Info

molecular_pathogenesis-of-head_and_neck_squamous_cell_cancer

  • HPV:
    • E6, E7 viral protein
    • → inhibit p53, Rb, other tumor suppressors
  • p16:
    • Tumor suppressor overexpressed in HPV-assoc CAs
      • (E7 protein inhibits Rb fxn, leading to compensatory p16 upregulation), frequently inactivated in tobacco-assoc SCCHN
  • EGFR:
    • Overexpressed in >80% SCCHN;
    • ↑ correlates w/ poorer prog (Mol Can Ther 2019;18:1909)
  • TP53:
    • Inactivated in >50% SCCHN,
    • more common in tobacco/EtOH-associated tumors
  • CCND1 (cyclin D1):
    • ↑ cell-cycle progression
  • Others:
    • PI3K/AKT/mTOR (primarily in HPV+), HRAS, & PTEN