mutations – Oral Cancer News

Disparities in Oral Cancer: The need for early detection and treatment in the black community

Source: www.everydayhealth.com Author: Oladimeji Ewumi, Medically Reviewed by Walter Tsang, MD of American College of Lifestyle Medicine Oral cancer, also called mouth cancer, is a collective term for cancers that affect the mouth or oral cavity. This form of cancer can develop anywhere in the lips, gums, tongue, salivary glands, inner lining of the cheeks, roof of the mouth, or floor of the mouth. It also affects your oropharynx, which is the back part of your tongue, the roof of your mouth, tonsils, and the back of your throat. According to the American Cancer Society, there are about 54,540 new oral cavity and oropharyngeal cancer cases each year, which translates to 3 percent of all cancer diagnoses in the United States, per the National Institute of Dental and Craniofacial Research (NIDCR). Of these, Black Americans are more likely to receive a late diagnosis at an advanced stage of the disease, are less likely to get adequate treatment, and have worse overall survival rates than other racial-ethnic groups, according to a study published in Anticancer Research. The NIDCR reported that the five-year survival rate for oral cancer for Black people is 52 percent, compared with a 70-percent survival rate for white patients — even though there is a higher incidence of oral cancer in white Americans. These reflect a low awareness of oral cancer among Black Americans and hidden biases in the healthcare system. Reasons for Delayed Diagnosis in the Black Community A study published in OTO Open found that Black [...]

Oral Cancer Foundation News Team - A2023-08-04T13:06:16-07:00August, 2023|Oral Cancer News|

Another setback for vapes? Using the devices can increase the risk of oral cancer as much as cigarettes do, study finds

Source: www.dailymail.co.uk Author: Cassidy Morrison, Senior Health Reporter DailyMail.com Using a vape causes cancer-linked DNA damage to the mouth at the same rate as using a cigarette does, study finds. The latest study from researchers at the University of Southern California (USC) further pokes holes in the notion that vaping e-cigarettes such as Juul and PuffBar devices are a healthier alternative to smoking. Vapers who regularly use e-cigarettes saw just as much damage to DNA in their mouths as smokers of regular tobacco cigarettes, raising the specter of chronic diseases including cancer. Flavor pods in particular were the most dangerous. Cancers are caused by such DNA damage, also referred to as gene mutations that, over time, may stop working normally or grow out of control and become cancerous. This is not the first study to come to this conclusion. Canadian researchers found that mice exposed to flavored vapes consistently suffered serious cellular and molecular damage to their lungs. Dr Ahmad Besaratinia, senior author of the study and public health experts at USC, said: ‘For the first time, we showed that the more vapers used e-cigarettes, and the longer they used them, the more DNA damage occurred in their oral cells.’ Smoking exposes the cells coating the inside of the mouth, the airways, and the lungs to dozens of powerful chemical carcinogens. The cells in parts of the body that are directly exposed to smoke are damaged most acutely, with 150 mutations found to occur in each lung cell within one [...]

Oral Cancer Foundation News Team - A2023-02-18T14:11:07-07:00February, 2023|Oral Cancer News|

NF-κB over-activation portends improved outcomes in HPV-associated head and neck cancer

Source: medicalxpress.com Author: staff, Impact Journals LLC A new research paper has been published in Oncotarget, titled "NF-κB over-activation portends improved outcomes in HPV-associated head and neck cancer." Head and neck squamous cell carcinoma (HNSCC) is a devastating disease that impairs fundamental tissues involved in respiration, phonation and digestion. HNSCC is primarily caused by exposure to either ethanol and tobacco or the human papillomavirus (HPV). Among patients with HPV+ HNSCC, there is a growing clinical demand to develop robust stratification tools to accurately identify patients with good or poor prognosis. According to the research, "While oncologic outcomes for HPV+ HNSCC are generally favorable, treatment paradigms developed for HPV-negative disease burden many survivors of HPV+ HNSCC with lifelong debilitating treatment-associated side effects. On the other hand, ~30% of HPV+ HNSCC patients exhibit a more aggressive disease course and suffer recurrence." Somatic mutations or deletions in TRAF3 or CYLD identified a subset of HPV+ HNSCC associated with improved outcome. A cross talk between canonical and non-canonical NF-κB signaling suggests that TRAF3 and CYLD affect both NF-κB pathways. "Herein, we demonstrate that an RNA-based classifier trained on tumors harboring these mutations may improve prognostic classification," state the researchers. To improve on genomic classification, the researchers designed the current study to provide a foundation for development of NF-κB related, RNA based classification strategies to better identify HPV+ HNSCC patients with good or poor prognosis that could potentially aid in future efforts towards treatment personalization. "This report validates and expands on our findings that significant [...]

Oral Cancer Foundation News Team - A2022-05-26T07:49:55-07:00May, 2022|Oral Cancer News|

Gene mutations that contribute to head and neck cancer also provide ‘precision’ treatment targets

Source: www.sciencedaily.com Author: Medical College of Georgia at Augusta University About one-fifth of often deadly head and neck cancers harbor genetic mutations in a pathway that is key to normal cell growth, and scientists report those mutations, which enable abnormal cancer cell growth, can also make the cancer vulnerable. Keys to targeting that vulnerability include individualized genomic analysis to identify a patient's specific mutation, and finding the drugs that directly target it, investigations that should be given more attention in cancer therapy development, they report in a review article in the journal NPJ Genomic Medicine. The MAPK pathway is a "signaling hub" for cells important to the usual development of the head and neck region, and activating key pathway constituents, like the genes MAPK1 and HRAS, is known to drive the growth of a variety of cancers, says Dr. Vivian Wai Yan Lui, molecular pharmacologist and translational scientist at the Georgia Cancer Center and Medical College of Georgia and the paper's corresponding author. But the mutations in the genes in the MAPK pathway that enable tumor growth can also make it sensitive to drug therapy, says Lui. While a lot of discovery is still needed to find more mutations in the MAPK pathway and the drugs that target them, Lui says they are among the most logical treatment targets for this tough-to-treat cancer. As she speaks, she is looking in her lab for drugs that kill head and neck primary tumors from patients, and at the genetics behind how they [...]

Oral Cancer Foundation News Team - A2022-04-29T05:28:58-07:00April, 2022|Oral Cancer News|

Smell of a person’s breath may help identify early cancers

Source: www.theweek.in Author: staff Cancer researchers from Flinders University have reported significant progress in developing a method to test exhaled breath profiles which accurately differentiate head and neck cancer from non-cancer patients. Previous studies elsewhere have indicated that the exhaled breath condensate can reveal gene mutations or DNA abnormalities in patients with lung cancer. The global quest to use a person's breath analysis for rapid, inexpensive and accurate early-stage testing for cancer and other diseases has taken a leap forward. The Australian researchers collected breath samples from 181 patients suspected of having early-stage head and neck squamous cell carcinoma (HNSCC) before any treatment began. "We sought to determine the diagnostic accuracy of breath analysis as a non-invasive test for detecting head and neck cancer, which in time may result in a simple method to improve treatment outcomes and patient morbidity," says lead researchers Dr Roger Yazbek and Associate Professor Eng Ooi. Worldwide, head and neck cancer accounts for 6 percent of all cancers, killing more than 300,000 people per year globally. Tobacco, alcohol and poor oral hygiene are known major risk factors for this cancer. A surge in human papilloma virus (HPV)-associated head and neck cancers is seeing these cancers affecting a much younger population, the researchers say. Current therapies are effective at treating early-stage disease, however late-stage presentations are common, and often associated with poor prognosis and high treatment-related morbidity. In the Australian study, a selected ion flow-tube mass spectrometer was used to analyse breath for volatile organic compounds. [...]

Oral Cancer Foundation News Team - A2020-10-11T06:46:58-07:00October, 2020|Oral Cancer News|

Researchers Uncover Major Clue In Predicting Response To Immunotherapy

Researchers at Memorial Sloan Kettering Cancer Center in New York have discovered that cancer cells with high numbers of faults in their DNA are more likely to respond to immune checkpoint inhibitors (ICI), a major class of immunotherapy drugs, which includes Keytruda. The study, published today in Nature Genetics adds important pieces to the puzzle as to why some cancer patients respond to immunotherapy whereas others do not. The researchers measured 'tumor mutation burden (TMB)', essentially counting how many DNA faults a tumor contains by looking for errors in the DNA sequence. "People assume that TMB is important in predicting response to immunotherapy in all cancers, but up until now, all we've had is data from small studies and clinical trials on mostly lung cancers and melanoma," said Luc Morris, MD, surgical oncologist at Memorial Sloan Kettering Cancer Center and one of the lead authors of the paper. The researchers studied the DNA of 1,662 patients with advanced cancer (classified as stage IV or metastatic disease) treated with one or more of several FDA-approved ICI drugs and DNA from 5,371 patients with advanced cancer who had not had ICI. They used a tool called MSK-IMPACT, which looks at just 3% of the coding-regions in DNA, but is correlated to the number of mutations in the genome. "Is TMB associated with likelihood that immunotherapy has benefit? Is this true in all cancers? We wanted to find out whether TMB had broad applicability," said Morris. The researchers found that if they took [...]

Charlotte Parker2019-01-16T11:03:13-07:00January, 2019|Oral Cancer News|

A Look at Therapy Toxicities & Biology in Head & Neck Cancers

Source: journals.lww.com Author: Valerie Neff Newitt A measure of intrigue and discovery pertaining to head and neck cancer, spiked with compassion for patients struggling against treatment toxicities, helps quench the intellectual thirst of Yvonne Mowery, MD, PhD, Butler Harris Assistant Professor of Radiation Oncology at Duke University Medical Center, Durham, N.C. Splitting time between the clinic and laboratory, Mowery is actively engaged in patient care as well as preclinical, translational, and clinical research. “I hope to get a better understanding of the biology of head and neck cancer and determine pathways that we can target to reduce metastatic spread of the disease and improve responsiveness to available treatments,” she told Oncology Times. Long before reaching her current status as an award-winning investigator, Mowery grew up in Richmond, Va., in the midst of a “completely non-scientific” family. “I was an oddball,” she joked, while recalling her parents' patience with her backyard composting experiments that became so foul-smelling that the health department was contacted. As a kid, her idea of a great present was an encyclopedia of science, and the thing that caught her eye at the toy store was a junior chemistry set. Science was clearly her path when she headed to the University of Virginia. In her sophomore year, Mowery began working in a genetics lab. That's where the lure of fruit flies took hold. “I looked at the development of their reproductive system and found that very interesting,” she recalled. Nearing the completion of her undergraduate education, Mowery debated [...]

Oral Cancer Foundation News Team - A2018-11-04T07:47:45-07:00November, 2018|Oral Cancer News|

Non-smokers with oral precancerous lesions at increased risk of cancer

Source: www.eurekalert.org Author: press release Precancerous lesions in the mouths of non-smokers are more likely to progress to cancer than those in smokers, new research from the University of British Columbia has found. Although tobacco use is still one of the strongest risk factors associated with mouth cancers, UBC dentistry PhD candidate Leigha Rock found that oral precancerous lesions in non-smokers are more than twice as likely to progress to cancer. Furthermore, lesions in non-smokers progressed to cancer faster than smoking-associated lesions. The study was published this week in Oral Oncology. "This is the first published study where the main focus was to examine the difference in risk of progression to oral cancer between non-smokers and smokers with oral precancerous lesions," said Rock, lead author of the study. "While other studies have also reported a higher rate of transformation among non-smokers, we looked at multiple risk factors including genetic markers." Rock and colleagues looked at case history of 445 patients with oral epithelial dysplasia (OED), a type of precancerous oral lesion, enrolled in the B.C. Oral Cancer Prediction Longitudinal study. One-third of the patients were non-smokers. "As smoking rates decline, we are seeing an increase in the proportion of these types of lesions in non-smokers," said Rock. Among the scientists' findings were that lesions on the floor of the mouth in non-smokers were 38 times more likely to progress to cancer than in smokers. The study is also the first to report on quicker progression to cancer in non-smokers: both [...]

Oral Cancer Foundation News Team - A2018-03-07T11:30:22-07:00March, 2018|Oral Cancer News|

Integrative and Comparative Genomic Analysis of HPV-Positive and HPV-Negative Head and Neck Squamous Cell Carcinomas

Source: http://clincancerres.aacrjournals.org/Authors: Tanguy Y. Seiwert, Zhixiang Zuo, Michaela K. Keck, Arun Khattri, Chandra S. Pedamallu, Thomas Stricker, Christopher Brown, Trevor J. Pugh, Petar Stojanov, Juok Cho, Michael S. Lawrence, Gad Getz, Johannes Brägelmann, Rebecca DeBoer, Ralph R. Weichselbau, Alexander Langerman, Louis Portugal, Elizabeth Blair, Kerstin Stenson, Mark W. Lingen, Ezra E.W. Cohen, Everett E. Vokes, Kevin P. White, and Peter S. Hammerman Abstract Purpose: The genetic differences between human papilloma virus (HPV)–positive and –negative head and neck squamous cell carcinomas (HNSCC) remain largely unknown. To identify differential biology and novel therapeutic targets for both entities, we determined mutations and copy-number aberrations in a large cohort of locoregionally advanced HNSCC. Experimental Design: We performed massively parallel sequencing of 617 cancer-associated genes in 120 matched tumor/normal samples (42.5% HPV-positive). Mutations and copy-number aberrations were determined and results validated with a secondary method. Results: The overall mutational burden in HPV-negative and HPV-positive HNSCC was similar with an average of 15.2 versus 14.4 somatic exonic mutations in the targeted cancer-associated genes. HPV-negative tumors showed a mutational spectrum concordant with published lung squamous cell carcinoma analyses with enrichment for mutations in TP53, CDKN2A, MLL2, CUL3, NSD1, PIK3CA, and NOTCH genes. HPV-positive tumors showed unique mutations in DDX3X, FGFR2/3 and aberrations in PIK3CA, KRAS, MLL2/3, and NOTCH1 were enriched in HPV-positive tumors. Currently targetable genomic alterations were identified in FGFR1, DDR2, EGFR, FGFR2/3, EPHA2, and PIK3CA. EGFR, CCND1, and FGFR1 amplifications occurred in HPV-negative tumors, whereas 17.6% of HPV-positive tumors harbored mutations in fibroblast growth factor receptor [...]

Charlotte Parker2015-02-05T14:34:06-07:00February, 2015|Oral Cancer News|

Why the “Cancer Due to Bad Luck” Story Needs Revising

Source: medscape.comAuthor: Zosia Chustecka UPDATED January 16, 2015 // There has been quite a backlash to the recent news that many cancers are due to "bad luck" of random mutations, which was proclaimed in headlines around the world, and based on a report published in the January 2 issue of Science. The International Agency for Research on Cancer (IARC), the World Health Organization's specialized cancer agency, put out a press release to say that it "strongly disagrees with the conclusion," and warning that the message could harm cancer research and public health. "We already knew that for an individual to develop a certain cancer there is an element of chance, yet this has little to say about the level of cancer risk in a population," explained IARC director Christopher Wild, PhD. "Concluding that 'bad luck' is the major cause of cancer would be misleading and may detract from efforts to identify the causes of the disease and effectively prevent it." As previously reported by Medscape Medical News, the researchers, from Johns Hopkins University in Baltimore, reported that in about two-thirds (22 of the 31) of cancer tissue types they had investigated, the cancer could be largely explained by the bad luck of random mutations that arise during DNA replication in normal noncancerous stem cells. However, many of the news stories reported a distorting simplification of the findings, and stated that two-thirds of all cancers are due to bad luck. There has been fierce criticism of the way that the media reported the story, but an expert argues that journalists were [...]

Charlotte Parker2015-01-20T11:45:10-07:00January, 2015|Oral Cancer News|