Asmaa Mahmoud Ali Elshamy*, khayria Ahmed Elkordy**, Doaa Abdallah Farag***,Doaa Shams EldinGhorab****
*Dentist at Ministry of Health
**Professor of Oral pathology, Faculty of Dentistry, Mansoura University
***Lecturer of Oral Pathology, Faculty of Dentistry, Mansoura University
**** Lecturer of General Pathology, Faculty of Medicine, Mansoura University
Introduction
Oral squamous cell carcinoma(OSCC) has a striking global incidence and equally formidable mortality rates. It constitutes a significant proportion, comprising 95%of head and neck cancers.(1)
The risk factors most frequently found associated with OSCC are alcohol and tobacco smoking . Other risk factors as immunodiffenecy, low socio-economic status, HPV infection, diet are well known risk factors as well .(3,4)
Epithelial-mesenchymal transition (EMT), a fundamental process in embryonic development, has been implicated in cancer progression .(5-7) Several molecules, such as JAM-A and EBV-miR-BART7-3p, have been suggested to regulate EMT via the PI3K/AKT pathway. Particularly, p-Src has been shown to promote the metastasis of pancreatic cancer and HNSCCs by inducing the EMT process .(8,9)
Recent reports showed that Src kinase exert multifaceted functions by interacting with tyrosine kinase receptors, such as VEGF and EGFR receptor, or via a variety of intracellular signaling pathways involved in tumor cell growth, cell motility, angiogenesis, and invasion during tumor development .(10)
Overexpression of Src has been associated with enhanced cancer cell growth,while depletion of Src by antisense oligonucleotides results in reduced cell division .(11)
Moreover, increased expression of Src kinase has been associated with the development and progression of a number of human malignancies,including pancreatic, colon, ovarian and breast carcinoma . Stabile et al. Demonstrated that the expression of phospho-c-Src is correlated with poor differentiation and lymph node metastases in patients with head and neck squamous cell carcinoma .(12,13)