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Research Article Free access | 10.1172/JCI3661

Flavopiridol, a novel cyclin-dependent kinase inhibitor, suppresses the growth of head and neck squamous cell carcinomas by inducing apoptosis.

V Patel, A M Senderowicz, D Pinto Jr, T Igishi, M Raffeld, L Quintanilla-Martinez, J F Ensley, E A Sausville, and J S Gutkind

Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

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Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

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Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

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Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

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Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

Find articles by Raffeld, M. in: PubMed | Google Scholar

Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

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Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

Find articles by Ensley, J. in: PubMed | Google Scholar

Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

Find articles by Sausville, E. in: PubMed | Google Scholar

Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.

Find articles by Gutkind, J. in: PubMed | Google Scholar

Published November 1, 1998 - More info

Published in Volume 102, Issue 9 on November 1, 1998
J Clin Invest. 1998;102(9):1674–1681. https://doi.org/10.1172/JCI3661.
© 1998 The American Society for Clinical Investigation
Published November 1, 1998 - Version history
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Abstract

Flavopiridol (HMR 1275) has been identified recently as a novel antineoplastic agent in the primary screen conducted by the Developmental Therapeutics Program, National Cancer Institute. Flavopiridol inhibits most cyclin-dependent kinases (cdks) and displays unique anticancer properties. Here, we investigated whether this compound was effective against head and neck squamous cell carcinomas (HNSCC). Exposure of HNSCC cells to flavopiridol diminished cdc2 and cdk2 activity and potently inhibited cell proliferation (IC50 43-83 nM), which was concomitant with the appearance of cells with a sub-G1 DNA content. Moreover, DNA fragmentation and TUNEL (terminal deoxynucleotidyl transferase-mediated nick end labeling) reaction confirmed that flavopiridol induces apoptosis in all cell lines, even on certain HNSCC cells that are insensitive to apoptosis to DNA-damaging agents (gamma-irradiation and bleomycin). A tumorigenic HNSCC cell line was used to assess the effect of flavopiridol in vivo. Treatment (5 mg/kg per day, intraperitoneally) for 5 d led to the appearance of apoptotic cells in the tumor xenografts and caused a 60-70% reduction in tumor size, which was sustained over a period of 10 wk. Flavopiridol treatment also resulted in a remarkable reduction of cyclin D1 expression in HNSCC cells and tumor xenografts. Our data indicate that flavopiridol exerts antitumor activity in HNSCC, and thus it can be considered a suitable candidate drug for testing in the treatment of refractory carcinomas of the head and neck.

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