
inflammatory
response
in
oral
mucosa
.
P
rimary
gingival
keratinocytes
(
GK
cells
)
were
exposed
to
areca
nut
(
AN
)
components
with
/
without
inhibitors
.
Cytotoxicity
was
measured
by
3
-
(
4
,
5
-
dimethyl-
thiazol-
2
-
yl
)
-
2
,
5
-
diphenyl-tetrazolium
bromide
(
MTT
)
assay
.
mRNA
and
protein
expression
was
evaluated
by
reverse
transcriptase-polymerase
chain
reaction
(
RT-PCR
)
and
western
blotting
.
PGE
2
/
PGF
2
α
production
was
measured
by
enzyme-linked
immunosorbent
assays
.
Areca
nut
extract
(
ANE
)
stimulated
PGE
2
/
PGF
2
α
production
,
and
upregulated
the
expression
of
cyclooxygenase-
2
(
COX
-
2
)
,
cytochrome
P
450
1
A
1
(
CYP
1
A
1
)
and
hemeoxygenase-
1
(
HO
-
1
)
,
but
inhibited
expression
of
keratin
5
/
14
,
cyclinB
1
and
cdc
25
C
in
GK
cells
.
ANE
also
activated
epidermal
growth
factor
receptor
(
EGFR
)
,
Src
and
Ras
signaling
pathways
.
ANE-induced
COX
-
2
,
keratin
5
,
keratin
14
and
cdc
25
C
expression
as
well
as
PGE
2
production
were
differentially
regulated
by
α-naphthoflavone
(
a
CYP
1
A
1
/
1
A
2
inhibitor
)
,
PD
153035
(
EGFR
inhibitor
)
,
pp
2
(
Src
inhibitor
)
,
and
manumycin
A
(
a
Ras
inhibitor
)
.
ANE-induced
PGE
2
production
was
suppressed
by
piper
betle
leaf
(
PBL
)
extract
and
hydroxychavicol
(
two
major
BQ
components
)
,
dicoumarol
(
aQuinone
Oxidoreductase--
NQO
1
inhibitor
)
and
curcumin
.
ANE-induced
cytotoxicity
was
inhibited
by
catalase
and
enhanced
by
dicoumarol
,
suggesting
that
AN
components
may
contribute
to
the
pathogenesis
of
OSF
and
oral
cancer
via
induction
of
aberrant
differentiation
,
cytotoxicity
,
COX
-
2
expression
,
and
PGE
2
/
PGF
2
α
production
.
CYP
4501
A
1
,
reactive
oxygen
species
(
ROS
)
,
EGFR
,
Src
and
Ras
signaling
pathways
could
all
play
a
role
in
ANE-induced
pathogenesis
of
oral
cancer
.
Addition
of
PBL
into
BQ
and
curcumin
consumption
could
inhibit
the
ANE-induced
inflammatory
response
.
Diseases
Validation
Diseases presenting
"also activated epidermal growth factor receptor"
symptom
oral submucous fibrosis
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