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Smad7 and CTGF particapation on gingival myofibroblasts transdifferentation and analysis of myofibroblasts influence on oral squamous cell carcinoma proliferation and invasion

Full text
Author(s):
Lays Martin Sobral
Total Authors: 1
Document type: Doctoral Thesis
Press: Piracicaba, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba
Defense date:
Examining board members:
Ricardo Della Coletta; Andréia Machado Leopoldino; Daniela Bazan Palioto; Márcio Ajudarte Lopes; Karina Gottardello Zecchin
Advisor: Ricardo Della Coletta
Abstract

Myofibroblasts are mesenchymal cells, characterized by the specific isoform ? of the smooth muscle actin (?-SMA) expression and the extracellular matrix proteins, growth factors and proteases secretion. These cells play a central role on wound healings and in pathologic process, including fibrosis and cancers. The aims of this study were 1) analyze the connective tissue growth factor (CTGF) role and the superexpression of Smad7 effect on TGF-?1-induced gingival myofibroblasts transdifferentiation, 2) isolate and characterize myofibroblast cell lines from oral squamous cell carcinomas stroma (OSCC) and compare the proliferative potential and matrix metalloproteinases (MMP) production with fibroblast cell lines from OSCCs stroma, and 3) analyze the myofibroblasts influence on the modulation of OSCC cell lines proliferation and invasion. Our results demonstrated that the TGF-?1 treatment induced simultaneously the ?-SMA and CTGF expression and the CTGF neutralization using the small interference RNA (siRNA) blocked the TGF-?1-induced gingival myofibroblasts transdifferentiation. Smad 7 superexpression in normal gingival cells (NG) inhibit the TGF-?1 cascade activation, characterized by the Smad2 phosphorilation and ?-SMA, CTGF and type I collagen expression. Similarly, hereditary gingival fibromatosis (HGF) myofibroblasts superexpressing Smad 7, demonstrated reduced levels of ?-SMA and phospho-Smad2, and low expression levels of CTGF and type I collagen. Three myofibroblast cell lines were isolated from tongue OSCC stroma and characterized by the ?-SMA expression and high levels of type I collagen. Although the proliferative potential of fibroblast and myofibroblast clones has been similar, the MMP-1, -2, -9 and -13 were significantly higher in myofibroblasts. Finally, we demonstrated that tumor stroma myofibroblasts produce high levels of some growth factors compared with fibroblasts, including activin A. Myofibroblasts conditioned medium containing activin A induce significantly the OSCC cell lines proliferation and a tumor progression in vivo, while the activin A dowregulation by siRNA significantly decreased the OSCC cells proliferation. In vitro, myofibroblasts induced OSCC cells invasion, accompanied by an induction of MMPs production, and in vivo was observed a significant correlation between the myofibroblasts presence and the MMP-2 and MMP-9 activity. The myofibroblasts dowregulation of activin A by siRNA did not affect the induction of invasion and MMPs synthesis. The results of this study demonstrate that 1) Smad 7 blockage the gingival myofibroblasts transdifferantiation through the inhibition of Smad 2 phosphorilation and CTGF transcription, 2) myofibroblasts on the OSCCs stroma can contribute to a more invasive phenotype via elevated levels of MMPs secretion, 3) myofibroblasts released products induce an OSCC cells proliferation and invasion and the proliferative stimulus are controlled by the activin A production. (AU)