Nobiletin inhibits cell growth through restraining aerobic glycolysis via PKA-CREB pathway in oral squamous cell carcinoma.

BACKGROUND/AIM: Nobiletin is a polymethoxylated flavone enriched in Citrus and is used as an important drug in traditional Chinese medicine for various kinds of diseases. Among its multiple functions, it has shown that nobiletin inhibits proliferation of various cancer cells. However, it is unclear whether nobiletin inhibits the growth of oral squamous cell carcinoma (OSCC) cells. MATERIALS AND METHODS: We explored the antitumor effects of nobiletin in TCA-8113 and CAL-27 oral squamous cells. The Cell Counting Kit-8 (CCK8) assay was used to measure cell vitality. Flow cytometry was performed to measure the number of cells in the various phases of the cell cycle. PCR and Western blot were applied to determine mRNA and protein expression, respectively. RESULTS: Nobiletin inhibited proliferation of TCA-8113 and CAL-27 cells via inducing cell cycle arrest at the G1 phase. In addition, the levels of phosphorylated-PKA and phosphorylated-CREB were reduced in nobiletin-treated TCA-8113 and CAL-27 cells. Importantly, our results showed that nobiletin treatment resulted in impaired mitochondrial function and altered glucose consumption, and pyruvate and lactate production. Lastly, nobiletin was found to inhibit the generation of xenografts in vivo. Interestingly, administration of 50 µmol/L Sp-cAMP, a potent PKA activator, rescued all phenotypes caused by nobiletin. CONCLUSIONS: Nobiletin inhibits OSCC cell proliferation in a mitochondria-dependent manner, indicating that it may have a promising role in cancer treatment and attenuation of drug resistance.

Isolated Influences of Surgery Repair on Maxillofacial Growth in Complete Unilateral Cleft Lip and Palate.

PURPOSE: The purpose of this study was to investigate the maxillofacial morphologic characteristics of children with complete unilateral cleft lip and palate (UCLP) with and without surgical correction and better understand the relation between surgery and inhibition of maxillary growth. MATERIAL AND METHODS: Lateral cephalometric radiography was performed in 3 groups of 9-year-old children: 1) 20 whose UCLP was repaired in infancy; 2) 20 who had no surgical repair or any relevant treatments; and 3) 20 without UCLP who served as controls. RESULTS: Marked morphologic deviations of patients in groups 1 and 2 compared with the control group were observed in the cranial base angle, maxillary heights, length and shape of the mandible, and anteroposterior jaw relation. Facial morphology was similar between groups 1 and 2 except for less vertical maxillary height and more obtuse gonial angle in group 1. CONCLUSION: The facial morphology of children with UCLP differs markedly from that of normal children. The differences can be ascribed to the difference in the primary anomaly in the UCLP groups, but isolated surgery has minor effects on growth disturbances.

[Infections of the head and neck leading to descending necrotizing mediastinitis: management of 9 cases].

OBJECTIVE: To report nine cases of descending necrotizing mediastinitis (DNM) and to summarize the management experience. METHODS: Between December 2005 and December 2008, nine patients (mean age, 55.7 years; age range, 38 to 78 years) with DNM were treated. Eight patients underwent surgical drainage of the involved cervical region and mediastinum (4 with cervical drainage alone; 4 with cervical drainage and right thoracotomy). RESULTS: Two patients died, one of them refused surgical therapy and the other one died of multiorgan failure related to postoperative septic shock. Seven patients recovered. The mortality rate was 22%. CONCLUSIONS: Delayed diagnosis and inadequate drainage are the main causes of high mortality rate of DNM. Aggressive surgical drainage and debridement of the neck and mediastinum by a multidisciplinary team of surgeons are very important in the treatment of DNM.

[Application of parasymphyseal mandible osteotomy combined with set-back tongue flap in treatment of tongue base carcinoma].

OBJECTIVE: To evaluate the efficacy of the approach of parasymphyseal mandible osteotomy combined with set-back tongue flap in treatment of tongue base carcinoma. METHODS: In total 18 patients with cancer of tongue base, 13 were males and 5 females aged of 30 to 65 y (average 52.9 y). Eighteen patients were treated by parasymphyseal mandible osteotomy combined with set-back tongue flap in our hospital from June 2001 to June 2006. RESULT: The range of follow-up period was 2 to 5 years. All patients had satisfactory speech, swallowing and taste function. CONCLUSION: Parasymphyseal mandible osteotomy provides good exposure, and set-back tongue flap to reconstruction of the base of tongue can partially restore the function of tongue.